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FOSS@Work Registration Form

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Please fill in all the fields with the needed information and we will get back to you as soon as possible. Last day for registration is October 25, 2006. We will inform you by e-mail if you have been accepted.

Given Name (Required)

Family Name (Required)

e-mail (Required)

Phone Number (Required)

Gender (Required)

Male Female

Date of Birth (Required)

Year-Month-Date

Nationality (Required)

Organisation/Affliation (Required)

Designation (Required)

Title or position.

Development Platform (Required)

(predominantly used in your organization)

Non-Proprietary Proprietary Mixed

Technical Expertise Technical expertise and ability. (Required)

Please describe your current technical expertise and ability.

FOSS Experience (Required)

What is your experience with FOSS. What kinds of projects and initiatives have you worked on? Note: Expertise/experience with FOSS is not a requirement for participation.

Other comments

Subsidy

Do you need subsidy for the USD100 conference participation fee? (Required)

No Yes

Do you need subsidy for travel? (Required)

No Yes

If yes, what amount of travel subsidy would you need?

Please state amount in US dollars.

Please cite your reason for needing the subsidy.