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:


 Mohamed Tijani BEN JEMAA

Date:


16-Jan-2018

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


APPROVED

02-Jun-2018

Trip Proposal Section

LINK TO TRIP ASSESSMENT:  AFRALO Trip Assessment 3 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
 Mohamed Tijani BEN JEMAAtijani.benjemaa@topnet.tn Tunis Tunisie08-May-201811-May-2018
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
4) Event/Conference Name, Title, or Descriptor:  Africa Internet Summit 2018
5) Event/Conference Dates:
Start:29-Apr-2018End:11-May-2018
6) Event/Conference Website Link:

https://www.internetsummit.africa/fr/

The 2018 AIS Website content is not up to date yet. More updated information on the 2018 AIS can be found on the AFNOG website: https://afnog.org/
 

7) Primary Event/Conference Location:
Street
Address:
Not yet announced
City: DakarCountry: Senegal
8) ICANN Global Stakeholder Engagement Region:Africa

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


AFRINIC, AFNOG, Ministry of Communication, Telecommunications, Posts and Digital Economy of Senegal,  Autorité de Régulation des Télécommunications et des Postes,  ICANN, ISOC, AfTLD

10) Proposed Goals and Outcomes:

Content Guidelines (click here)

  • Participate in the AFRINIC Policy discussion
  • Make a presentation to the whole African Internet community present in the summit
  • Organize an AFRALO booth
  • Make the largest outreach during the breaks and social events through the booth and one to one conversation to explain ICANN mission and activities and how to join it
  • Give ICANN more credibility and visibility
  • Recruit more ALSes and individual members for AFRALO
11) Additional Information (optional):


For the booth, we need the popup banner and the table cloth from Nairobi, as well as flyers, graphic and other promotional material to be provided by our staff support from LA.  

_______________________________________________________________ 
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. Yes Daniel K. Nanghaka06-Feb-2018The proposal is in line with the regional strategy  
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.Yes Mohamed Elbashir01-Feb-2018 Approved
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 Pierre Dandjinou16-Feb-2018 in line with our outreach strategy in Africa.
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.Yes Benedetta Rossi27-Feb-2018
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
 Mohamed Tijani BEN JEMAA08-May-201811-May-2018


Airfare
Hotel/Lodging
Per Diem

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Program Criteria Satisfied27-Feb-2018
BR
Constituency Travel Notified27-Feb-2018
BR
Travel Booking Initiated with Attendees01-Mar-2018
JDJ
Welcome email sent
Travel Booking Completed/Confirmed15-Mar-2018
JDJ

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal27-Feb-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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