IFIP EVENT FORM (page 1 of 3)

This form is used to record information needed, when IFIP's involvement in an event is requested. The policy and procedure for approval of such involvement is described in the document IFIP EVENT APPROVAL GUIDELINES (EAG), available from the IFIP Secretariat. The form should be prepared and signed by the Main Organizer and the Chairs of the IFIP Responsible WG and TC and forwarded to the IFIP Secretariat (Hofstrasse 3, A-2361 Laxenburg, Austria. Fax +43 2236 736 169).

1.GENERAL INFORMATION (for event registration):

Request for: < Notification, Full/ Main/ Co-Sponsorship, Support, Modification> [ref. EAG 3.1, 7] 
In Series No (if applicable): 	11th
Official Name of the event: 	EUNICE'2005 & IFIP Workshop     
                       Summer School on Networked Applications
     
URL: http:// www.eunice-forum.org, or http://www.it.uc3m.es/eunice2005
Acronym: EUNICE'2005	Dates: 06 - 08 July 2005
City: Colmenarejo	Country: Spain

Event category: < Open Conference/ Working Conference/ Workshop/ Seminar> [ref. EAG 2]
Attendance: < open/ restricted> 	Expected number of participants : 50
Purpose: < professional/ educational> 	Contributions : < refereed/ unrefereed>

Main Sponsor: 	Universidad Carlos III de Madrid, Spain
Co-Sponsors:  	IFIP TC6/WG6.6
     

Main Organizer (Institution) [ref.EAG3.2]
Contact person:	Carlos Delgado Kloos 
                            Dept. of Telematic Engineering 
                            Escuela Politécnica Superior
                            Universidad Carlos III de Madrid

Mailing address:	Avenida de la Universidad 30, Leganés 28911 Madrid, Spain
E-mail address:	cdk@it.uc3m.es	Phone: +34 916248778	 Fax: +34 916248749

Co-Organizers (Institutions) [ref.EAG3.2]:      

2. SPECIFIC INFORMATION (in case of IFIP sponsorship):

IFIP Responsible Body: <TC 6/ WG 6.6>
Program Committee consists of 39 members of whom 5 are nominated by IFIP.

Program Chair: 	Carlos Delgado Kloos 
                            Dept. Telematic Engineering 
                            Escuela Politécnica Superior
                            Universidad Carlos III de Madrid
Mailing address: 	Avenida de la Universidad 30, Leganés 28911 Madrid, Spain 
E-mail address:  	cdk@it.uc3m.es	Phone: +34 916248778	Fax: +34 916248749

Main Editor: 	David Larrabeiti & Andrés Marín 
                            Dept. Telematic Engineering 
                            Escuela Politécnica Superior
                            Universidad Carlos III de Madrid
Mailing address:	Avenida de la Universidad 30, Leganés 28911 Madrid, Spain 
E-mail address:  	{dlarra,amarin}@it.uc3m.es 	Phone: +34 916248778	Fax: +34 916248749

Papers are solicited by:< personal invitation/ journal advertising/ call for papers> [ref. EAG 2]
	submitted as:	< full papers/ extend. abstracts>	before 21 Jan 2005 (Camera-ready 5th of April)
	selected as:	< invited papers and/or      	expected number accepted 5
	   refereed/ unrefereed papers> 	expected number accepted 35
	published under copyright by UC3M 

as: < preprints/ proceedings/ journal> by: < Kluwer or  UC3M>
      Expected year/month of publication: 2005 / 07

(Link to IFIP publisher and author/editor instructions available at: http://www.ifip.or.at/public.htm)

IFIP EVENT FORM (page 2 of 3)

3. ACCOUNTING INFORMATION (in case of full/main sponsorship)

Duration of the event: 3 days
Exchange rate for local currency: 1 EUR = 1 EUR
Expected number of participants: 50

    BUDGET
Income:                                     
	Fixed income(FI)	Variable Income(VI) 2)	
1. Registration income from participants (part.fee)		     	EUR	     	EUR	
2. Exhibits		     	EUR	     	EUR	
3. Contributions from supporters		     	EUR	     	EUR	
4. Other income (tutorials, social events etc.)		     	EUR	     	EUR	
Sub-Total Income:		     	EUR	     	EUR	
Total Income [= FI + VI x no. of Exp. Part.]	  	     	EUR			

Expenses:                                   
	Fixed exp. (FE)  	Variable exp.(VE) 3)	
1. Pre event expenses		     	EUR	     	EUR	
2. Expenses during event		     	EUR	     	EUR	
3. Sponsorship fee to IFIP 1)		     	EUR	     	EUR	
4. Contingencies (10 % of 1 + 2)		     	EUR	     	EUR	
Sub-Total Expenses	 	     	EUR	     	EUR	
Total Expenses [= FE + VE x no. of Exp. Part.]		     	EUR			

Break even number of participants:       [= (FI - FE) divided by (VI - VE)]

Surplus [Total Income - Total Expenses] 	     	EUR
Surplus share contributed to IFIP
     (upon agreement with TC/WG Chair)	     	EUR/       %/       EUR
Loss share (upon explicit agreement with TC Chair, 
        guaranteed by TC funds)                 	     	EUR/       %/       EUR

Guarantees for loss coverage                    	     	EUR
Requested loan for the budget year       :       EUR
(In case of a loan request a detailed conference budget should be submitted)

	1) In case of full/main sponsorship the fee is for Open Conferences: 	EUR 8.00/participant/day
	for Working Conferences:	EUR 4.00/participant/day
	
 2) Income per individual participant (participation fee, etc.) 
 
 3) Expenses per individual participant (proceedings, coffee, etc.)

IFIP EVENT FORM (page 3 of 3)

4. IFIP Statement of Understanding
As Main Organizer of this event I certify that this EVENT FORM has been prepared to the best of my ability and is complete and accurate, with the latest available information. I agree to keep IFIP informed of any changes and to request additional approval if any significant modification should occur.
I confirm that the technical program of the event will conform to the statutory aims of IFIP, be designed for an international audience, be controlled by an international program committee of recognized professionals, and contain original contributions approved by the Program Committee. I also agree that the official language of the event will be English. I confirm that the name of the event will not be registered, as a trademark or otherwise, without written consent from the IFIP President. 
I accept all financial and other legal liabilities for this event, apart from any support eventually approved by IFIP. I understand that any requested support from IFIP is contingent upon final approval of such support. The approval will be confirmed in writing by IFIP when the IFIP budget (for the year, in which transfer of support from IFIP is requested) has been adopted. I accept to remit to IFIP a sponsorship fee per registered paying participant as agreed with IFIP.
I also agree to comply with IFIP policies and procedures as described in the document IFIP Event Approval Guidelines, unless otherwise confirmed in writing and approved by the IFIP President. In particular, I agree to include the name and logo of IFIP in all announcements of the event. I also agree to submit to IFIP, within 3 months after the event, a final report, with a set of all publications associated with the event. At the same time, I shall remit to IFIP any loan amounts received and any surplus share to IFIP that has been agreed upon.

I certify that I have the authority to make legal commitments for the organization. 

For Universidad Carlos III de Madrid
(Name and Address of the Organizing Institution) 

By Carlos Delgado Kloos, Head of Telematic Engineering Department, Universidad Carlos III de Madrid
(Name and Title of ist authorized representative)

Signature ...................................................……………………	Date ........................................……..

In order to process this request the form should be signed by:

IFIP WG 6.6 Chair: 

    Name: Prof. Raouf Boutaba 	Date:       	Signature: …………………………………..

IFIP TC6 Chair: 

    Name: Prof. Otto Spaniol 	Date:       	Signature: …………………………………..

(Please attach any additional comments or agreements to this form)