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: | Tijani BEN JEMAA | Date: | 31-Aug-2014 |
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| Application Status | Assessment Due-Date | Form ID # |
| APPROVED | 20-Dec-2014 | AF03 |
Trip Proposal Section | |||||||||||||
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1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
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| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | |||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | AFRINIC 21st Public Policy Meeting | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | http://meeting.afrinic.net/afrinic-21/en/
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| 7) Primary Event/Conference Location: |
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| 8) ICANN Geographic Region: | Africa | ||||||||||||
9) Activity Sponsors: | Microsoft | ||||||||||||
10) Purpose and Goals: | 1. Reaching out the African Internet community to find more African organizations to apply for AFRALO ALS certification 2. Providing information about the available 2015 NomCom positions for Africa and identifing potential candidates | ||||||||||||
| 11) Proposed Outcomes: | More visibility for ICANN and AFRALO More ALS applications in the AFRALO region More members of African internet community informed about the available 2015 NomCom positions for Africa At least 2 potential candidates identified | ||||||||||||
| 12) Additional Information (optional): | Materials on 2015 NomCom positions will be provided by Fatimata, including hints for the identification of potential candidates from the region. | ||||||||||||
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| 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. | Yes | Dev Anand Teelucksingh | 08-Sep-2014 | The CROPP-FY15 approved this application without any objection, 8 days after its submission |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Aziz Hilali | 03-Sep-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. | Yes | Pierre Dandjinou | 03-Sep-2014 | |
| =============== | ========== | ============================== |
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Trip Proposal Approved and Transferred to Official Forms: | 09-Sep-2014 | Trip Assessment Approved and Transferred to Official Forms: | 06-Jan-2015 |
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CROPP Application Template v8 (May 2014)
