Tau building Device Connection

* required
Applicant information
Department *
Name *
CNS Login name *
Employee Number/Student ID Number *
Device information
Location *
Extension
Extension number for room where device will be placed.
Device name *
OS

Version/Distribution		 *
*
Service *
Hostname(1st choice) *
Hostname(2nd choice) *
Network *
Port *
IPv6
Administrator mail address (option)
If this device would not be managed by applicant,
please fill the mail address of administrator.
Related subdomain .sfc.keio.ac.jp(option)
Expire date * (YYYY/MM/DD)
Note