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Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates. Other than the two required fields immediately below, you may complete any portion of this form, save, and return later to continue where you left off.

Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:Barrack Ong'ondo OtienoDate:

10-Sep-2014

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #

20-Dec-2014

 

Trip Proposal Section

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

1

2) Traveler Contact Information and Itinerary:

TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Barrack Otienootieno.barrack@gmail.comNairobiKenya21-Nov-201429-Nov-2014
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
None
4) Event/Conference Name, Title, or Descriptor:AFRINIC-21 will be held in Ebene, Mauritius, from 22 to 28 November 2014. The meeting’s theme is ''AFRINIC-21: A Decade of Open and Community-Driven Number Resource Management in Africa''.
5) Event/Conference Dates:
Start:22-Nov-2014End:28-Nov-2014
6) Event/Conference Website Link:http://meeting.afrinic.net/afrinic-21/en/
7) Primary Event/Conference Location:
Street
Address:
Ebene, Mauritius
City:EbeneCountry:Mauritius
8) ICANN Geographic Region:Africa

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


Microsoft

10) Purpose and Goals:

Our Objective is to foster close collaboration between AFRALO and the AF* AFSTAR (Community) that will be present in AFRINIC that is AfTLD, AFNOG, AFRegistrars and the Africa Internet Summit. We would like to discuss greater partnerships Afrinic which will help our at large Structures to grow.

11) Proposed Outcomes:Partnerships between AFRALO and AFRINIC, AFNOG and AFTLD
12) Additional Information (optional):

We will also take part in a special leadership training session during the meeting

Community Confirmation Section

Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.

AcknowledgementsConfirmed?NameDateNotes
The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions.
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Trip Assessment Approved and
Transferred to Official Forms: 


CROPP Application Template v8 (May 2014)

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