It Services Requisition Form - Bahauddin Zakariya University

Information Technology (IT) Center

Bahauddin Zakariya University, Bosan Road, Multan (PAKISTAN)

Phone: 061-9210077, 061-9210071 Ext. 2009, Fax: 061-9210069

Email: itcenter@bzu.edu.pk, URL: itcenter.bzu.edu.pk

IT Services Requisition Form

Name:

Designation:

Department:

Contact No.:

Email Address:

⃝ Internet Account ⃝ WiFi LAN ⃝ VPN ⃝ Student Email Account

Requisition Type:

(Select ONLY ONE Option)

⃝ Turnitin Account ⃝ Microsoft Windows Account

CNIC No.

Note: This Form is valid for ONLY ONE SERVICE. Please don’t select Multiple Services in one Form.

Applicant Signature

Signature & Stamp

(with date)

(Head of Department / IT Coordinator)

Official Use Only

Date & Time:

Assigned To:

Assigned Login:

Assigned Password:

Reference No. _____________

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Parent category: Business