Panjab University, Chandigarh
Application form for Network User Registration
University Institute of Engineering & Technology
Office Diary No: _____________________
Date: ________________________
Application No.
209090
User Type *
Under Graduate
Registration No./PUPIN *
UE234002
Name of Applicant *
AAKASH
Class/Course *
BE EEE 2nd Year
E-mail ID
dahiyaaakash4975@gmail.com
Mobile No.
8168835356
MAC Address(es)
e6:db:1b:21:9c:d0
Hostel *
N.A. (Day Scholar)
Block No./Room No.
N.A.
Login ID
209090
Registration Date
5th August, 2024
I certify that Laptop/Desktop having above MAC address(es) belongs to me. I will be responsible for the
activities performed against user name and password assigned to me and will not share this information
with others.I do not have any other valid network user account of PU. I am aware of my responsibility
towards the use of Internet under IT Act 2000 and its amendments and IT policy of PU.
I have attached the photocopy of my ID Card for necessary action.
(Signature of Applicant)
(*) Verified by Office
(Name of Official who verified the record)
Signature and Stamp
Chairperson/Head
Application form for Network User Registration- Page 1/1
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