Server Request Form

Please fill up and register your agency.

Server Request Form for GDC

Personal Information

Name: *
Gender
Official email *
Personal email
Office No. *Please use international format eg. 009752345578
Mobile No. *Please use international format eg. 0097517563463
Designation *

Agency Information

Agency Name: *Please fill in this the Parent Agency
Working Agency: *Your agency name, for eg., " Road Safety and Transport Authority (RSTA)," under Ministry of Information and Communication (MoIC) as Parent Agency.
Brief description of application/service:

Hosting

Who will be managing this system? *

Server Requirement

Hostname: *
Server RAM *
Server CPU *
Total Disk *Total application & user data size
Server Type *
Application Type *
Server OS *
Security Designation *

Application Information

What applications will be installed? Include versions

Technical Contact Information

Name *
Designation *
Email *
Mobile No. *Please use international format eg. 0097517563356
Date Required *Date by which system allocation is to be completed.

Departmental Information

Please enter any two digitsExample: 12
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