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Family Name (Last name, Surname): Full name:
Employer/Organization:
Position/Title:
Business Address:
Business Telephone:
Alternate Telephone:
E-mail address:
Fax:
Date of birth:
Nationality:
Name as it appears on passport or other travel document:
Passport number:
Country issuing passport:
Date passport was issued:
Date of passport expiration:
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Please rate your knowledge in these categories:

Listening/Comprehension: Minimal Fair Good Excellent

Reading: Minimal Fair Good Excellent

Speaking: Minimal Fair Good Excellent

Writing: Minimal Fair Good Excellent

Track SA-E UNIX SYSTEM ADMINISTRATION

Track SS-E SCALABLE INTERNET SERVICES

Track SI-E SCALABLE NETWORK INFRASTRUCTURE

Track SI-F INFRASTRUCTURE RESEAUX IP(French version of English Track SI-E)

1. Are you a UNIX user? Yes No

2. Have you been a UNIX system administrator? Yes No

2a. Describe your experience (length of time, versions, etc.).

3. Have you used/administered TCP/IP networks? Yes No

3a. Describe.

4. Have you set up and/or administered any of the following? Please give details.

* Bind or any other Nameservers

* Mail Transport Agents (e.g. Sendmail, Exim, Postfix, Smail)

* Mailing List Managers (e.g. Majordomo or other list manager)

* Web Systems/Servers (e.g. Apache, IIS or other web server)

5. Have you configured or otherwise managed any of the following?
Please give details.

* Routers

* Switches

* Network monitoring systems

* Network operations center (NOC)

Commercial Network Provider

Academic Network Provider

NGO Network Provider

Other(Specify)

4. How your training and current work prepare and qualify you for the track you wish to attend.

5. How you expect to use the knowledge you gain at the workshop after you return to your country.

6. If you have previously attended AfNOG or INET Workshops for Developing Countries,

6a. Year and track you attended:

6b. A precise description of how you have used the training you have received in the past:

6c. The significant advances in networking which have occurred in your country specifically because of your knowledge and effort:

The Workshop fee is US$1,600. This includes accommodation and meals. Applicants are usually expected to provide their own funding (from whatever sources). However AfNOG or its sponsors may make a limited financial assistance available to deserving candidates

Payment for the workshop may be made by funds transfer, bank guaranteed cheque, or in cash. Further details will be provided in the admission letter to successful candidates.

1. Are you are requesting financial aid from the AfNOG Workshop for attending the workshop and meetings, or for travel costs?
No, I do not request aid
Yes, I request aid to help cover the attendance fees
Yes, I request aid to help cover travel expenses.

If you answered "No" above: Skip the following questions.

If you answered "Yes" above: Answer the following questions in detail.

Even if you request financial assistance you might not receive any, and your acceptance into the Workshop will be conditional on your ability to provide all or most of the funding yourself. Although you may be well qualified and in great need of financial assistance, the maximum funds AfNOG or its sponsors may provide is US$1,000 in financial assistance for BOTH WORKSHOP FEES AND AIRFARE.

2. Explain why you are asking for financial assistance. How will your organisation and your country benefit from your training? What other sources of funding have you approached, and what were the results?

3. How will the workshop attendance fee be paid? The total cost is US$1,600.

4. If you are requesting financial support for travel expenses, please provide a good estimate of round trip, lowest economy excursion airfare between your place of residence and Casablanca, Morocco, in May 2008.
4a. Airfare:

4b. Airline:

4c. Type of fare:

4d. City of departure:

4e. Source of your estimate: