Instructions:
1. You must be logged in to the Community Wiki with a valid Username and Password in order to complete forms within CROP.
2. Your organization must first complete and get approval for the Outreach Strategic Plan before any CROP trip could be processed.
3. There are two CROP forms required for each Trip: a) a Trip Proposal; b) a Trip Assessment (must be complete within three (3) weeks of all travelers having returned from the event, no later than the assessment due date which is automatically calculated based on the trip return date).
4. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
5. To fill out the the form, click 
(top of the screen)
6. Answer each of the questions that appears within the form. Use the scroll bar (right) to reveal all contents. Click here to read the full instructions
IMPORTANT: This form must be completed by the traveler him/herself.
| Person Completing Form | |||
|---|---|---|---|
| Name: | Tijani BEN JEMAA | Date: | 24-Mar-2019 |
Application |
APPROVED |
Trip Proposal Section | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1) Traveler Contact Information and Itinerary:
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| 2) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | Aisle seat in the front of the plane | ||||||||||||
| 3) Event/Conference Name, Title, or Descriptor: | Africa Internet Summit 2019 (AIS'19) | ||||||||||||
| 4) Event/Conference Dates: |
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| 5) Event/Conference Website Link: | |||||||||||||
| 6) Primary Event/Conference Location: |
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| 7) ICANN Global Stakeholder Engagement Region: | Africa | ||||||||||||
8) Activity Sponsors: | AfricaSERT, AFTLD, AFIGF, ICANN, ISOC, AFREN, NET CONSULT | ||||||||||||
9) Proposed Goals and Outcomes: Content Guidelines (click here) | Booth: We will have a booth with a pop-up banner, brochures, etc. ICANN day: We will have a speaking slot about a hot topic at ICANN during the ICANN day in the AIS'19 Presentation: We asked for the slot in the AIS'19 to make a presentation about AFRALO to explain the ICANN, At-Large and AFRALO activities to attract more members. Policy discussion: We will actively participate in the AFRINIC Policy discussion. Outreach: Besides the effect of our presentation about AFRALO, and our participation in the ICANN day, we will undertake a continuous outreach effort during the breaks (coffee/lunch) in our booth and outside it to gain more members for AFRALO. | ||||||||||||
| 10) Additional Information (optional): | |||||||||||||
11) Consent & Authorization: By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service. If you agree to text above, please fill out your name and date in the box on the right. |
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| _______________________________________________________________ | |||||||||||||
Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Who Confirmed? | Date of Confirmation | Notes |
|---|---|---|---|---|
| The participants identified in this application agree to abide by the terms and conditions of this FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page. | Yes | Fatimata Seye Sylla | 24-Mar-2019 | Tijani is well known for his engagement and and efficiency in reaching out to African users for engagement in AFRALO. His participation will be a great asset for AFRALO. |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Mohamed Elbashir | 25-Mar-2019 | AfRALO/Tijani used to annually participat in AIS, AfriNIC will provided the booth for AfRALO and the speaking slot as arranged/agreed |
| 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. | Yes | Pierre Dandjinou | 03-Apr-2019 | Entered by Ozan Sahin |
| The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | Yes | Ozan Sahin | 03-Apr-2019 | |
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
Tijani Ben Jemaa | 18-Jul-2019 | 21-Jul-2019 | Airfare |
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Staff Name | Notes |
Program Criteria Satisfied | 03-Apr-2019 | Ozan Sahin | |
Constituency Travel Notified | 03-Apr-2019 | Ozan Sahin |
CROP Trip Proposal Template (June 2018)
