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Ramanujan Computing Centre Anna University Chennai, Chennai - 600 025

The document is a declaration form for students at the Ramanujan Computing Centre of Anna University Chennai to register for WiFi connectivity. It requests information such as the student's name, roll number, gender, branch, course duration, campus, address, contact details, type of device, device details including make, model, serial number and MAC address, operating system. The student needs to sign declaring the information provided is true, and the form also requires signature from the Head of the Department.

Uploaded by

Raj Kumar
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63 views1 page

Ramanujan Computing Centre Anna University Chennai, Chennai - 600 025

The document is a declaration form for students at the Ramanujan Computing Centre of Anna University Chennai to register for WiFi connectivity. It requests information such as the student's name, roll number, gender, branch, course duration, campus, address, contact details, type of device, device details including make, model, serial number and MAC address, operating system. The student needs to sign declaring the information provided is true, and the form also requires signature from the Head of the Department.

Uploaded by

Raj Kumar
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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RAMANUJAN COMPUTING CENTRE

ANNA UNIVERSITY CHENNAI, CHENNAI 600 025


Declaration form for WiFi Connectivity
Student Registration
i. General Information

Name
Roll Number
Sex

Male / Female

Branch
Course Duration

Degree: UG/PG/RS
From

Campus
Address

Contact

Category: FT / PT

To
CEG / ACTECH / SAP / MIT

Mobile No:

Email id:

ii. Technical Information

Type of Device

Laptop/Palmtop/Mobile/others(specify)

Make, Model & Serial No.


MAC Address
Operating System

Windows/Unix/Mac/Dual/others(specify)
I hereby declare that the above information given by me is true and correct.

Date:

Signature of the Student

Head of the Department


* Enclose Xerox Copy of the Student ID-Card.
Office Use
User Name
Password
Signature with Date

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