I, ____________________________________________________________________________________,

^{(surname, name, patronymic, birth date)}

passport:	number:	_______________________________
	issued by:	_____________________________________________________
	date of issue:	_______________________________,

requests you to change the Administrator for the following domains: _____________________________________________________________________ to the new Administrator:

____________________________________________________________________________________

    ^{(Full name, passport data for individuals, Organization name for companies)}

_____________________________

    ^{(contract number, login)}