Scribd
Upload
41 views

Afnan Wifi

This document is a request form from a student named Afnan Raza for ICT resources from Aligarh Muslim University. The student provides personal details and undertakes to use the resources for academic purposes only and abide by all university policies.

Uploaded by

absaarhasan657
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
41 views

Afnan Wifi

This document is a request form from a student named Afnan Raza for ICT resources from Aligarh Muslim University. The student provides personal details and undertakes to use the resources for academic purposes only and abide by all university policies.

Uploaded by

absaarhasan657
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

PROF. M. N.

FAROOQUI COMPUTER CENTRE


ALIGARH MUSLIM UNIVERSITY
ICT REQUEST FORM FOR ACADEMIC SESSION: 2023-24
DATED:
D NO: ............ CONTINUATION
.............
Enrollment: GL6181 Hall of Residence: Viqarul Mulk Hall Affix
Faculty Number: 22MMMSA126 Hostel: Muzammil Hostel
Full Name: AFNAN RAZA Room No: 16 (do not staple)
Date of Birth: JAN 7, 2001 recent
Permanent Address: B-249, Naheed Manzil, Near Fatima Photograph
Hardware, Begumganj 2.5cm x 3cm
Father's Name: PARVEZ RAZA Barabanki-225001
Uttar Pradesh duly attested
India by the Provost
Mother's Name: SEEMA
PARVEEN
Course Type: PG
Course Name: M.Sc./M.A.
(Mathematics)
Department: MATHEMATICS
UNDERTAKING BY THE APPLICANT
I, AFNAN RAZA hereby declare that:
I understand that University ICT facilities, meant for Academic/Research support are shared resources, being extended
to me for reasonable and bonafide usage only.
I understand that I am solely responsible to protect my Login Credentials and would like to confirm that the same shall
neither be revealed to anybody nor it shall be used to support any unethical/illegal activity.
In case of misuse, my University ICT credentials may be blocked/suspended/withdrawn without any intimation. The
university may take disciplinary actions against me as deemed fit by the university.
I shall personally ensure to surrender my University ICT Credentials and acquire No-Dues, prior to my leaving the
University.
I am aware that University may implement Quota/Ceiling-Flooring Limits, limited timings for availability of service
and support of various ICT Services. The same is unconditionally acceptable to undersigned.
I am aware that information furnished by me shall be subject to relevant provisions of IT Act 2000 and its subsequent
amendments as applicable from time to time.
I am aware that any action or communication, spoken or written or by photo images done using my University ICT
Credentials, may be attributed to me, even if it has been done using my University ICT Credentials without my consent
or authorization. Consequently, I shall take all relevant precautions needed on my part from time-to-time to protect my
University ICT Credentials against misuse.
I shall use my University ICT Credentials as per the policies, procedures and rules maintained by University from time
to time.
I have read, understood and accepted all the aforesaid terms and conditions and I am also enclosing my University ID
card (valid for minimum 6 months) in support of my request for University ICT services.
I hereby certify that, the all of my information furnished above is correct to the best of my knowledge and belief &
nothing is falsified

____________________
Signature of the student
IMPORTANT NOTE:
1. It is mandatory on the part of students to send this registration page to Shift-Incharge(on duty) at PROF. M. N. FAROOQUI COMPUTER
CENTRE, AMU through University DAK with original signature(s), photograph attestation and endorsement by provost & department
concerned.
2. Students should also retain a photo copy of the registration form for their own records.
3. Incorrect, incomplete and applications not received through University DAK shall be considered invalid for processing.
4. It may take upto 5 working days for processing of valid application forms at PMNFCC, after receipt through University DAK only.

CERTIFICATE FROM PROVOST, VIQARUL MULK HALL CERTIFICATE FROM DEPARTMENT, MATHEMATICS
The candidate is/was a regular member of this Hall during The entries made above are correct and as per rules, to
the current session (2023-24) and his/her Hall dues is clear the best of my knowledge.
as on date.
Signature (with seal) _______________
Signature (with seal) _______________ (Dean / Principal / Chairperson / Coordinator /
(Provost) Director)
Dated: _______________ Dated: _______________

gl6181
R NO: _________/CC Dated:_______________ Printed at: Sat Dec 09 23:26:05 IST 2023

You might also like