\documentstyle[ifthen]{article}

%% Please insert your family name
\def\name{Name}

%% Please insert your first name
\def\firstname{First Name}

%% Please insert the name of your city
\def\city{City}

%% Please insert the name of your country
\def\country{Country}

%% Please enter the title of your talk
\def\title{Title}

%% Please enter the name of your coauthors (separated by commata), if any
\def\coauthors{}

%% Please enter your abstract here.
%% Please make sure that your abstract fits in the designed box 
%% which you will see after LaTeXing the file !!
\def\abstract{Abstract}

%% Do NOT modify the following text !!!

\pagestyle{empty}
\parindent0mm
\textheight220mm
\textwidth160mm
\topskip0mm
\oddsidemargin5mm
\begin{document}
{\large\bf \title}\\ 
\underline{\firstname\ \name} (\city, \country) \\
\ifthenelse{\equal{\coauthors}{}}{}{\coauthors\\}
\fbox{\begin{minipage}[t][83mm]{154mm} \abstract \end{minipage}}
\end{document}