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Please note: fields marked by (
*
) are required.
Name of the Institution
*
Address of the Institution
*
Location where connectivity is required
*
Same as Address
State
*
--All State--
ANDAMAN
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH (U.T)
CHHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY (U.T)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
District
*
City
*
Number of Users
*
Number of Nodes
*
Request for Bandwidth
*
-- Select Bandwidth --
10 Mbps
20 Mbps
100 Mbps
1 Gbps
Existing IT Infrastructure
*
Name of Contact Person
*
Official Landline
*
Mobile
*
Official Email Address
*
Research Projects (PDF, max 500KB)
Letter from Head of Institution (PDF, max 500KB)
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