The chosen domain name:
A va'lasztott domain ne'v

Is it a new application or modification of an earlier one? Reason for the modification:
U'j ige'ny, vagy kora'bbi mo'dosi'ta'sa? Ha mo'dosi'ta's, akkor az oka

Is it an application with priority? [ ] Yes or [ ] no?
Priorita'sos ige'ny? Igen nem

If the name is a trademark, please write here its registration number:
Ha a ne'v ve'djegy, akkor a lajstromsza'm

Under which public domain do you apply for delegation? (One per application form)
Jelo"lje be, hogy mely ko"zdomain ala' ke'ri a delega'la'st (egy Ige'nylo"lapon egyet)
[ ] hu public domain [ ] second-level public domain, namely:________________________
hu ko"zdomain ma'sodik szintu" ko"zdomain, me'gpedig

Identification of the Registrant (taxation number of the organization - or its registration number - or identity card number of the natural person) :
az Ige'nylo" azonosi'to'ja (szervezet ado'sza'ma (hia'nya'ban bejegyze's sza'ma) vagy egye'ni Ige'nylo" szeme'lyi(igazolva'ny) sza'ma)

Full name of the Registrant (in Hungarian):
az Ige'nylo" teljes neve (magyarul)

in case of on organization, its name in English:
a szervezet megneveze'se angolul

Postal address of the Registrant:
az Ige'nylo" postai ci'me

legal status:
jogi sta'tusza

telephone:
telefonsza'ma

fax::
telefaxsza'ma

Administrative Contact Person appointed by the Registrant:
az Ige'nylo" a'ltal kijelo"lt adminisztrati'v kapcsolattarto' szeme'ly

name:
neve

postal address:
postai ci'me

telephone:
telefonsza'ma

fax:
telefaxsza'ma

e-mail address:
e-mail ci'me

With the submission of the Application Form I declare that
Az Ige'nylo"lap benyu'jta'sa'val egyben kijelentem, hogy

1. I know the Domain registration Business Policy Principles and accept the decision of the Registrar and the Administrator. I accept that I apply for the domain delegation for my own risk, and that neither the Administrator nor the Registrar is responsible for the possible direct or indirect damages caused by the delegation or the rejection, renouncement, suspension or cancellation of the domain name;
   a Domainregisztra'cio's U"zletpolitikai Ira'nyelveket ismerem e's betartom, a Nyilva'ntarto' e's a Regisztra'tor do"nte'se't elfogadom. Tudoma'sul veszem, hogy a domain delega'la'st saja't kocka'zatomra ige'nylem, e's sem a Nyilva'ntarto't sem a Regisztra'tort nem terheli felelo"sse'g sem a domain delega'la'sbo'l, sem annak elutasi'ta'sa'bo'l, felmonda'sa'bo'l, felfu"ggeszte'se'bo"l vagy visszavona'sa'bo'l esetlegesen keletkezo" ko"zvetlen vagy ko"zvetett ka'roke'rt;

2. only I am responsible for the choice, meaning and usage of the applied name, and I take the consequences. The Administrator and/or Registrar is not abliged to check the chosen name and to examine its lawfulness in any way. In case someone claims against the Registrar and/or the Administrator, I will take their role, and (if it is impossible) I will give assistance in their defence against the claim;
   egyedu"l magam vagyok felelo"s az a'ltalam ige'nyelt domain ne'v megva'laszta'sa'e'rt, jelente'startalma'e'rt, haszna'lata'e'rt e's ezek ko"vetkezme'nyeie'rt. A Nyilva'ntarto' e's/vagy a Regisztra'tor a va'lasztott ne'v elleno"rze'se're, jogszeru"se'ge'nek semmilyen vizsga'lata'ra nem ko"teles. Amennyiben ezzel kapcsolatban ma's szeme'ly a Nyilva'ntarto'val e's/vagy a Regisztra'torral szemben ige'nyt ki'va'n e'rve'nyesi'teni, va'llalom, hogy a helyu"kbe le'pek, illetve (ha ennek akada'lya van) minden segi'tse'get megadok re'szu"kre a ko"vetele'ssel szembeni ve'dekeze'shez;

3. I exempt the Administrator and/or the Registrars from any costs deriving from a legal dispute, damage, or claim concerning the domain delegated to me, from the registration and delegation process, or from the choice, meaning and usage of the domain name. I do every effort to protect the Administrator and the Registrars from any injury;
   a nekem delega'lt domainnel, a delega'cio's e's regisztra'cio's elja'ra'ssal, a domain neve'nek megva'laszta'sa'val, jelente'startalma'val vagy haszna'lata'val kapcsolatos ba'rmilyen jogvita'bo'l, ka'rbo'l, ko"vetele'sbo"l ko"vetkezo" ko"ltse'g alo'l tehermentesi'tem a Nyilva'ntarto't e's/vagy a Regisztra'tort, e's egye'bke'nt is mindent elko"vetek annak e'rdeke'ben, hogy a Regisztra'tort illetve a Nyilva'ntarto't e'rdekse'relem ne e'rje;

4. I have chosen the domain name as carefully as possible, and I ensure that the chosen name or its usage does not infringe the rights of any third person or organization (e.g. right to the exclusivity of the name, personal right, right of reverence, copyright, etc.). If such an infringement is discovered, I will renounce the name. I accept that the registry database and the trademark database of the Hungarian Patent Office is accessible by calling the 06-80-345678 toll-free domestic telephone number or at the www.hpo.hu address, for the purpose of checking;
   a domain ne'v megva'laszta'sa teru"lete'n a leheto" legnagyobb gondossa'ggal ja'rtam el, e's szavatolom, hogy az a'ltalam va'lasztott domain ne'v, illetve annak haszna'lata ma's szeme'ly vagy szervezet jogait (pl. ne'vkiza'ro'lagos-sa'ghoz fu"zo"do" joga't, szeme'lyise'ghez fu"zo"do" joga't, kegyeleti joga't, szerzo"i joga't stb.) nem se'rti. Ha azonban ilyen jogse'rte'srol tudoma'st szerzek, a ne'vro"l o"nke'nt lemondok. Tudoma'sul veszem, hogy elleno"rze's ce'lja'bo'l ce'gjegyze'k adatba'zis e's a Magyar Szabadalmi Hivatal ve'djegy adatba'zisa (a 06-80-345678 zo"ld sza'mon vagy a www.hpo.hu ci'men) hozza'fe'rheto"

5. I agree to that the Administrator and Registrars handle every information indicated on the Application Form as public, according to the conventions on the Internet. I am in possession of the necessary agreement of the persons affected.
   hozza'ja'rulok ahhoz, hogy az Ige'nylo"lapon ko"zo"lt ba'rmely informa'cio't a Nyilva'ntarto' e's a Regisztra'torok az Internet regisztra'cio's szoka'soknak megfelelo"en nyilva'nosan kezeljenek, e's kijelentem, hogy ehhez az ott megnevezett szeme'lyek hozza'ja'rula'sa'val rendelkezem;

6. I accept that in case of a disagreement concerning the eligibility of a chosen domain name, the Registrar refers itself to the decision of the Advisory Council. The decision is asked by the Registrar on the motion of the Registrant and/or the third party making a complaint, after paying the expenses of the Advisory Council.
   tudoma'sul veszem, hogy a va'lasztott domain ne'v va'laszthato'sa'ga'val kapcsolatos vita esete'n a Regisztra'tor a Tana'csado' Testu"let do"nte'se'nek veti ala' maga't. A do"nte'st kezdeme'nyeze'sem alapja'n, az elja'ra'si di'j befizete'se't ko"veto"en a Regisztra'tor szerzi be;

7. in case of a disagreement concerning either the delegation and registration of the domain or the effort of the signed provider contract, as well as the existence and accomplishment of rights and charges deriving from this contract, I refer myself to the decision of the Arbitration Panel supported by the Administrator. The Arbitration Panel judges the debate with the effect of a non-appealable, according to the concerning rules of procedure published on the Web Server.
   kijelentem, hogy a domain delega'la'ssal e's regisztra'la'ssal illetve a megko"to"tt szolga'ltato'i szerzo"de's hata'lya'val, az ebbo"l eredo" jogok e's ko"telezettse'gek fenna'lla'sa'val, teljesi'te'se'vel kapcsolatos vita's ke'rde'sekben ala'vetem magamat a Nyilva'ntarto' a'ltal ta'mogatott Eseti Va'lasztottbi'ro'sa'g do"nte'se'nek, amely bi'ro'sa'g a vita't a Web Szerveren megtala'lhato' ra' vonatkozo' elja'ra'si szaba'lyok alapja'n a jogero"s bi'ro'i i'te'let hata'lya'val bi'ra'lja el.

Attached documents:
Melle'kelem a ko"vetkezo" dokumentumokat

Name of the Registrar:
a Regisztra'tor neve

______________________________________________

Technical Contact Person appointed by the Registrant
Az Ige'nylo" a'ltal kijelo"lt technikai kapcsolattarto' szeme'ly

name:
neve

postal address:
postai ci'me

telephone:
telefonsza'ma

fax:
telefaxsza'ma:

e-mail address:
e-mail ci'me

Primary name server Az elso"dleges ne'v szerver	Name: neve IP address: IP ci'me
Secondary name server A ma'sodlagos ne'v szerver	Name: neve IP address: IP ci'me