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

Person Completing Form:Tijani BEN JEMAADate:

11-Jun-2014

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

07-Aug-2014

AF01

Trip Proposal Section

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
Etienne Tshishimbietienne@isoc.snDakarSenegal11-Jul-201421-Jul-2014
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Visa is required and costs 50 000.00 Francs CFA (about 80 €)
4) Event/Conference Name, Title, or Descriptor:First Internet Governance Forum in Gabon
5) Event/Conference Dates:
Start:14-Jul-2014End:16-Jul-2014
6) Event/Conference Website Link:Not yet available
7) Primary Event/Conference Location:
Street
Address:
The Chamber of Commerce of Libreville, Neighborhood Renovation, 4th district BP. 2234 - LIBREVILLE - GABON
City:LibrevilleCountry:GABON
8) ICANN Geographic Region:Africa

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


  • Ministry of Economy, Digital Communication and Post and                             
  • National Agency for Digital Infrastructure and Frequencies (in french ANINF).
  • Operators fixed / mobile

10) Purpose and Goals:

We have to work on Internet governance and ICANN strategy for Africa. We will raise the Gabonese structures on the role they can play in the Central Africa sub-region.

11) Proposed Outcomes:• Educate twenty (20) Gabonese structures operating AFRALO • Recruit at least three (03) Gabonese structures for new African ALS • Perform (01) comparative study between the national IGF Senegal and the national IGF Gabon (a sub item will address the role of young people in this hitch).
12) Additional Information (optional):

National IGF Gabon; the days selected are 14, 15 and 16 July 2014

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 are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions.YesTijani BEN JEMAA11-Jun-2014
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesAziz Hilali11-Jun-2014
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.YesPierre Dandjinou11-Jun-2014
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified12-Jun-2014JDL12 Jun: Not in the 6 week window, but have sent request to ICANN Travel 14 Jun: ICANN Travel unable to process request due to advanced notice less than 6 weeks
Trip Assessment Approved and
Transferred to Official Forms: 


CROPP Application Template v8 (May 2014)

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