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Institutional Email Request Application Form: Permanent/Contractual

The document is an application form for AMU employees to request an institutional email. It requires personal details, a declaration of accuracy, and verification from the head of the department. The form also includes sections for official use by the Computer Centre to confirm the issuance of the email.

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SIA 7
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17 views1 page

Institutional Email Request Application Form: Permanent/Contractual

The document is an application form for AMU employees to request an institutional email. It requires personal details, a declaration of accuracy, and verification from the head of the department. The form also includes sections for official use by the Computer Centre to confirm the issuance of the email.

Uploaded by

SIA 7
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
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Proforma : CC-22

Institutional Email Request Application Form


(For AMU Employee)
To,
Service Coordinator
Email Services
Computer Centre, AMU Date: ____/___/______

S. No. Employee Personal Details


1. Name
2. PID
3. Designation
4. Permanent/Contractual
5. Faculty/Office
6. Department/Section
Personal Details

7. Alternate E-mail ID
(For One Time Password Correspondence)
8. Mobile Number
9. Category  Teaching  Non-teaching
Please (√) your appropriate category
 Any others (Please specify)___________
10. Requested for  Institutional Email
Please (√) your appropriate facility

Declaration
I hereby confirm and certify that the above information is correct to the best of my knowledge. I, also
understand that if at any stage, it is detected that the information supplied by me is falsified, I will be
liable for disciplinary actions as per the university rules.

Date: ______________ ___________________


Signature of Employee
For official Use (Head of the Department/Centre/Office)
Head of Department

It is verified that Mr. / Ms. _______________________, PID No. __________ is a


Employee of this Department. His / Her aforesaid request for Institutional Email is
forwarded to Computer Centre, AMU.
Date: ______________

-------------------------------------------------------------------------
Signature of Head of Department/Centre/Office (with official seal)
Name of the Department/Centre/Office____________, AMU
For official Use (Computer Centre)
Computer Centre

Institutional Email issued _______________________ has been communicated to the


employee on _______________ (Date) _____________ (Time) by registered e-mail
__________________________ on aforesaid alternate E-mail ID.
______________________
Signature of Concerned Person,
Computer Centre, Aligarh

© Computer Centre, AMU 2020

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