Domain Name Registration

Please fill this form if you want to register your own domain name.

Type the name of your domain *

Please select your domain extension. *

Please state if you are applying as *

Business

Government

Non-Government

Individual

School

Student

Please select only one for the above. If you are an individual please select Individual and the same for the others.

Do you reside in Kiribati? *

If Yes please select Kiribati. If No please select your Country *

NameServer 1 Name and IP Address *

NameServer 2 Name and IP Address *

Registrant Contact Full Name *

Registrant Email address *

Registrant Phone Number *

+686

Registrant Home Address *

Administrative Contact Full Name *

Administrative Email address *

Administrative Phone Number *

+686

Administrative Home Address *

Billing Contact Full Name *

Billing Email address *

Billing Phone Number *

+686

Billing Home Address *

Technical Contact Full Name *

Technical Email address *

Technical Phone Number *

+686

Technical Home Address *

reCAPTCHA Checkbox *