compregnfrm

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11/7/2007
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INDIAN INSTITUTE OF MANAGEMENT CALCUTTA COMPUTER CENTER Form for Registration of Students’ Computer related accessories Name: ………………………… Room Ph. Extn: .……………… Reg No: ……………………….. Room No: ……………………… Description: …………………………………… Mobile No: …………………………………….. Email ID: ………………………………………. MAC Address: …………………………………..



I’ve bought / brought a computer for my use in campus. The relevant information for identification of the computer and its accessories are given below: A-Computer Type & Address of the Vendor (Please attach a copy of the bill) Assembled ………………………………………….. ………………………………………….. ………………………………………….. Ph. No. Desktop B- Computer Details Component Processor RAM Hard-Disk (s) ROM (CD/DVD) Network Adapter Display Adapter Sound Card Speakers Monitor Keyboard Mouse Operating System Branded (…………………..) ………………………………………….. ………………………………………….. ………………………………………….. Ph. No. Laptop



Make/Model



Specifications



INDIAN INSTITUTE OF MANAGEMENT CALCUTTA COMPUTER CENTER Form for Registration of Students’ Computer related accessories C- Computer Accessories (Printer, Scanner, Web cam, etc) Accessories Make/Model



Specifications



D- Other marks for clear identification (Serial No., color, looks, etc) 1. ……………………………………………………………………… 2. ……………………………………………………………………… 3. ……………………………………………………………………… E- Regulations: 1. It is compulsory for all students to register their computer & accessories to avoid confusion of ownership. 2. No student will be allowed to take their PCs out of campus during their stay at IIMC without a valid Gate-Pass issued by the Computer Center. …………………………………………. Signature of Student Date: Verified that the student’s claims are genuine: ………………………………………. Signature of LanSquad Member For Office Use Registration No: Date: Reg/Folio No: ……………………………………. Signature of Authorized Person, C.C Copy of: Student IT Rep CamC Security ………………………………………… Signature of IT Representative




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