Network Registration Form

Use this form to request an Ethernet (wired) port activation or register a new network device or update an existing one. All systems should meet the UC San Diego Minimum Network Security Standards before accessing the campus wired network.

Tell Us About Yourself

First Name

Last Name

UCSD Email

Phone Extension

Department

Supervisor/Advisor

Tell Us About Your Device

Room and Building Location

For example: Vaughan 100

Wall Data Outlet Number

For example: 2-1-14 B or 3.1.28 C

Device Manufacturer

For example: Dell or Apple

Device Model

For example: OptiPlex 3010, MacBook Pro

Device Type

For example: desktop, laptop, printer, etc.

Serial Number or Service Tag

Enter serial number or service tag of device

Device OS

Linux/Unix Details

Other OS

Hostname

A unique name that will identify your device on the network. For example: goldfish.ucsd.edu. If you are replacing an existing system and/or would like to change the hostname of an existing system, please note this the "Additional Information" field.

Hardware (Ethernet) Address

A 12-digit hexadecimal number. Looks something like: 0030c8edb8a0 or 00:30:c8:ed:b8:a0. A hardware address may also be referred to as an Ethernet ID, Ethernet Address, MAC Address, or Physical Address. See our help article on finding your MAC address for Apple or Windows devices

Have you installed the Qualys Agent package (required for all MacOS, Windows and Linux systems)?

Have you installed the Trellix HX package (required for all MacOS, Windows and Linux systems)?

Additional Information

Please add any additional information or questions you may have