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.mm Domain Registration/Renewal Order Form
Domain Name
Domain Information (Required)
—Please choose an option—
.com.mm
.net.mm
.org.mm
.edu.mm
Additional Domain name if the above domain name is occoupied.
—Please choose an option—
.com.mm
.net.mm
.org.mm
.edu.mm
—Please choose an option—
.com.mm
.net.mm
.org.mm
.edu.mm
—Please choose an option—
.com.mm
.net.mm
.org.mm
.edu.mm
DNS Management
DNS Management Panel required? (Required)
—Please choose an option—
YES
NO
Applicant Information
Applicant Name (Required):
NRC or Passport Number (Required):
Company's Name:
Company's Registration Number:
Contact Name (Required):
Contact email (Required):
Contact Phone No. (Required):
Contact Address (Required):
Billing Information
Same as above applicant information? (Required)
—Please choose an option—
Yes
No
Billing Contact Name (Required):
Billing Contact email (Required):
Billing Phone No. (Required):
Billing Address (Required):
Technical Contact Information
Same as above applicant information? (Required)
—Please choose an option—
Yes
No
Technical Contact Name (Required):
Technical Contact email (Required):
Technical Phone No. (Required):
Service Type
Service Detail information (Required)
—Please choose an option—
New Registration
Renewal
Activation Date: (Required)
Renewal Date (Required):
Δ
If you have any difficulties submitting this form,
please contact
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