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APPLICATION FORM FOR INTERNET CONNECTION (FOR …

APPLICATION form FOR INTERNET CONNECTION (FOR HOSTEL & COLLEGE CAMPUS) Session: .. 1. Name of Student :_____ 2. Father s Name :_____ 3. Permanent Address :_____ 4. Local Address :_____ 5. Hostel Address :_____ 6. Mobile No. :_____ 7. Email Address :_____ 8. Class (Year / Semester) :_____ 9. College / Institute :_____ 10. Type of System : Laptop Desktop Tablet Mobile 11. (MAC Address of System) :_____ I will be abide by information Technology (IT) Act 2000 (21 of 2000) and amended rules of information Technology (IT) Act 2008 (10 of 2008) for Misuse/illegal activities.

The application is forwarded to Officer Incharge, Internet Cell for further necessary action. (Hostel Warden) (Incharge, Internet Cell) (ADSW) For Official use only

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