Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates. Other than the two required fields immediately below, you may complete any portion of this form, save, and return later to continue where you left off.

Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:BAUDOUIN SCHOMBEDate:

25-Nov-2015

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #
WITHDRAWN

01-Apr-2016

AF02

Trip Proposal Section

LINK: AFRALO Trip/Event Assessment 2 DRAFT

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).  

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
BAUDOUIN SCHOMBE

baudouin.schombe@gmail.com

 

KINSHASADR CONGO03-Mar-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:ICANN 55
5) Event/Conference Dates:
Start:05-Mar-2016End:10-Mar-2016
6) Event/Conference Website Link:http//:meetings.icann.org/en/marrakech55
7) Primary Event/Conference Location:
Street
Address:
PALMERAIE CONFERENCE CENTER CIRCUIT DE LA PALMERAIE BP 1488 40000 Marrakech, Maroc Tél +212 (0) 524 368760
City:MarrakechCountry:
8) ICANN Geographic Region:Africa

9) Activity Sponsors:
(Note: all event sponsors must be identified
in order to comply with ICANN travel guidelines).


10) Proposed Goals and Outcomes:

reap the necessary information on the latest developments regarding the process of IANA and the future status of ICANN. The DRC has managed to establish the National Forum on Internet governance and upgrade workshops are planned during 2016.
11) Additional Information (optional):

ICANN is recognized among the main partners of the DRC IGF activities, especially for:

-the new gTLD,  

-implementation of the project of internet access centers in rural and suburban areas and networking of decentralized territorial entities in the project "Internet Network of Municipalities".

 

======================================= 
Community Confirmation Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
The participants identified in this application agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
The ICANN Stakeholder Engagement Vice-President has concurred that the Proposed Goals/Outcomes of this Trip Proposal are consistent with operational plans and/or strategies.
  =======================================================

 

Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Trip Proposal Confirmed and
Transferred to Approved Forms: 
Trip/Event Assessment Confirmed and
Transferred to Approved Forms: 


CROPP Trip Proposal Template v4 (Aug 2015)

For comments, suggestions, or technical support concerning this space, please email: CROPP Program Staff
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