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SECTION I – APPLICATION DESCRIPTION
* Indicates required fields.
Application Name:
Application Description:
Development Status:
Deployed Under Development  
Deployed When (Expected Deployment Date)
Platforms Managed : ( Please select all that apply . )
W2K Server/AS
XP
AIX
NT Server
Solaris
z/OS z/VM
W2003 Std/Ent
Red Hat Ent/Adv
 HP-UX
OS/400
Red Hat Pro
Netware
Other UNIX
W2003 DC
Linux on z
SuSE (SLES)
 IPF OSs
Linux on PA
United Linux
Other
Platform Managed "From": (Please select all that apply )
AIX
Windows
Solaris
Linux on IA
 OS 390 z/OS
OS/400
HP-UX
Netware
 Linux on MF
Z/VM
Linux on PA
Other
Server Platforms: (Please select all that apply)
IA
pSeries
Solaris
 HP-UX
xSeries
 iSeries
zSeries
Databases: (Please select all that apply)
Oracle
MS SQL Server
Other
 DB/2 Mainframe
DB/2 Distributed
 Sybase
Informix
Web Application Servers: (Please select all that apply)
WebSphere
Microsoft.NET or IIS
Sun One/iPlanet Web Server
 Apache
IBM HTTP Server
 		 Oracle Application Server
BEA WebLogic
Other
Enterprise Applications: (Please select all that apply)
PeopleSoft
Oracle Applications
Other
 SAP R3/mySAP
Siebel
 JD Edwards
BAAN
Components: Please list all other major components included in this solution.
Software:
Hardware:
Service:
Other:
Applicable Industry: Please select all that apply.
All Industries
Health
Banking
Consumer Goods
Life Sciences
Government
Retail/Wholesale
Telecommunications
Financial Markets
Other
Automotive
Insurance
Utilities and Energy
Electronics
Collaboration Applications: (Please select all that apply)
Microsoft Outlook
Lotus Notes
 Novell GroupWise
Microsoft Exchange		 Lotus Domino
Other
Tivoli Components: Please specify the Tivoli components used in the Solution.
What was the primary business driver that caused the requirement for delivery of this application?
In which ways has the application succeeded in fulfilling the stated requirement?  Were there any lessons learned from this project?
     
SECTION II – COMPANY INFORMATION
   
Company Name * :
Address1:
Address2:
City: State/region: Zip/Postcode:
Country * :  
Phone: Fax:  
Company Web Site:
URL to Logo:
Contact Name * :
Email * :
Phone: Fax:  
User Group Name *:
How long have you been a member *:
     

SECTION III – USE OF INFORMATION

Please check ‘Yes' or ‘No' for each question:

1. Periodically, www. tivoli-ug .org will highlight a customer's application on the homepage. Do you want this application to be considered?
Yes
No
2. If your application is chosen to be included in the spotlight, do you want your:

a. Company name to be included Yes No
b. Email address to be included Yes No
3. Do you agree to allow tivoli-ug .org or IBM to make certain information publicly available as a Reference Application?

a. Information contained in Section I – Application Description Yes No
b. Information contained in Section II – Company Information Yes No
 
 

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