Enterprise & Carrier Account Enrolment

Service Application Form

DSNI-AF-2026-1681 · Rev. 6.0 · Fields marked * are required.

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Section 1

Applicant information

Application date 12 Sep 2026
If different from the registered name.
Pin the installation point (optional)
No pin dropped

Click the map or drag the marker to mark the exact building, tower or rack room. The address and coordinates of the pin are written into the service address above — anything you typed yourself is kept.

If applicable.
Section 2

Services applied for

Tick every service required
ServiceBandwidth / quantity

Pricing, one-time charges and service-specific terms are set out in the applicable Service Order and Service Level Agreement.

Section 3

Technical profile

Routed, peering, colocation & transport services
BGP session required
Routing
IRR object / RPKI ROA status
Physical handoff
VLAN / encapsulation
Jumbo frames (9216):
Cross-connect required
For migration planning.

Complete this section only for routed, peering, colocation or transport services. DSNi will validate feasibility during the site survey.

Section 4

Authorized contacts

Primary contact required

Primary *

Technical

Accounting / Billing

NOC / Emergency (24×7)

Escalation

If only the Primary contact is provided, that contact will automatically receive technical and accounting information. Changes to authorized contacts must be notified to DSNi in writing by an existing authorized contact.

Section 5

Billing & payment preferences

Billing address
Statement delivery
Preferred payment method
Purchase order required
Section 6

Documentary requirements

Tick what you can provide

To be submitted prior to installation. Items marked * are mandatory. Attach what you have now — anything missing can follow later, quoting your reference number. Accepted: pdf, png, jpg, jpeg, webp, doc, docx, xls, xlsx · max 12 MB each.

DSNi may request additional documents where required by law, by the building or facility owner, or by the applicant's credit profile. Completed forms and attachments may be returned to info@dsnetworks.net.

Section 7

Data privacy consent

Section 8

Declaration and authorisation

A wet or digital signature will be collected on the printed form during document submission. Submitting this form electronically records your acceptance and the submission timestamp.