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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:


Ayaovi Olevie Agbenyo KOUAMI

Date:


18-Oct-2017

STAFF USE ONLY
Application
Status 
Assessment
Due-Date 


APPROVED

28-Dec-2017

Trip Proposal Section

LINK TO TRIP ASSESSMENT : NPOC Trip Assessment 1 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
Ayaovi Olevie Agbenyo KOUAMIolivierkouami@gmail.comLoméTogo04-Dec-201707-Dec-2017
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Outreach for the NPOC at African IGF 2017, 6th edition
4) Event/Conference Name, Title, or Descriptor:AfIGF - Africa IGF 2017. The 6th edition of AfIGF - Africa Internet Governance Forum
5) Event/Conference Dates:
Start:04-Dec-2017End:06-Dec-2017
6) Event/Conference Website Link:http://afigf.org
7) Primary Event/Conference Location:
Street
Address:
City:CairoCountry:Egypt

8) Indicate whether it is a regional trip OR an out-of-region trip.


Regional
9) ICANN Global Stakeholder Engagement Region:Africa

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


African Union Commission

United Nations Economic Commission for Africa

11) Proposed Goals and Outcomes:

Content Guidelines (click here)

1) Engagement/Outreach including broadening awareness of ICANN and NPOC in Africa

2) Recruitment to become involved in ICANN and NPOC

3) Fulfillment of documented Outreach Strategic Plans and/or ICANN Regional Strategies.

4) Knowledge Sharing including intentions to extend learnings within and among ICANN and IG stakeholder communities.

12) Additional Information (optional):


_______________________________________________________________ 
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. YesMaryam Bakoshi19-Oct-2017
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesMaryam Bakoshi19-Oct-2017
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.YesMaryam Bakoshi24-Oct-2017As per Pierre Dandjinou
The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies.YesMaryam Bakoshi24-Oct-2017
  =======================================================
Program Administration: STAFF USE ONLY

Approved Travel Elements:

TravelerApproved
Arrival Date
Approved
Departure Date
Approved Fees 
Ayaovi Olevie Agbenyo KOUAMI04-Dec-201707-Dec-2017


Airfare
Hotel/Lodging
Per Diem
Visa

Staff Department Notifications:

Program RequirementDate Satisfied/ConfirmedInitialsNotes
Program Criteria Satisfied24-Oct-2017
Maryam Bakoshi
Constituency Travel Notified24-Oct-2017
Maryam Bakoshi
Travel Booking Initiated with Attendees25-Oct-2017
JDJ
Welcome email sent

Program Admin Transfers from Community Drafts to Approved Forms:

Trip Proposal24-Oct-2017Trip Assessment


CROP Trip Proposal Template (May 2017)

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