Open Cloud Platform Technical Support Application Form
Applicant Institution
Institution Name	OOOOO Inc.
Address	Country, City, State
Person in Charge	Full Name		Department/ Position	TA Team / Senior
Contact no.	OOO-OOOO-OOOO		e-mail	OOOOO@gmail.com
Application Details
Project Name	K-PaaS Infrastructure Construction Project for Public Institutions
Project Period	YYYY MMM DD ~ YYYY MMM DD
K-PaaS Purpose	State the purpose or use of using K-PaaS.
K-PaaS Version	K-PaaS2024		IaaS(ver.)	OpenStack(Stein)
Technical Support Request Details	Description of requesting technical support
Technical Support Reference Notes	Reference note for the Engineers if there is something they need to know ex.) K-PaaS is installed on a closed network.
Other Information	Consent to Collection and Use of Personal Information	I Collection and use of Personal Information - Information regarding the institution and responsible personnel listed on this application form I Purpose of collecting Personal Information - Technical support implementation, post-implementation management I Right to Refuse Consent and Disadvantages Resulting from Refusal - You may refuse consent, but technical support cannot be provided if consent is refused. I Period for Retaining and Using Information - From the date of information collection (application date) until the withdrawal of management by the technical support policy agency (Korea Institute of Intelligent Information Society Development) - Will be stored for post-event management and internal statistical purposes and is not used for commercial purposes.
		[ V ] Agree to Consent [ ] Disagree to Consent
Applicant	Name		Dept./Position	TA Team / Senior
Contact No.	OOO-OOOO-OOOO		e-mail	OOOOO@gmail.com
I hereby request technical support as described above. YYYY MMM DD. Applicant Full Name ( Signature ) To Open Cloud Platform Center