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 Program Coordinator (PC) 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: CROP Staff.

Person Completing Form
Name:


Chantelle Doerksen

Date:


13-Apr-2018

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


APPROVED

20-Jul-2018

Trip Proposal Section

LINK TO TRIP ASSESSMENT : IPC Trip 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
Aslam Mohamed

gmohamedaslam@gmail.com


Los Angeles (Depart) & New York (return)USA25-Jun-201828-Jun-2018
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
This is the IPC's designated Out-of-Region trip for FY18. Aslam wishes to depart from Los Angeles (LAX) early on Monday, 25 June and return from Panama to New York (JFK) late on 28 June. Aslam understands that CROP funding covers 3 nights of hotel / 4 days of per diem.
4) Event/Conference Name, Title, or Descriptor:ICANN62
5) Event/Conference Dates:
Start:25-Jun-2018End:28-Jun-2018
6) Event/Conference Website Link:

https://meetings.icann.org/en/panamacity62


7) Primary Event/Conference Location:
Street
Address:
Event Location: Megapolis Convention Center Address: Boulevard El Hayek, Panama City, Panama
City:Panama CityCountry:Panama

8) Indicate whether it is a regional trip OR an out-of-region trip.


Out-of-region
9) ICANN Global Stakeholder Engagement Region:Latin America and Caribbean

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


ICANN, Autoridad Nacional para la Innovación Gubernamental de Panama


11) Proposed Goals and Outcomes:

Content Guidelines (click here)

The IPC is looking to plan their outreach event on Monday evening during ICANN62, at the American Trade Hotel (https://www.americantradehotel.com/[americantradehotel.com]), from 7-9 pm. A successful event was held in Puerto Rico during ICANN61, and the IPC wishes to hold a similar event for ICANN62. The IPC is aware that there might be a local host event on Monday night as well, and would appreciate any information as soon as it becomes available in order to adjust their anticipated date/time. Chantelle Doerksen had mentioned that Brian Winterfeldt had emailed you and Chris Mondini earlier this week to start a discussion on planning for ICANN62, and to identify potential local contacts that they could invite. One of the ongoing IPC goals is to increase the regional diversity of its membership to expand the Constituency’s presence within Latin America.  


For this purpose, Kiran Malancharuvil (IPC Secretary) and Brian Scarpelli (IPC Participation Coordinator) will work with Aslam Mohamed and Hector Manoff (the two identified IPC CROP participants)  to coordinate the event in Panama, on behalf of the IPC, and with the support of Chantelle Doerksen, the IPC’s Secretariat.

 

Hector is from Argentina and has a lot of local/regional contacts in Panama. Also, Aslam is heavily engaged in evangelizing the ICANN/IPC issues in international legal organizations and although he is based in the United States, he is in charge of international outreach for his firm in India and has many contacts in LAC.  A planning call is tentatively being scheduled within the next few weeks.

 

The IPC would welcome ICANN's Regional Team's participation and suggestions for invitees, in order maximize this proposed engagement opportunity in Panama.

12) Additional Information (optional):


_______________________________________________________________ 
Acknowledgements Section

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

AcknowledgementsConfirmed?NameDateNotes
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. YesChantelle Doerksen12-Apr-2018Per Aslam and Kiran Malancharuvil, IPC Secretary. Aslam's travel dates are as follows: Depart: Los Angeles (LAX) early on Monday, 25 June Return: from Panama to New York (JFK) late on 28 June. Aslam understands that CROP funding covers 3 nights of hotel / 4 days of per diem.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesChantelle Doerksen12-Apr-2018Per Kiran Malancharuvil and IPC leadership
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.YesMaryam Bakoshi25-Apr-2018Concurred by Rodrigo de la Parra (VP)
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.YesMaryam Bakoshi25-Apr-2018
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Aslam Mohamed25-Jun-201828-Jun-2018


Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Program Criteria Satisfied25-Apr-2018
MB
Constituency Travel Notified25-Apr-2018
MB
Travel Booking Initiated with Attendees27-Apr-2018
JDJ

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal25-Apr-2018Trip Assessment17-Jul-2018


CROP Trip Proposal Template (May 2017)

For questions, comments, suggestions, or technical support concerning this space, please email: CROP Staff
© 2017 Internet Corporation For Assigned Names and Numbers