VPN Request Form

Contact details KU ID * Name * Telephone/Ext: * Email *
Department/Section: * VPN Purpose/Project: Select Server/Personal Computer to access using this VPN Account *
Server PC

VPN User Details Same as Contact details? IF not please fill in the following information *
YES NO
Do you have KU VPN Account? IF yes, kindly write the User Name in the following field *
YES NO

VPN Connection IP/IPs to be accessed: * Ports: *

VPN Account Duration Start Date: Expiry Date: *

Recapcha Please check the recapcha below:

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Center of Information System

Network Security Department

VPN Request Form