Personal Data

1. sir_name*
2. full_name*
3. employer
4. title
5. business_addr
6. business_phone
7. alternate_phone
8. email*
9. fax
10. date_birth
11. nationality*
12. passport_name
13. passport_number
14. passport_country
15. passport_date
16. passport_expiry
17. 

    


    english_listen*

    
 minimal 
 fair 
 good 
 excellent 

    



18. 

    


    english_read*

    
 minimal 
 fair 
 good 
 excellent 

    



19. 

    


    english_speak*

    
 minimal 
 fair 
 good 
 excellent 

    



20. 

    


    english_write*

    
 minimal 
 fair 
 good 
 excellent 

    



21. 

    


    french_listen*

    
 minimal 
 fair 
 good 
 excellent 

    



22. 

    


    french_read*

    
 minimal 
 fair 
 good 
 excellent 

    



23. 

    


    french_speak*

    
 minimal 
 fair 
 good 
 excellent 

    



24. 

    


    french_write*

    
 minimal 
 fair 
 good 
 excellent 

    




Course of Instruction

1. 

   


   track_choice*

   
 SA-E UNIX Systems Administration 
 SS-E Scalable Internet Services 
 SI-E Scalable Network Infrastructure 
 SI-F INFRASTRUCTURE RESEAUX IP(French version of English Track SI-E) 

   



2. track_reason*

Technical Skills

1. 

   


   unix_user*

   
 Yes 
 No 

   



2. unix_user_desc
3. 

   


   unix_admin*

   
 Yes 
 No 

   



4. unix_admin_desc
5. 

   


   network_admin*

   
 Yes 
 No 

   



6. network_admin_desc
7. dns_desc*
8. mta_desc*
9. mlm_desc*
10. web_desc*
11. router_desc*
12. switch_desc*
13. monit_desc*
14. noc_desc*

Role in National Networking Activities

1. org_desc*
2. org_environ*
3. 

   


   org_scope*

   
 Commercial Network Provider 
 Academic Network Provider 
 NGO Network Provider 
 Other (specify) 

   

4. org_staff*
5. org_relevance*
6. org_postconf*
7. oldafnog_yrtrack
8. oldafnog_trainuse
9. oldafnog_effects

Financial Information

1. 

   


   financial_aid*

   
 Yes 
 No 

   

2. financial_desc
3. 

   


   financial_aid_type

   
 conference 
 air_fare 

   

4. 1. financial_air_fare
   2. financial_air_line
   3. financial_air_faretype
   4. financial_air_depart
   5. financial_air_source
5. financial_contrib_org
6. financial_contrib_gvt
7. financial_contrib_own
8. financial_contrib_afnog