Intel® Server Issue Report Form
Operating System Information
Operating System ____________________________________________________________
Version_____________________________________________________________________
Service Pack / Kernel Version __________________________________________________
Peripheral Information
Check each box below that is used, and provide the requested information
Peripheral Card Or Peripheral Description Driver
Revision
IRQ # I/O Base
Address
FW Rev#
P64 Segment C (PCI-X 64/133)
PCI Slot 1
PCI Slot 2
P64 Segment B (PCI-X 64/100)
PCI Slot 3
PCI Slot 4
P32 Segment A (PCI 32/33)
PCI Slot 5
PCI Slot 6
Video
On-Board Video
Add-in Video
NIC
On-Board NIC1
(10/100 Mb)
On-Board NIC2
(1.0 Gb)
Hard Drive Information:
IDE # of drives installed:
Make/Model/Firmware Revision
SCSI # of drives installed:
Make/Model/Firmware Revision
SATA # of drives installed:
Make/Model/Firmware Revision
44 Intel® Entry Server Board SE7221BA1-E User Guide