Instructions:

  1. Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
  2. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
  3. Some information fields are 'richtext' so that they can accommodate tables, links, images, attachments, and other formatting capabilities that may be useful in explaining/describing this proposal.
  4. This form may be edited/saved as many times as needed. When completed, please notify your Pilot Program Coordinator (PPC) for further processing.

Trip Proposals must be approved within the Organization/Structure and Regional GSE Team at least six (6) weeks before the event start date.
Questions about this program should be directed to: CROPP Staff.

Person Completing Form
Name:

HILALI Abdelaziz

Date:

11-Sep-2016

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

APPROVED

22-Dec-2016

AF02

Trip Proposal Section

LINK:  AFRALO Trip/Event Assessment 2

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

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Hilali Abdelazizmailto:hilaliaziz@yahoo.frRabatMorocco27-Nov-201601-Dec-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:AFRINIC-25 in Mauritius
5) Event/Conference Dates:
Start:25-Nov-2016End:30-Nov-2016
6) Event/Conference Website Link:https://meeting.afrinic.net/afrinic-25/
7) Primary Event/Conference Location:
Street
Address:
Sofitel Imperial Resort & Spa Wolmar 90517 - FLIC EN FLAC
City:MauritiusCountry:Mauritius
8) ICANN Global Stakeholder Engagement Region:Africa

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


ISOC/ICANN/ORACLE/SEACOM Orange/Emtel/Microsoft/Bharat Telecom/ (TBC)

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

 

Representing AFRALO to the opening ceremony with other African Organizations (Af *) Participation in AFRALO ICANN session on Civil society engagement in ICANN activities. Presentation of AFRALO to the African community, explain the role and the activities carried out by AFRALO Increasing the number of ALS in AFRALO: Thanks to a campaign that will be conducted on site.
11) Additional Information (optional):

Special Request:

  • Promotional Materials as AFRALO Fliers
  • Shipping of Materials to the Hotel

=============================================================== 
Acknowledgements Section

Note: The first three elements below should 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 FY17 Community Regional Outreach Pilot Program (CROPP) as outlined on the CROPP Procedures & Guidelines page. YesDaniel K. Nanghaka10-Sep-2016The proposal is in line with the strategy and also follows MOU between AFRALO and AFRINIC. In reference to the previous engagement which brought in milestones
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesMohamed El Bashir10-Sep-2016See Mohamed's comment: "Full Support the application and Authorize it." Mohamed EL Bashir, AfRALO Vice Chair
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.YesPierre Dandjinou11-Sep-2016
The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies.YesJanice Lange16-Sep-2016
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Hilali Abdelaziz27-Nov-201601-Dec-2016

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified16-Sep-2016JDL
Travel Booking Initiated with Attendees04-Oct-2016JDLWelcome Email sent
Travel Booking Completed/Confirmed08-Oct-2016JDL

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal20-Sep-2016Trip/Event Assessment13-Apr-2017


CROPP-FY17 Trip Proposal Template (Jul 2016)

For questions, comments, suggestions, or technical support concerning this space, please email: CROPP Program Staff
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