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:


24-Apr-2018

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


APPROVED

20-Jul-2018

Trip Proposal Section

LINK TO TRIP ASSESSMENT : ISPC Trip Assessment 4 DRAFT

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
Khalid Samarakhalidsamara@hotmail.comAmanJordan24-Jun-201827-Jun-2018
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
EVENT: ICANN62 LOCATION: Panama City, Panama DEPARTURE: 24 June 2018 RETURN: 27 June 2018 DEPARTURE/RETURN LOCATION: Aman, Jordan CROP HOTEL DATES (3 NIGHTS TOTAL): 24, 25, 26 June CROP PER DIEM DATES (4 DAYS TOTAL): 24, 25, 26, 27 June
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).


11) Proposed Goals and Outcomes:

Content Guidelines (click here)

Khalid Samara is the Chair of the Middle East Network Operators Group (MENOG), which is a community of network engineers and other Internet technical staff. Since becoming a member of the ISPCP, Khalid has worked to represent the ISPCP at regional events, and his participation in ICANN62 will strengthen his ability to continue promoting the ISPCP and ICANN, for his work within the EMEA region.


The ICANN62 meeting will provide Khalid with the opportunity to meet representatives from several Internet Service Providers in the region and the globe, in addition to meeting colleagues in ISPCP Constituency in order to discuss how to try to force the Internet infrastructure development process. Additionally, Khalid will be discussing the latest innovations, sharing updates from the EMEA region, and while also discovering new business models and applications through interaction with ISPs from the LAC region and others participating in ICANN62. Khalid aims to identify areas for regional cooperation in the Internet Service Providers and Connectivity Provider field, which he can, in turn, bring back to work on with his constituents in MENOG, and vice versa. 



Attending ICANN62 will be a great opportunity for Khalid to meet link-minded people from all over the world, share experiences, and address concerns shared across this sector. Moreover, being engaged more ICANN’s working procedures & policies that aim to develop and improve Internet Service Providers and Connectivity Providers in the Middle East and around the globe.




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 Doerksen24-Apr-2018EVENT: ICANN62 LOCATION: Panama City, Panama DEPARTURE: 24 June 2018 RETURN: 27 June 2018 DEPARTURE/RETURN LOCATION: Aman, Jordan CROP HOTEL DATES (3 NIGHTS TOTAL): 24, 25, 26 June CROP PER DIEM DATES (4 DAYS TOTAL): 24, 25, 26, 27 June
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesChantelle Doerksen24-Apr-2018Per Wolf-Ulrich, ISPCP Chairman
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 Bakoshi14-May-2018Concurred by VP LAC, Rodrigo de la Parra
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.YesMaryam Bakoshi14-May-2018
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Khalid Samara24-Jun-201827-Jun-2018


Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Program Criteria Satisfied14-May-2018
MB
Constituency Travel Notified14-May-2018
MB
Travel Booking Initiated with Attendees17-May-2018
JDJ

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal14-May-2018Trip Assessment


CROP Trip Proposal Template (May 2017)

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