Section 1: Organisation details

Organisation name *

Organisation Data Service (ODS) code *

Address *

Postcode *

Telephone number * Enter the phone number without spaces

Section 2: Information about the applicant

Name * First and last name

Job title *

Telephone number * Enter phone number without spaces

Email *

Section 3: Information about the technical contact

Only complete if different to section 2

Name First and last name

Job title

Telephone number Enter phone number without spaces

Organisation name

Section 4: Domain name and mail server IP address(es) or MX record(s)

Email domain name

IP address(es)

MX record(s)

Section 5: Description of mail service

Brief description of the purpose of this mail service *

*required field

Any personal information you give to us will be processed in accordance with the General Data Protection Regulation (GDPR) 2018. We will use the information to process your request and to provide any further relevant information or services you have requested. It will also be used to support our service development activities.