Register for a gov.wales and llyw.cymru domain

Before completing this application please familiarise yourself with the application process and, in continuing, that you accept our payments and charges.

You will need to complete a separate form for each domain, for example you will need to complete two forms if you wish to secure both a Welsh and an English domain name.

This form is to be completed by an approved registrar only.

You may find the application process simpler using the domain registry portal where you can track the application process.

All fields marked with an asterisk (*) are required.

Applicant's details

Only approved registrars may apply for .llyw.cymru and .gov.wales domain names. The applicant's details must be the details of the person submitting the request, ie Janet approved registrar.

First name *

Last name *

Job title *

Email *

Organisation *

Domain name details

Requested domain name *

Please include the .gov.wales or .llyw.cymru suffix.

Organisation using the domain

Which organisation will use the proposed domain? *

What is the role and objective of the organisation? *

What is the purpose of the domain name? *

Organisation’s primary website

Other, please specify

Please give further details of the primary purpose and planned content for the proposed domain name *

Who is the intended audience? *

What is the intended lifespan of the domain name? *

Contact details for organisation using the domain

This information will be shared with the relevant naming committee for the use of this application and will remain private.

Full name *

Organisation *

Postal address *

What is the role of the contact within the organisation? *

Email *

Work telephone *

Fax

Public registrant contact

This information will be published in the public Whois. By doing so, you and your customer agree to GDPR requirements. The details can be the same as above or generic details, such as hostmaster/IT manager/clerk.

Registrant name *

Postal address *

Work telephone *

Email *

Registrar contact

Full name *

The registrar contact must be an employee of the registrar hosting the domain name.

Postal address *

Email *

Work telephone *

Fax

Nameserver details

Primary nameserver and IP address *

Please enter the name and IP address of your primary nameserver

Secondary nameserver(s) and IP address(es) *

Please give the details of at least one and up to nine secondary nameserver(s)

Secondary nameserver(s) and IP address(es)

Additional information

What is your payment method? *

Registrar account

Credit card

If applicable, what is your approved registrar membership number?

Notes

Submission receipt

Would you like a copy of your submission? *

Privacy notice

The information above is needed for us to setup this hosted internet service. We’ll use it, as described in our standard privacy notice, to provide the service you’ve requested, manage it and to identify problems or ways to make the service better. We’ll keep the information until we are told that you are no longer the representative for your organisation, or until your organisation no longer wishes Jisc to host the service.