You are viewing an old version of this page. View the current version.

Compare with Current View Page History

« Previous Version 12 Next »

Please use the <Edit Contents> menu option (directly above) to complete this form. Note that most of the fields in the right column are REQUIRED ; therefore, you will not be able to SAVE the page until they are completed.

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Assessment
Status 
WITHDRAWN

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
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):

Will need a visa. The fee is estimated to CFA Francs 50,000.

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
Structure Leader Confirmation 30-Apr-2014 JDL
Stakeholder Engagement VP Confirmation 01-May-2014 JDL
Speakers Bureau 05-May-2014 JDL NA
Communications Department 05-May-2014 JDL NA
Meetings Team 05-May-2014 JDL NA
Constituency Travel 05-May-2014 JDL Sent email to Travel team with names and travel information; will follow up by end of week
Confirmation Section: STAFF USE ONLY
Program Administrator Confirmed? Date Rationale
Janice Douma Lange Yes 05-May-2014 Was confirmed but dates changed to July 2014 so out of the FY14 CROPP

CROPP Application Template v5 (Sep 2013)

  • No labels

For comments, suggestions, or technical support concerning this space, please email: ICANN Policy Department
© 2015 Internet Corporation For Assigned Names and Numbers