Annexure – I

Application form for joining eduroam in India

Organization Name

Name of Nodal Person

Designation

Address I

Phone Number (off)

Mobile number

Email Address

Technical contact person & their details

Pre-requisite details to setup eduroam in India

Domain name requested

(eg. ernet.in, iit.ac.in)

Details of Public IP

Detail of Server *

( Cent OS Or Ubuntu)

Processor :

Memory :

Available Disk Space :

Wi – Fi Access Point

(which support Radius feature)

Technical Contact Details for enabling eduroam services

ERNET India

5th Floor, Block-I, A Wing,DMRC IT Park, Shastri Park,Delhi-110053

Ph: 01122170641 , 01122170232

Email: eduroam@ernet.in with a cc to srikanth@ernet.in

(Signature of Applicant)