First Joint Cost-TMA and Euro-NF Winter School

Application Form

PH.D. Programme 2010

First joint Cost-TMA and Euro-NF winter school

“IP Traffic Characterization and Anomaly Detection”

8-12th of February 2010

Politecnico di Torino,
Corso Duca degli Abruzzi 24, 10129, Torino, Italy

Deadline of your application to the Course: 20December 2010

Applicant’s information

Please fill in the table:

First and Last Name:
Address:
Country:
Affiliation:
Phone: / +
Fax: / +
E-mail:
Highest Degree/Year:

In case you accept the default lodging available for all the participants (details on theCourse web page), please fill also the following form:

Arrival date:
Departure date:

In the following, compile only ONE PAGE, choosing to participate either as EURO-NF member, or as COST-TMA member. Please, note that different reimbursement schemes are applied. See details on the Course web page.

Euro-NF Affiliation (if any)

Member of Euro-NF

YES

No

Please, fill up this part if your institution is part of Euro-NF.

Institution:
Euro-NF partner number
Address:
Phone: / +
Fax: / +
E-mail:
Your position:

LocalSupervisor of your study

First and Last Name:
Institute:
Address:
Phone:
Fax:
E-mail:
Approval of your participation by the Euro-NF team leader of your institution
(YES/NO)

Cost- TMA Affiliation (if any)

Fill up this part if your institution is part of a State that participates to the cost-TMA. The list of participating States (“Parties” in COST terminology) can be found from the COST site

Member of Cost-TMA

YES

Institution:
Address:
Country
Phone:
Fax:
E-mail:
Your position:

LocalSupervisor of your study

First and Last Name:
Institute:
Address:
Phone:
Fax:
E-mail:
Is your Institution officially participating in the Cost-TMA[1]?

Details about the course

Yes / No
Certificatesof participation required

Comments and further requests:

Submission of your application to the Course

Send a PDF file of your filled application form (part of this document above the horizontal line) as an attachment by email to

mailto:

You can easily edit this document and print it as pdf-file.

Please, give the PDF document the following name:
<your-country>-<your-lastname>.pdf
Example: Italy-Mellia.pdf

Participants affiliated with academic or public research institutions outside Euro-NF and outside any country not participating to the Cost-TMA are invited too

Additional documents

If you want to have the WiFi access to the Internet, please:

fill in the associated document (WiFiAccess.doc), sign and send as PDF
Attach a copy of your passport/ID card as PDF

Contact for further questions

Marco Mellia and Fulvio Risso:

[1]If yes, it should be listed on