V A S T: Idya Cademy of Cience & Echnology

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SR No.

(For Office Use)

VIDYA ACADEMY OF SCIENCE & TECHNOLOGY


P.O. Thalakkottukara, Thrissur – 680 501, Kerala

Wi-Fi Internet Connection - Request Form

Name of Student

Semester / Branch

Admission Number

Internet User ID

Student Category Hosteller / Day Scholar

DECLARATION
I hereby declare that the Internet login & IP address assigned to me will be only used by me and I will
be responsible for all the sites browsed under that login account / IP. I also declare that I shall not
use the Internet facility provided by the college for any illegal, immoral purpose. In respect on any
misconduct I will bear the consequences.

Signature of Student

Verified by

Hostel Steward / Matron (For Hostellers Only)

Accounts Section

Signature of HOD

For Office Use

Internet IP Address

Laptop MAC Address

Date of Configuration

Wi-Fi Configured by

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