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
Name:

BAUDOUIN SCHOMBE

Date:

16-May-2016

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

 

01-Dec-2016

 

Trip Proposal Section

LINK:  

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

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date

BAUDOUIN SCHOMBE

 

KINSHASA

DR CONGO

04-Nov-201611-Nov-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

for participating at IGF 2016

4) Event/Conference Name, Title, or Descriptor:

Internet Governance Forum "The IGF facilitates a common understanding of how to maximize Internet opportunities and address risks and challenges that arise. The IGF is also a space that gives developing countries the same opportunity as wealthier nations to engage in the debate on Internet governance and to facilitate their participation in existing institutions and arrangements. Ultimately, the involvement of all stakeholders, from developed as well as developing countries, is necessary for the future development of the Internet."

5) Event/Conference Dates:
Start:06-Nov-2016End:09-Nov-2016
6) Event/Conference Website Link:

http://www.igf2016.mx/

info@igf2016.mx

7) Primary Event/Conference Location:
Street
Address:
City:

Guadalajara

Country:

MEXICO

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).


 

10) Proposed Goals and Outcomes:

-To Improve the experience in multiple stakeholder approach; - To Link partnerships; - To Identify mutual axes for capacity building.

11) 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 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

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal Trip/Event Assessment


CROPP Trip Proposal Template v4 (Aug 2015)

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