Proxy Registration Form for Students

Name of the Applicant :   Mr. Krishna Kant Jha

Date of Birth : 24/02/1997 Paste Your
Enrollment Number : 7388133975 Self Attested
Course Studying : M.A Sanskrit Photograph
Institute/Faculty/Unit : Faculty of Arts
Department : Department of Sanskrit
Whether Hostelar : yes Hostel Name : LALA BAHADUR SHASTRI
HOSTEL
Date of Course Completion : 18/08/2022
Whether Research Scholar : no
Old Login Id : No
Mobile Number : 7388133975
Nationality : Indian
Email ID : kkjha225566@gmail.com
Your Proxy Username is "097.7388133975" (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: 19/08/2019
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 : 097.7388133975
 PROXY SERVER : ___________________________
The above Proxy ID is allotted for the period upto:

Date:
Signature               
Place: Varanasi

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