Leased Line Application Form (Educational Institution)
Institution Details
Institution Name
Type of Institution
School
College
University
Other
Institution Address
City
State
PIN/ZIP Code
Contact Person Name
Designation
Email
Phone Number
Leased Line Requirements
Required Bandwidth (Mbps)
Required Duration (in years)
Purpose of Leased Line
Expected Date of Activation
Declaration
Declaration by Institution (Name & Signature)