SHIVAJI UNIVERSITY, KOLHAPUR.
INTERNET UNIT
Application for WiFi Network Access Account Allocation for Students.
Date:
Mr./Ms………………………….. is a bonafide student of this department and the information
given above by him/her is correct as per our records. He/she may be given WiFi Net Access.
--------------------------------------------------------------------------------------------------Applicant’s copy
Details to be filled
1. Name of the Applicant Mr./Ms.…………………………………….
2. Department Name : ______________________________
3. Roll No. / Seat No. / PRN __________________________________
4. Course Name __________________________________
5. Duration of the course __ Semesters
6. Date of joining the Course __/__/______
7. Net Access device : Laptop / Mobile / Tablet
8. MAC address (Please get help of Internet Unit, if you cannot find)
Signature of the Applicant.
Signature and seal of Head of the Department
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INTERNET UNIT Office Use only
MAC id verified:
Network Access ID allocated by INTERNET UNIT
Net Access ID allocated
Account Valid Up to :
YSE / NO
/
/ 2014 to
/
/ 2015
Co-ordinator, Internet Unit.