Prof. M. N.

Farooqui Computer Centre

Aligarh Muslim University
ICT Request Form for Academic Session: 2019-20
DATED:
D NO: ............ NEW REGISTRATION
.............
Enrollment: GL3225 Hall of Residence: N.R.S.C. Hall Affix
Faculty Number: 19MEB337 (do not staple)
Full Name: MOHD SHARIQ recent
Date of Birth: MAR 1, 2001 NRSC Address: Not applicable Photograph
Permanent Address: Badam nagar jamalpur 2.5cm x 3cm
aligarh duly attested
Father's Name: MOHD ASLAM Aligarh-202001
Uttar Pradesh by the Provost
India
Mother's Name: HUSANTARA
Course Type: UG
Course Name: B.TECH. (MECHANICAL
ENGG)
Department: MECHANICAL
ENGINEERING

UNDERTAKING BY THE APPLICANT

I, Mohd shariq 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In case of misuse, my University ICT credentials may be blocked/suspended/withdrawn without any intimation.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 DEPARTMENT, MECHANICAL

CERTIFICATE FROM PROVOST, N.R.S.C. HALL
The candidate is/was a regular member of this Hall
during the current session (2019-20) and his/her Hall
dues is clear as on date.
Signature (with seal) _______________
ENGINEERING
The entries made above are correct and as per rules, to
the best of my knowledge.
Signature (with seal) _______________
(Dean / Principal / Chairperson / Coordinator /
(Provost) Director)
Dated: _______________ Dated: _______________

gl3225
R NO: _________/CC Dated:_______________        Printed at: Sat Aug 31 12:08:20 IST 2019