WiFi Application Form - Student.pdf - Google Drive

MUFFAKHAM JAH COLLEGE OF ENGINEERING AND TECHNOLOGY (SULTAN-UL-ULOOM EDUCATION SOCIETY) Students Application Form for Wi-Fi Internet Access Roll No: _____________________________________________ Self Attested

Name: _____________________________________________

Passport Size

Phone No: _____________________________________________

Photograph

Email ID : __________________________________________________

Configuration details of the Device on which Wi-Fi access is requested: (only one device per student will be granted Wi-Fi access) Device Type: Laptop / Tablet Device Make (Apple,Samsung,etc): _____________________________________________ Device Model and OS : _______________________________________________________ MAC Address: ______________________________________________________________ Preferred place of access: Library / Block-5 / Block-2 / Block-1

DECLARATION I, Mr./Ms. ___________________________________________________________ S/o, D/o _______________________, bearing roll no _____________________________________ hereby declare that I shall use my internet account allotted to me as per the existing policies of the MJ Campus Network Facility, which may change from time to time. I shall not reveal my Wi-Fi Credentials to anybody and I am solely responsible for the activities done through my internet access.

Date:

Signature of Student ATTESTATION

Signature of HOD Note: Filled Attested application should be submitted to Network Administrator (Room# 2111) along with copy of the Student ID Card. For any access problems contact Phone: 04023280337