Instructions:

1. You must be logged in to the Community Wiki with a valid Username and Password in order to complete forms within CROP.

2. Your organization must first complete and get approval for the Outreach Strategic Plan before any CROP trip could be processed.  

3. There are two CROP forms required for each Trip: a) a Trip Proposal; b) a Trip Assessment (must be complete within three (3) weeks of all travelers having returned from the event, no later than the assessment due date which is automatically calculated based on the trip return date).

4. Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.

5. To fill out the the form, click  (top of the screen)

6. Answer each of the questions that appears within the form. Use the scroll bar (right) to reveal all contents. Click here to read the full instructions

IMPORTANT: This form must be completed by the traveler him/herself.

Person Completing Form
Name:

Mili Semlani

Date:

17-Jan-2019

STAFF USE ONLY

Application
Status 

APPROVED

TRAVELER DEADLINE

Assessment Due Date

05-Apr-2019

Link to Trip Assessment

NCUC Trip Assessment 1

Trip Proposal Section

1) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart DateReturn Date

Mili Semlani

milisemlani@gmail.com

Mumbai

India

07-Mar-2019
16-Mar-2019
2) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
3) Event/Conference Name, Title, or Descriptor:

ICANN 64, Kobe

4) Event/Conference Dates:
Start:
09-Mar-2019
End:
14-Mar-2019
5) Event/Conference Website Link:
6) Primary Event/Conference Location:
Street
Address:

Kobe Portopia Hotel & Kobe International Conference Center 10-1, 6 Chome, Minatojima Nakamachi Chuo-ku, Kobe, 650-0046 Japan

City:

Kobe

Country:

Japan

7) ICANN Global Stakeholder Engagement Region:

Asia

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


Bruna Santos 

9) Proposed Goals and Outcomes:

Content Guidelines (click here)


Engagement/Outreach: As an active member in the internet governance domain in Asia, I would like to attend ICANN64 representing NCUC to not only advance my learning and involvement at NCUC but also encourage and usher Asian participation and introduce them (specially youth and women participants at ICANN 64) to NCUC and its work.

Knowledge sharing: At the conference, I plan to work with my NCUC mentor/buddy to enhance my involvement on the above tracks while also learn about other ones I can help with. I am looking forward to advance my work with the CCWP on HR at ICANN (headed by Collin Kurre). One topic I am hoping to learn more about is: New gTLD Subsequent Procedures Policy Development Process and wish to use my time at the meeting to attend relevant discussions.

While I continue to absorb more discussions and information on NCUC work, in preparation for the ICANN 64 meeting, I am willing to dedicate 4-5 hours each week studying issues and working groups proceedings to be able to better contribute to these processes. I compensate in enthusiasm what I lack in experience at NCUC and my thirst to know more, rapidly, is a greater motivation for me to become an engaged NCUC member hoping to be able to help new members (specially bringing in more from Asia).

 

10) Additional Information (optional):

 

11) Consent & Authorization:

By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service.

If you agree to text above, please fill out your name and date in the box on the right.


NameDate

Mili Semlani

17-Jan-2019

_______________________________________________________________
Acknowledgements Section

Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure.

AcknowledgementsConfirmed?Who Confirmed?Date of ConfirmationNotes
The participants identified in this application agree to abide by the terms and conditions of this FY18 Community Regional Outreach Program (CROP) as outlined on the CROP Procedures & Guidelines page.

Yes

Bruna Martins dos Santos

17-Jan-2019
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.

Yes

Bruna Martins dos Santos

17-Jan-2019

Participant went through an application process and was selected by the NCUC Executive Committee.

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

Jia Rong Low

19-Jan-2019

Entered by Ozan S.

The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.

Yes

Ozan Sahin

19-Jan-2019

Although the depart and return dates on the proposal are 9 days/8 nights (7-16 March, with an arrival on the 8th) CROP will cover accommodation and per diem for 4 days/3 nights as per the guidelines. Extra days will be covered by the traveler.



=======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Mili Semlani

08-Mar-2019
16-Jan-2019

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedStaff NameNotes

Program Criteria Satisfied

19-Jan-2019

Ozan Sahin

Although the depart and return dates on the proposal are 9 days/8 nights (7-16 March, with an arrival on the 8th) CROP will cover accommodation and per diem for 4 days/3 nights as per the guidelines. Extra days will be covered by the traveler.

Constituency Travel Notified

19-Jan-2019

Ozan Sahin


CROP Trip Proposal Template (June 2018)