Email Requisition and Internet Access Form (Teaching/Non Teaching)
The hardcopy of the form needs to forwarded by Registrar for Internet access and creation of new email id for domain
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Email *
First Name *
Middle Name
Last Name *
Staff Type *
Employment Type *
Designation *
Department *
Any other Department(if not listed above)
Employee ID (if not allotted mark as NA) *
Alternate Email (Existing Personal working Email id) *
Mobile Number *
Declaration *
A copy of your responses will be emailed to the address you provided.
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