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STAFF USE ONLY
Application
Status  		Assessment
Due-Date 		 Assessment
Status 

11-Jun-2014

Trip Proposal Section

1) Number of Travelers:
(Note: each traveler uses one trip of the five (5) allocated to each organization/structure).  

1
Traveler Email (Redacted) Alternate Email (Redacted)
Etienne TSHISHIMBI Alioune Badara DIOP 
2) Application Date:

03-May-2014

3) Dates of Requested Travel:
Departure: 10-May-2014
Return: 20-May-2014

4) Travel Itinerary:
From City: Dakar Country: Senegal
To City: Libreville Country: Gabon
Other:
 (Describe)
5) Event/Conference Name, Title, or Descriptor: 1st National IFG of Gabon
5a) Event/Conference Website Link: not available
6) Primary Event/Conference Location:

Chambre de Commerce de Libreville, 

Quartier Rénovation, 4e arrondissement, BP. 2234 -

LIBREVILLE – GABON

 
7) ICANN Geographic Region: Africa

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


Ministère de l'Economie Numérique, de la Communication et de la Poste 

Agence National des Infrastructures Numériques et des Fréquences (ANINF).

 Opérateurs  fixes/ mobiles

9) Purpose and Goals:

Participate as panelist on the Internet Governance and the ICANN strategy for AFRICA

Reach out the Gabonian structures
10) Proposed Outcomes:

contribute in the definition of the actual situation of the Internet eco-system in Gabon

Contribute in deepening the knowledge about the Internet governance mecanisms and the involved institutions in the worldwide coordination of the Internet
11) Additional Information (optional):

ACKNOWLEDGEMENTS (Required):

The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (FY14) and agree to abide by its terms and conditions.

Yes
The ICANN Organization/Structure's leadership has authorized the submission of this Trip Proposal. Yes
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies. Yes

Trip Assessment Section

1) Describe how the original Purpose and Goals were accomplished:

2) Describe how the original Outcomes were achieved:

 
3) Date Completed:
4) Additional information pertaining to this outreach event (optional):
  =============================================
Program Administration: STAFF USE ONLY
Program Requirement Date Satisfied Initials Notes
Confirmation Section: STAFF USE ONLY
Program Administrator Confirmed? Date Rationale

CROPP Application Template v5 (Sep 2013)

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