Pg Department Of Management Studies Islamia College Of Science And

PG DEPARTMENT OF MANAGEMENT STUDIES ISLAMIA COLLEGE OF SCIENCE AND COMMERCE HAWAL, SRINAGAR COLLEGE WIRELESS ACCESS SERVICE APPLICATION FORM FORM NO: __________________________ SUBSCRIBER DETAILS Billing Account

SUBSCRIBER NAME:

IDENTITY CARD NO:

Code RESIDENTIAL ADDRESS: Billing Address (if different from the above) Parent Contact

Telephone No.

Mob. No.

Email

Home Contact

Telephone No.

Mob. No.

Email

LOGIN ID DETAILS Please note that Login ID will be subscriber’s email address. Login ID can be 3-10 characters, all lower case, only a-z, 0-9 and “_” allowed. The first character must be an alphabet, e.g. ‘a1234’ or ‘tomchan’ 1st choice: | | | | | | | | | | | @icsc.edu.in 2nd choice: | | | | | | | | | | | @icsc.edu.in If your preferred Login ID(s) is/are not available, we will assign a Login ID that is closest to your choices above. Please notify me the password by: �Email to _____________________

DECLARATION We / I wish to subscribe above-mentioned service from DMS and acknowledge that (I) We / I have read and agree to be bound by all the Terms and Conditions as stated on the subsequent pages; (II) We / I have attained the age of 18; (III) All information in this Application Form is true and correct. That in case I am found not adhereing the rules governing the facility provided, I will be liable for disqualification from the institute. That I will use this service only during break and free classes only. Parent/Guardian ( As mentioned in the College Admission Form): ___________________________ Name: Position: Date: Note: Should you have any further queries, please call our Wi-Fi Access Centre: 0194-2411083 or 9419007328

Signature of the Student/Subscriber