Network Registration Request
This form is to request registration in DHCP for the Engineering College, Physics, and Math networks through the help desks.
Contact Information
Please enter your contact information in case we need to contact you about your request.
Name *
Your answer
UMD Email *
Your answer
Department *
Machine Information
Please enter information regarding the machine you'd like to register for network access. If you'd like to register multiple machines at once, please email the help desk.
Machine Use *
How will this machine be used? Some examples: "Graduate student office computer."; "Research desktop in our lab."; "Printer in a common area."; "Oscilloscope in research lab."
Your answer
Machine location - Building and Room number *
Your answer
Operating system on machine *
If this is a printer or non-desktop research equipment, choose "other."
Machine MAC Address *
Information on how to obtain your mac address can be found here:
Your answer
Jack Number
The jack is the port the ethernet cable plugs into. It should be formatted as a series of 5 characters, similar to "2B-035" or "1F010". If you cannot find this or are unsure, please call the Help Desk for assistance.
Your answer
Customer Agreements
Upon receipt of this form, a technician will be sent to the room in question to verify the network configuration.
Up-To-Date Software Agreement *
Network Security Agreement *
Compliance Agreement *
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