WIRELESS REGISTRATION INFORMATION HOSPITAL BINTULU

WIRELESS REGISTRATION INFORMATION
HOSPITAL BINTULU
HBB/ICT/100/2-4
Requester Information
Name
:
Department /
Unit / Ward
:
Designation
:
Official Email
(1GovUC)
:
Handphone
:
Wireless Information
Hostname
:
MAC Address
:
Duration of use :
Reasons
(day/week/month/s)
From :
/
/
To:
/
/
:
Confirmation
Requested by:
Approved by :
Name :
Name :
Date :
Date :
Registered by: (Data Centre Operator)
Unregistered by: (Data Centre Operator)
Name :
Name :
Date :
Date :
:: WIFI - Hospital Bintulu @ 2013 ::
(Hospital IT Department)
HBTU/form/Wifi/V02.00