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  • Wifi Form

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    suriyanarayanan707
    17 views3 pages
    The document appears to be an application form for Wi-Fi connectivity access at Madurai Kamaraj University for either staff or students using laptops. It requests general information about the applicant as well as technical details of their device. Applicants must agree to the university's terms and conditions and the form requires various approvals before an account is set up.

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    The document appears to be an application form for Wi-Fi connectivity access at Madurai Kamaraj University for either staff or students using laptops. It requests general information about the applicant as well as technical details of their device. Applicants must agree to the university's terms and conditions and the form requires various approvals before an account is set up.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    17 views3 pages

    Wifi Form

    Uploaded by

    suriyanarayanan707
    The document appears to be an application form for Wi-Fi connectivity access at Madurai Kamaraj University for either staff or students using laptops. It requests general information about the applicant as well as technical details of their device. Applicants must agree to the university's terms and conditions and the form requires various approvals before an account is set up.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 3

    Madurai Kamaraj University

    (University with Potential for Excellence)

    WI-FI CONNECTIVITY ACCESS APPLICATION FORM FOR - STAFF (LAPTOP ONLY)

    1.General Information
    Name of the Staff
    Employee ID No Gender: Male/ Female
    Category Teaching/ Non- Teaching
    Designation
    Name of the School
    Department/Centre/Section
    Contact Details Intercom No: Mobile No:
    Landline No:
    E- mail ID

    2.Technical Information
    Details of Device Laptop : Make & Model
    Serial No
    Mac/Physical Address
    Operating System Windows/Unix/Mac/Linux/Others(Specify)

    I hereby declare that the above information given by me is true and correct. I accept all the terms
    and conditions laid down by MKU and hereby take-up the responsibility for any violation that would be
    caused by my username.

    Date: Signature of the Staff

    DR/AR HOD/ Chairperson/Director


    With seal with seal

    *************************************************************************************
    * Enclose Xerox Copy of the Staff ID-Card.

    For Office Use Only:


    User Name : Password :

    IP assigned: DHCP/ Specific IP Expiry: Never / Specific Date


    Verified by Network Administrator
    Signature With Date
    Approved by Coordinator/Deputy Coordinator -TSC
    Signature with Date
    Status of Account with Date Opened On: Closed On:
    Madurai Kamaraj University
    (University with Potential for Excellence)

    WI-FI CONNECTIVITY ACCESS APPLICATION FORM FOR - STUDENT (LAPTOP ONLY)

    1.General Information
    Name of the Student / Scholar Roll No:
    Name of the course / Programme Gender: Male/ Female
    Department/Schools Name
    Name of the Faculty / Guide
    ( Research scholars only )
    Course Duration From: To:
    Residential Hostel / Days Scholar
    Contact Details Room No ,Hostel Name :( if applicable)
    Mobile No:
    E-Mail Id:

    2.Technical Information
    Type of Device Laptop : Make & Model
    Serial No
    Mac/Physical Address
    Operating System (OS) Windows/Unix/Mac/Linux/Others(Specify)

    I hereby declare that the above information given by me is true and correct. I accept all the
    terms and conditions laid down by MKU and hereby take-up the responsibility for any violation that
    would be caused by my username.

    Date: Signature of the Student

    Hostel Warden (if applicable) HOD Chairperson


    with seal with seal with seal
    ******************************************************************************
    *Enclose Xerox copy of the Student ID-Card

    For Office Use Only:


    User Name: Password:
    IP assigned: DHCP/ Specific IP Expiry: Never / Specific Date
    Verified by Network Administrator
    Signature With Date
    Approved by Coordinator/Deputy Coordinator -TSC
    Signature with Date
    Status of Account with Date Opened On: Closed On:

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