Request wireless connection

Use this form to request the wireless access to PoliCO-Auth network or register a new wireless device.

* mandatory data
*IMIM Username:
* Personal e-mail used for enrollment:
Mac address : How to obtain the MAC address
Select the device type and insert the Mac address in the form of eg. 0a-1b-3c-4d-5e-6f
Select device type : Laptop Phone
*ethernet Mac address :
*wireless Mac address :
Select the operative system this device use: Windows Linux or MacOS
Accept policy rules:

accept not accept

accept not accept

THE ACCESS ACCOUNT IS STRICLY PERSONAL AND USERS ARE RESPONSIBLE FOR THE ACTIONS PERFORMED UNDER THEIR ACCOUNTS.
ANY VIOLATION OF THE ABOVE-MENTIONED POLICIES WILL INVOLVE AN IMMEDIATE SUSPENSION OF THE USER ’S ACCESS PRIVILEGES.
Personal informations are gathered and used only for institutional purposes, according to the authorization and the informative prospect enclosed to the immatriculation request.
Security word:

Reload Image
Type the security word:


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