Proxy Registration Form for Students
Name of the Applicant : Mr. Akhil raj
Date of Birth : 13/04/2007 Paste Your
Enrollment Number : 7667998138 Self Attested
Course Studying : BA hons. English Photograph
Institute/Faculty/Unit : Faculty of Arts
Department : Department of English
Whether Hostelar : yes Hostel Name : LALA BAHADUR SHASTRI
HOSTEL
Date of Course Completion : 25/09/2030
Whether Research Scholar : no
Old Login Id :
Mobile Number : 7654614971
Nationality : Indian
Email ID :
[email protected] Your Proxy Username is "082.7667998138" (KINDLY NOTE IT DOWN)
Undertaking :
1. I shall be responsible for all the transaction from my ID.
2. I will be responsible for all the content browsing using the ID allotted to me.
3. I understand that IT infrastructure of the B.H.U is for academic use. Also, I shall not misuse it and I will take due care of any
misuses that might harm others in any means and/or may be otherwise considered objectionable or illegal as per Indian
Cyber Laws. In any such cases of misuses I do take full responsibility of it.
4. I will not intrude on privacy of anyone.
5. I understand that the IT Resources provided to me are subject to monitoring to the legal or law enforcement. I authorize
B.H.U Administration & Computer Centre to perform network vulnerability and scans over my ID, as and when needed for
protecting the overall Integrity and efficiency of the B.H.U. Network.
6. I understand that any use of IT infrastructure that constitutes a violation of the University Regulations could result in
administrative or disciplinary procedures.
7. I WILL ABIDE BY ALL THE ABOVE UNDERTAKINGS WITHOUT FAIL.
Date: 26/09/2024
Place:Varanasi (Signature of the Applicant)
Declaration by The Head/Dean of the Department
This is to Certify that is a regular student of our Department/Faculty and he/she needs an Internet proxy ID for his/her studies.
Date: Signature of the Head/Dean
Place: Varanasi (With Office Seal)
Declaration by The Warden/Admin Warden of the Hostel
(Applicable for only those students who resides at B.H.U. Hostels)
This is to Certify that is a resident of the . He/She needs an Internet proxy ID for his/her studies.
Date:
Signature of the Warden/Admin Warden
Place: Varanasi
(With office Seal)
RECEIPT
has been assigned the following Proxy ID :
USER ID : 082.7667998138
PROXY SERVER : ___________________________
The above Proxy ID is allotted for the period upto:
Date:
Signature
Place: Varanasi
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