October 15, 2003.

COMMON Europe Advisory Council (CEAC) - Selection Questionnaire

I ……………………………………………………………… declare that I have my company's approval to join the COMMON Europe Advisory Council. My company allows me to join the CEAC meetings. I am able to spend about eight days a year for at least two years period to work for the CEAC on a voluntary basis. I assure to protect the interest of IBM and COMMON EUROPE and therefore will comply to the confidential character of the CEAC meetings. Furthermore, my company declares that the company does not compete with IBM.

(Applicant's signature)                                                  (Company CEO signature and stamp)

How would I liked to be called:  
Title (English) in company:  
Company profile (business sector; annual turnover; number of employees):  
Short professional resume:  
Scope of the actual job:  
I am in this position since:  
My effect on corporate ICT strategy is:  
Installed systems (IBM and non IBM):  
I am familiar with the following standard software packages:  

What was the most important IBM announcement in 2002-2003:

Why:		  

The most important future development for Information and Communication technology would be:

Why:		  

Future ICT personnel need special qualifications in the field of:

Why:		  

IBM should concentrate its forces on:

Why:		  
My knowledge of English is:  
My 10' presentation would be on:  

My involvement in COMMON at country level:

At COMMON Europe level:		  
I would attend the COMMON Europe Congress at Cardiff in June 2004  
I would attend the COMMON Europe Congress in late spring 2005