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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:

Daniel K. Nanghaka

Date:

11-Dec-2015

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

APPROVED

07-Apr-2016

AF03

Trip Proposal Section

LINK: AFRALO Trip/Event Assessment 3

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

Daniel K. Nanghaka

daniel.nanghaka@isoc.ug

Kampala

Uganda

04-Mar-201606-Mar-2016
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)

Travel to Marrackech to participate in the ICANN55 Meeting

4) Event/Conference Name, Title, or Descriptor:

ICANN55 Marrakech, Morocco

5) Event/Conference Dates:
Start:07-Mar-2016End:16-Mar-2016
6) Event/Conference Website Link:

https://meetings.icann.org/en/marrakech55

7) Primary Event/Conference Location:
Street
Address:

Palmeraie Conference Center

City:

Marrakech, Maroc

Country:

Morocco

8) ICANN Geographic Region:

Africa

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


ICANN

10) Proposed Goals and Outcomes:

- To participate in the AFRALO Showcase as part of the Showcase organizing committee - To get involved on the dedicated day of Outreach and Engagement which will be of great value based on the AFRALO Strategy of FY16 - To reach out and engage to the participants from different Geographical locations in the region and discuss potential involvement in setting up ALSes and try to get them involved to participate in all ICANN work. - Outreach and training opportunity for local ALSes with AFRALO leaders - especially with regards to contribution to policy development (working group engagement)

11) Additional Information (optional):

 

======================================= 
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 agree to abide by the terms and conditions of this FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page.

Yes

Tijani Ben Jemaa

13-Dec-2015
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.

Yes

Tijani Ben Jemaa

13-Dec-2015
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.

Yes

Tijani Ben Jemaa

13-Dec-2015
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 

Daniel K. Nanghaka

Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes

Program Criteria Satisfied

21-Dec-2015

JDL

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal 02-Feb-2016Trip/Event Assessment


CROPP Trip Proposal Template v4 (Aug 2015)

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