Instructions:
- Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
- Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
- 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.
- 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: | Maryam Bakoshi | Date: | 28-Apr-2017 |
| Application Status | Assessment Due-Date | Form ID # |
APPROVED | 21-Jul-2017 | NPOC03 |
Trip Proposal Section | LINK: NPOC Trip Assessment 3 | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | 4th Night would be funded by the traveller | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | ICANN 59 Johannesburg | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | https://meetings.icann.org/en/johannesburg59 | ||||||||||||
| 7) Primary Event/Conference Location: |
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| 8) ICANN Global Stakeholder Engagement Region: | Africa | ||||||||||||
9) Activity Sponsors: |
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10) Proposed Goals and Outcomes: Content Guidelines (click here)
| NPOC will benefit from my participation through a focused and dedicated contribution at any NPOC precise events and generic ICANN activities deemed beneficial to the non-profit concern constituency and particularly worthy of adding value to our civil society organizations like the African Civil Society on the Information Society (ACSIS) where I am currently the Vice President and the Nigeria DigitalSENSE Forum series on Internet Governance for Development (IG4D) and related events. I also intend to write a blog post on the outcome of ICANN59 as part of knowledge sharing and continuous development. These, I earnestly think will encourage new membership for NPOC, mostly from Africa. | ||||||||||||
| 11) Additional Information (optional): | |||||||||||||
| =============================================================== | |||||||||||||
Note: The first three elements below should be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| 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. | Yes | Maryam Bakoshi | 28-Apr-2017 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Maryam Bakoshi | 28-Apr-2017 | |
| 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. | Yes | Benedetta Rossi | 01-May-2017 | as per Pierre Dandjinou |
| The CROPP Staff Administrators confirm that this trip/event satisfies the program's terms, guidelines, and policies. | Yes | Benedetta Rossi | 02-May-2017 | |
| =============== | ========== | ============================== |
Approved Travel Elements:
| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
|---|---|---|---|
| Remmy Chucks Nweke | 25-Jun-2017 | 28-Jun-2017 | Airfare |
Staff Department Notifications:
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Program Criteria Satisfied | 02-May-2017 | BR | |
| Constituency Travel Notified | 02-May-2017 | BR | PLEASE NOTE: Traveler wishes to depart on June 29th, and the final night will be funded by traveler. CROPP Staff approves for traveller's flight to depart on June 29th, and for hotel to be funded by traveler. |
Program Admin Transfers from Community Drafts to Approved Forms: | |||
|---|---|---|---|
| Trip Proposal | 02-May-2017 | Trip/Event Assessment | 11-Sep-2017 |
CROPP-FY17 Trip Proposal Template (Jul 2016)
