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G L Bajaj Group of Institutions: Requisition Form For E-Mail Account

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19 views1 page

G L Bajaj Group of Institutions: Requisition Form For E-Mail Account

Uploaded by

Sczhio
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
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G L BAJAJ GROUP OF INSTITUTIONS

MATHURA (UTTAR PRADESH)

REQUISITION FORM FOR E-MAIL ACCOUNT


(FOR STUDENTS)

Note: To be filled in neat and legible handwriting.

1. Admission No. : ________________________________


2. Student Name : ________________________________
3. Father’s Name : ________________________________
4. Course : ________________________________
5. Date of Birth : ________________________________
6. Mobile No. : ________________________________
7. Email Id (Personal) : ________________________________

Date: ____/_____/______ (Signature of Student)


________________________________________________________________________________
SYSTEM ADMINISTRATOR USE ONLY

The following email ID is created and login credentials given to with

Email Id : [email protected]

Remarks, if any : _________________________________________________


__________________________________________________________________________________

Date: ____/_____/______ (Signature of System Admin)


________________________________________________________________________________

User Counterfoil

I _____________________________ S/o / D/o _______________________, a student of


__________________ course having Admission No. ___________________ hereby declare that I have
read the rules & regulation (available at College website) of official Email Id provided as
[email protected] and I will follow the same with full sincerity as well
as conviction. I will not misuse the provided Email Id and I am aware that the college has a right to monitor
the official Email Id. Further, I also undertake that given Email Id will not be used in any kind of irrelevant
activities like –
• To Sign-up for illegal, unreliable, disreputable or suspect websites and services.
• To send insulting or discriminatory messages and content.
• To intentionally spam other people’s emails, including their batch mates.
If found misusing the same in any capacity, I shall be liable to face the disciplinary action against me as
per court of law.

Date : ____/____/_______ (Signature)

Name of Student : ________________


Admission No. : ________________
Mobile Number : _________________

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