Application For User Account For Internet Access

Company Name(s): 

COMPUTER CENTRE, AMU, ALIGARH
APPLICATION FOR USER ACCOUNT FOR INTERNET ACCESS
(Without Authentication with your Account Internet wil/not be accessible)
1. Name of the User
2. Level
3. ID/ Enrolment No.
4. Date of Retirement
(Only for Employee)
: Teacher/Research Scbolar I NT Staff/ PG I VG I +2 I H.S.
______ Roll No.: ______ _
5. Department/ Office I Hall:-----------------
6. Contact No.(Phl Cell Ph) : _____ _
Undertaking by the Applicant
a. Never indulge in any anti-social and anti-national activities.
b. Not transfer this account to anybody.
c. Never send any unsolicited information to other users.
d. Never surf non-academic or irrelevant websites.
Affix
Latest
Photograph
(Attested)
e. Understand that misuse of Internet is a cognizable offence under cyber laws in India.
If I fail to abide by any of above instructions, the matter may be reported to the Chairman/
Incharge/ Provost concerned and my account may be disable with immediate effect.

Signature of the Applicant
Certified that Prof,/Dr.Mr./Ms. is Employee/bonafide Student of the department/ Office I Class and an account may be given to him.
Login Id
Password
FOR OFFICE USE
Signature
Chairman I Incharge I Provost
With seal
Date of Issue: -------
NOTE: Account will be created after 10 days from the date of receiving of the Complete application form in the Computer Centre.