Part I - Host Information
*Host Name1
*MAC Address
Machine Type2
Machine Description3
Primary Operating System
Uconn Tag Number (e.g. w12345)
Function

Part II - Owner Information
 
*First Name
*Last Name
Type
Department4
Phone Number
*Email Address
*UConn NetID5
 
Part III - User Information
     Check here if same as Owner Information
First Name
Last Name
Type
Department
Phone Number
Email Address
Uconn NetID
Part IV - Location Information
 
*Building
*Room
Jack Number
Room Phone Number
Part V - DNS Information
In Internal DNS View
In External DNS View
In Active Directory DNS View
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IMPORTANT

This form is to be used by BECAT members to apply for a DHCP assigned IP address.  The owner should be the owner of the actual computer being registered.

* Required Fields

1 Must start with letter, no capitals, no underscores, 15 chars max

2 CPU Speed, RAM, Hard Drive Size

3 Brand, Model

4 For example:  CSE, ECE, etc.

5 For information about Net ID, check here.