IPv6 Ready Logo Program Phase-1 Application Form (Available from 2004/4/2)

Please fill the following items.

Target Informations:
  Vendor Name: ___________________
  Country Name: __________________
  Product Name: ___________________
  Product Version: ________________
  Product Classification (host or router or special_device): _____________
  Product Description: _________________________
                       _________________________
                       _________________________

Contact Person:
  Full Name: ___________________
  E-mail: ______________________

Test Result:
  *Self-test Log should be attached with this application form.
   (If Target is OS/Protocol Stack running environment have to be described below.)
  Environment for OS/Protocol Stack: ______________________________

  Interoperability test results
    (4 interoperable devices/products from other vendors including 2 hosts and 2 routers.)
    Router:
      1. Vendor name: _________ / Device name: ___________________ / Version: _______
      2. Vendor name: _________ / Device name: ___________________ / Version: _______
    Host:
      1. Vendor name: _________ / Device name: ___________________ / Version: _______
      2. Vendor name: _________ / Device name: ___________________ / Version: _______

Interoperability test situation
  "Inhouse test" or "Interoperability test event": _________________________
  (Interoperability test event means a event arranged by a organization such as TAHI, ETSI or UNH)

  *If you choose "Interoperability test event", you should fill in the below.
  Test event name: ___________________
  Test event date: ___/___/____
  Test event coordinators name (who has responsibility for the result) :
    Full name: _________________
    E-mail: _________________