Wi-Fi Guest Account Coordinator Nomination Form

Wi-Fi Guest Account Coordinator Nomination Form

For Department Use

Policies and Guidelines

1. Departments can create and manage free Wi-Fi accounts for their guests online through the Wi-Fi Guest Account Application and Management System.

2. Each department/unit is allocated with a free annual quota of 50 day-passes.

3. Department Chairperson / Head require nominating a staff in his/her department as the Wi-Fi Guest Account Coordinator to manage the Wi-Fi guest account(s).

4. Reference:

a. a. Centralized Wi-Fi Service:

http://www.cuhk.edu.hk/itsc/network/wlan/coverage.html

c. Wi-Fi Guest Account Application and Management System:

http://www.cuhk.edu.hk/itsc/network/wlan/cuguest.html

5. For enquiries, please write to Service Desk at http://servicedesk.itsc.cuhk.edu.hk .

Personal Data Collection

1. The personal data provided on this form will be used by

· ITSC to verify your identity in the University to confirm your eligibility for the computing resources and services being provided by ITSC

· ITSC to contact you

2. The provision of personal data on this form is voluntary. If you do not provide sufficient information, however, we may not be able to process your application.

3. Personal data held by us relating to you will be kept confidential and will not be used for other purposes apart from the above.

4. You have the right to check whether ITSC holds personal data on you. You can submit your request through Service Desk at http://servicedesk.itsc.cuhk.edu.hk or in writing to “User Support Division, Information Technology Services Centre”.

5. Details on the use of personal data by ITSC can be found at http://www.cuhk.edu.hk/itsc/about/pdo.html .

Form Submission

1. To expedite the process of your application, the information/documents must be supplied/produced/completed.

2. You can e-mail the form to .

3. The Wi-Fi Guest Account Coordinator of the department will receive a reply on Login ID and password through email in THREE working days.

4. For any enquiries, please write to ITSC Service Desk at http://servicedesk.itsc.cuhk.edu.hk .

[ ] New Application [ ] Renew Wi-Fi Guest Project Account

Section A: General Information of the Department

Name of Department

Section B: General Information of the Chairperson/Head of the Faculty/Department Unit

Staff / Computing ID No. / Title / Prof / Dr / Mr / Mrs / Ms / Name in Chinese
(if applicable)
Name in English
Contact E-mail
Address / Contact Phone No.

Section C: Nominate a New Coordinator

(The staff below will be the Wi-Fi Guest Account Coordinator(s). He/she is, responsible for managing Wi-Fi accounts for guests invited by your Department/Unit. He/she is the contact point for ITSC and Department/Unit in case there is any request or enquiry.)

Staff / Computing ID No. / Title / Prof / Dr / Mr / Mrs / Ms / Name in Chinese
(if applicable)
Name in English
Job Title / Job nature / [ ] Administrative staff
[ ] IT technical support staff
Contact E-mail
Address / Contact Phone No.
Account to be Used for System Login / (Information of this new account will be sent to department/unit head directly.)

[ ] I authorize the nominated staff above to create Wi-Fi accounts for guest(s) invited by our Department/Unit.

Section D: Change the Current Coordinator

1. Information of the Current Coordinator

Staff / Computing ID No. / Title / Prof / Dr / Mr / Mrs / Ms / Name in Chinese
(if applicable)
Name in English
Contact E-mail
Address / Contact Phone No.

2. Information of the New Coordinator

[ ] I authorize the new Coordinator to create Wi-Fi accounts for guest(s) invited by our Department/Unit.

Endorsed by Department Chairperson / Head

Signature with Department Stamp Date

( / )

Name in Print

Section E: Office Use

Received by ______Date ______

Authorized by ______Date ______

Processed by ______Date ______

Remarks ______

Form guest_dept.doc (Page 1 of 3) 06 2015