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Institutional Email Request Application Form: (To Send OTP For First Login)

The document is an application form for AMU students to request an institutional email. It requires personal details, course information, and a declaration of responsible use of the email. The application must be verified by a Dean or Chairperson before being processed by the Computer Centre at AMU.

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baqdas33
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2K views1 page

Institutional Email Request Application Form: (To Send OTP For First Login)

The document is an application form for AMU students to request an institutional email. It requires personal details, course information, and a declaration of responsible use of the email. The application must be verified by a Dean or Chairperson before being processed by the Computer Centre at AMU.

Uploaded by

baqdas33
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

Proforma: CC-4

Institutional Email Request Application Form


(For AMU Student)
To,
Service Coordinator Dispatch Ref. (D.No.): _____________
Institutional Email Services
Computer Centre, AMU Date: ____/___/______

S. No. Student Particulars


1. Name
2. Roll Number/Faculty Number
3. Enrolment Number
4. Name of the Faculty
5. Name of Department/Centre
Personal Details

6. Valid Personal E-mail ID


(To send OTP for First Login)
7. Mobile Number
8. Name of the Course @ AMU
9. Category of the Course @ AMU  UG  PG  PDF  Ph. D
Please (√) your appropriate category
 Any others Please specify ________________
10. Requisition for  Institutional Email
Declaration
I hereby declare and certify that the above information disclosed by me is correct. I also understand that the institutional email id provided to me by AMU is
meant for usage during the period of my course or until my pre-mature exit from University (whichever is earlier). I hereby confirm that I shall use my
institutional email id in a legitimate and responsible manner in my academic and research works, follow all applicable rules, regulations and policies and I
shall inform in writing to AMU, the date of my exit for de-provisioning of my allocated institutional email account. I am also aware that if at any stage, it is
detected that the information supplied by me is falsified, I shall be liable for disciplinary actions as per the university rules.

Date: ______________ ___________________


Signature of Student
Dean/Chairperson/HoD/CoE

Dean / Chairperson / HoD / Controller of Examination


It is verified that Mr. / Ms. ________________________, bearing Faculty No. ___________
and Enrolment No. ______________ is a Student of this university in the Department/Centre
______________________. His / Her aforesaid request for Institutional Email allocation is
endorsed & forwarded to P.M.N.F. Computer Centre, AMU.
Date: ______________
-----------------------------------------------------------------
Signature of Dean/Chairperson/HoD/CoE (with official seal)
For official Use (P.M.N.F. Computer Centre)
Computer Centre

Email Credentials has been communicated to the student with Enrolment No. ___________
on _________ ( date ) ________ (time) by registered e-mail _________________________

___________________________ ____________________________
Sign. Email Service Coordinator Sign. Email Service Team Member
Computer Centre. AMU Computer Centre, AMU

Action:  Completed  On-Hold (with reasons)________________

Version 1.0, Copyright@2021, Computer Centre, AMU

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