DEITY, Govt of India Dept. of Science & Technology Madhya Pradesh Agency for

Govt. of Madhya Pradesh Promotion of Information Technology

h

Madhya Pradesh State e-Mail Services

Authorization form for Admin console for email accounts

Please use CAPITAL LETTER and Sign on each page.

1)Following official is nominated for the administration console for managing email accounts

for the domain “@ ______(if a specific domain is requested by respective departments)

2)Name of the officer: ______

(Dr. /Mr. /Ms. First name Middle Name Surname)

  1. Aadhaar No.______
  2. Employee ID______

3)Designationof the nominated officer *:______

4)Min./Dept./Org*/

a)Ministry / Department______

b)Organization/ HOD Office______

5)Address for correspondence*:______

______City______Pin Code:* ______

6)Telephone Number : (O)*______(R)______Mobile*______

7)Official e-mail address for correspondence*:______

8)IP Address to access the Admin Module (Only NICNET P)/NIC VPN:______

a)We will inform MAP-IT/NIC immediately in case of any change regarding administrator.

b)In case of any inappropriate use of email or violation of email address policy theadministrator will be responsible for that & MAP-IT/NIC has right to deactivate the administration console

c)The administrator and organization requesting for the Delegated Admin console is solely responsible for the accounts created under their domain. The organization and administrator will be held responsible for any inappropriate use of the id’s created under the domain.

This is to declare that I have readthe terms and condition given above and the state e-mail policy& guideline for managing email account under the role of admin.

Signature of the officer with date and seal *** Signature of the Competent (Nominating )Authority

With date and seal

Name & Designation: ______

E-mail and Tel.______

* Entries are mandatory and need to be filled.

** The login ids will be generated based on the guidelines issued under email address policy.ASuffix may be added to make the email id unique across the domain

*** As per guidelines issued under the e- Mail policy. Please check the policy at mail.mp.gov.in

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(for State e Mail Services- official Use)

To,

The State e Mail Coordinator, NIC

Please allot admin privileges to the officer nominated above under provisions of state email policy.

Nodal Officer

State e Mail Services