Students Registration Form http://14.139.41.52/ldapadmin/student/do_studentReg_test.

php

Proxy Registration Form for Students

Name of the Applicant : Mr. VISHAL KUMAR SIDDHARTH
Date of Birth : 13/03/2000 Paste Your
Enrollment Number : 9792378336 Self Attested
Course Studying : BA(HONS.) Photograph
Institute/Faculty/Unit : Faculty of Social Science
Department : Faculty of Social Science
Whether Hostelar : yes Hostel Name : Acharya Narendra Deo Hostel
Date of Course Completion : 01/04/2022
Whether Research Scholar : no
Old Login Id :
Mobile Number : 6390319903
Nationality : Indian
Email ID : wish568359@gmail.com
Your Proxy Username is "603.9792378336" (KINDLY NOTE IT DOWN)

Undertaking :

1. I shall be responsible for all the transaction from my ID.

2. I will be responsible for all the content browsing using the ID allotted to me.
3. I understand that IT infrastructure of the B.H.U is for academic use. Also, I shall not misuse it and I will take due care of any misuses that might
harm others in any means and/or may be otherwise considered objectionable or illegal as per Indian Cyber Laws. In any such cases of misuses I do
take full responsibility of it.
4. I will not intrude on privacy of anyone.
5. I understand that the IT Resources provided to me are subject to monitoring to the legal or law enforcement. I authorize B.H.U Administration &
Computer Centre to perform network vulnerability and scans over my ID, as and when needed for protecting the overall Integrity and efficiency of
the B.H.U. Network.
6. I understand that any use of IT infrastructure that constitutes a violation of the University Regulations could result in administrative or disciplinary
procedures.
7. I WILL ABIDE BY ALL THE ABOVE UNDERTAKINGS WITHOUT FAIL.

Date: 10/08/2019
Place:Varanasi (Signature of the Applicant)

Declaration by The Head/Dean of the Department

This is to Certify that is a regular student of our Department/Faculty and he/she needs an Internet proxy ID for his/her studies.

Date: Signature of the Head/Dean

Place: Varanasi (With Office Seal)

Declaration by The Warden/Admin Warden of the Hostel

(Applicable for only those students who resides at B.H.U. Hostels)

This is to Certify that is a resident of the . He/She needs an Internet proxy ID for his/her studies.

Date:
Signature of the Warden/Admin Warden
Place: Varanasi
(With office Seal)

RECEIPT
has been assigned the following Proxy ID :

USER ID : 603.9792378336
PROXY SERVER : ___________________________
The above Proxy ID is allotted for the period upto:

1 of 1 10-Aug-19, 1:11 PM