THE NATIONAL INSTITUTE OF ENGINEERING, MYSORE-8

APPLICATION FOR WI-FI CONNECTIVITY

Name :
Photo
Reg. No./USN :

Sem & Branch :

E-mail Id :

Residential Address :

WIFI MAC Address :

I have gone through the norms and regulation of WIFI connectivity and I abide by it.

Signature of the Student Head of the Department

(Seal and Signature)

OFFICE USE ONLY

The WIFI connection may be given to the system.

Connectivity valid from Date: ____________ to this ___________________

Signature of Signature of Signature of

Internet in-charge HOD (Internet) Principal