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

Person Completing Form:Carlton Anthony SamuelsDate:

05-May-2015

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

17-Jul-2015

LAC02

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
Carlton Anthony Samuelscarlton.samuels@gmail.comKINJamaica22-Jun-201525-Jun-2015
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Carlton will pay for the extra night not covered by the CROPP
4) Event/Conference Name, Title, or Descriptor:ICANN 53
5) Event/Conference Dates:
Start:21-Jun-2015End:25-Jun-2015
6) Event/Conference Website Link:https://buenosaires53.icann.org/en/
7) Primary Event/Conference Location:
Street
Address:
Sheraton Hotel Buenos Aires San Martin 1225
City:Buenos Aires 1104Country:Argentina
8) ICANN Geographic Region:Latin America and Caribbean

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


Listed at http://buenosaires53.icann.org/en/

10) Purpose and Goals:

To participate in At-Large meetings and to mentor Jason Hynds who will be temporary Secretariat. I am coChair of the At-Large Registration Issues WG which has the task of following matters pertaining registration data services - aka WHOIS - matters. The At-Large should be briefed on the significant developments in the PPSAI and IAG-wHOIS Conflicts WG at ICANN 53.

11) Proposed Outcomes:Trip report ;
12) Additional Information (optional):

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.YesDev Anand Teelucksingh18-May-2015
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesDev Anand Teelucksingh18-May-2015
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.YesDev Anand Teelucksingh18-May-2015
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified18-May-2015JDLADDT'L NIGHTS COVERED BY TRAVELER
Trip Proposal Approved and
Transferred to Official Forms: 
19-May-2015Trip Assessment Approved and
Transferred to Official Forms: 
24-Sep-2015


CROPP Application Template v8 (May 2014)

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