KOENIGREICH WEYMARCK

Full name:

Position or title:

Crown Office identification number (if applicable):

Date of application:

Domain name requested (.wm):

Government network access level: Select level Standard — internal Crown Office communications Extended — classified data handling Domain registration only

Describe the intended purpose of the domain or network resource:

I, the undersigned applicant, hereby declare:

"I affirm that I will use the resources of the Kingdom's digital infrastructure in accordance with the principles of sovereignty, neutrality, and fiduciary trust, and that I will not disclose classified information or use such resources for purposes contrary to the laws of the Kingdom of Weymarck."

I understand that this Declaration is a legally binding instrument under the Data Territory Act 1999 and that breach of this Declaration may result in revocation of network authorisation and penalties under Section 8 of the Data Territory Act.

I have read and accept the terms of this Declaration

Applicant signature (name):

Date:

Reviewing officer:

Decision: Select Approved Rejected — purpose inconsistent with Data Territory Act Referred to Crown Office for countersignature

RTO reference number:

Date of decision:

Countersignature (Crown Office, if required):