/ / Application Form for
Modifying the Hosting of
an Existing Domain Name
For the prevailing policy on domain name, please visit
http://wikisites.cityu.edu.hk/sites/upolicies/dnpolicy
To be completed by authorized department representative
Department: / Date of Request:
Name: / Date Needed:
Email: / Telephone (or ext.):
Existing Domain Name (DN):
DN currently is resolved at : / □ University DNS server / □ External DNS server / IP address:
Node name:
DN to be resolved at: / □ University DNS server / □ External DNS server / IP address:
Node name:
If this domain name or service is to be hosted by a new internal or external Service Provider (SP), please supply the following:
Name of the Current SP:
Current Server’s Node Name: / IP address:
Name of New SP:
New Server’s Node Name: / IP address:
New SP contact – Telephone: / Fax:
PO number (if applicable):
Description of hosted service:
If a change in DNS registration information is required, please supply the following:
To be completed by Head of department or Principal Invigilator
Authorized by: / Date:
(Printed name and title)
Signature:

CC182/4

To be completed by CSC
Application is / □ approved / □ disapproved
Comments:
Approved by: / Date:
Handled by: / Date of Action:
Date Notified Dept:
□ The DNS of the existing domain name will be changed, verify information below:
Current DNS’s Node Name: / Current DNS’s IP address:
New DNS’s Node Name: / New DNS’s IP Address:
□ New domain name is to be served by central name servers
NS (Domain delegation, i.e., zone.cityu.edu.hk)
A (IP Address):
MX (Mail Routing):
CNAME (Alias):
The Service Provider (SP) will be changed, verify information below:
□ Name of the Current SP
□ Current Server Node Name / □ Current Server’s IP address
□ Name of the New SP
□ New Server Node Name / □ New Server’s IP Address
Remarks:

Please return the completed form to the General Office of the Computing Services Centre.