Request Form for New University e-mail Account (Employees Not for Students)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is for those who have not got university email ID so far. Those who have already created email ID can contact AKMU if any issues in use of email account. (Ravisha 9945638084 & Jabeeulla 9449864259)

Email *

First Name of the Employee *

Middle Name of the Employee

Last Name of the Employee *

Display Name of the Employee *

Mobile Number *

Telephone Number (office) *

Employee Designation *

Employee Number *

Employee's Date of Birth *

YYYY

Employee's Date of Retirement *

YYYY

Employee's Official Address *

Give two / more options for creating User ID (Eg. ashok@uasbangalore.edu.in / ashokaex@uasbangalore.edu.in / ashok1@uasbangalore.edu.in) User ID should have minimum 8 characters and not more than 15 characters *

Any other Queries

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms