Questionnaire IP
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DELNET – Developing Library Network
THE QUESTIONNAIRE (for IP-based Access)
1.
Membership No.
:
______________________________________
2.
Institution’s Name
:
______________________________________
Address
:
______________________________________
______________________________________
3.
4.
5.
City
:
_________________ State:________________
Web Address
:
______________________________________
Name & Designation of
Head of the Institute
:
______________________________________
Tel. No. (with STD Code)
:
_______________Mob. No._______________
:
______________________________________
Name of Library Head
:
______________________________________
Designation
:
______________________________________
Tel. No. (with STD Code)
:
______________________________________
Mob. No.
:
______________________________________
:
______________________________________
Any additional Email
:
Addresses of Officials
Handling DELNET Services
(with names) &
Designation
______________________________________
______________________________________
______________________________________
6.
Static Public IP Address (s) :
______________________________________
______________________________________
7.
8.
9.
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:
