1. No category

Assuring Unlimited Campus Connectivity
@AUCC
WI-FI CONNECTIVITY ACCESS APPLICATION FORM FOR STUDENT - LAPTOP /MOBILE
1.General Information
Name of the Student:
Course Name:
Gender: Male
Department Name:
Female
Roll No:
Name of the Faculty / Guide:
( Research scholars only )
Course Duration:
From:
To:
Hostel Name:
Room No:
E-Mail Id:
Mobile No:
Contact Details:
2.Technical Information:
Laptop
Type of Device:
(Only One Device)
Mobile
Make:
Model:
Serial No:
MAC ID / Physical Address:
Operating System (OS):
Windows
Unix
Mac
Linux
IOS
Android
Others____________
I hereby declare that the above information given by me is true and correct. I accept all the terms and
conditions laid down by AU Computer Centre and hereby take-up the responsibility for any violation that would
be caused by my username. I understand that this service will be valid for one academic year.
Hostel Chief Warden & Seal
===============================
HOD & Seal
Student Signature
For AUCC Use Only ==================================
User Name
IP assigned: DHCP/ Specific IP
Verified by System Administrator
Signature With Date
Approved by Coordinator Wi-Fi
Signature With Date
Password:
Expiry: Never / Specific Date
Status of Account with Date:
Opened On:
**Note: Attach copy of Hostel ID card duly attested by Chief Warden
Closed On: