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DELNET – Developing Library Network THE QUESTIONNAIRE (for IP-based Access) Membership No : Institution’s Name : Address : City : _ State: Web Address : Name & Designation of Head of the Institute : Tel No (with STD Code) : _Mob No. _ Email : Name of Library Head : Designation : Tel No (with STD Code) : Mob No : Email : Any additional Email : Addresses of Officials Handling DELNET Services (with names) & Designation Static Public IP Address (s) : Name of ISP (Internet Service Provider) : _ Type of Internet Connection : Broadband/Wireless/Leased-Line/ any other (Please specify) _ Name of the contact Person : Handling IT (with contact Details) _ Designation : _ : Tel Mob _ Email 10 Any suggestions you may like to offer to improve DELNET Services _ I certify that the information provided above including the IPs belongs to my institution only, having DELNET Membership Number IM- _ Date: _ Signatures : Name : Designation : Institution : Official Seal: ... _ I certify that the information provided above including the IPs belongs to my institution only, having DELNET Membership Number IM- _ Date: _ Signatures : Name : Designation :...6 Static Public IP Address (s) : Name of ISP (Internet Service Provider)

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