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Person Completing Form | |||||
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Name: |
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Trip Proposal Section | ||||||||||||||||||||
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1) Number of Travelers: | ||||||||||||||||||||
2) Traveler Contact Information and Itinerary:
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3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) |
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4) Event/Conference Name, Title, or Descriptor: |
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5) Event/Conference Dates: |
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6) Event/Conference Website Link: |
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7) Primary Event/Conference Location: |
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8) ICANN Geographic Region: |
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9) Activity Sponsors: |
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10) Proposed Goals and Outcomes: |
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11) Additional Information (optional): | ||||||||||||||||||||
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Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
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Approved Travel Elements:
Staff Department Notifications:
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CROPP Trip Proposal Template v4 (Aug 2015)