Services: IP Address Application

You must submit this form while on the jhu network (jhu.edu, jhmi.edu or use the jhu vpn).

Add Modify Delete

Machine Information
Requested Machine Name:
Original Machine Name ( IF modify ing hostname ):
Original IP Address ( IF modifying hostname ):
Machine Type:
Machine Manufacturer:
Model Number:
Primary Location of Machine:
Primary Wallport:
NIC Hardware Address (must be completed):
Operating System:

Contact Information
Contact Name:
Primary JHU Department:
Office Location:
Office Phone:
Alternative Phone (If out of office):
CS Account Name:
Permanent Email:
Faculty Sponsor (must have before applying):
Comment/Reason for IP: