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Trip Proposals must be completed at least six (6) weeks before the event start date.
| Person Completing Form: | Tijani BEN JEMAA | Date: | 11-Jun-2014 |
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| Application Status | Assessment Due-Date | Form ID # |
| DISAPPROVED | 07-Aug-2014 | AF01 |
Trip Proposal Section | |||||||||||||
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1) Number of Travelers: | 1 | ||||||||||||
2) Traveler Contact Information and Itinerary:
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| 3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | Visa is required and costs 50 000.00 Francs CFA (about 80 €) | ||||||||||||
| 4) Event/Conference Name, Title, or Descriptor: | First Internet Governance Forum in Gabon | ||||||||||||
| 5) Event/Conference Dates: |
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| 6) Event/Conference Website Link: | Not yet available | ||||||||||||
| 7) Primary Event/Conference Location: |
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| 8) ICANN Geographic Region: | Africa | ||||||||||||
9) Activity Sponsors: |
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10) Purpose and Goals: | We have to work on Internet governance and ICANN strategy for Africa. We will raise the Gabonese structures on the role they can play in the Central Africa sub-region. | ||||||||||||
| 11) Proposed Outcomes: | • Educate twenty (20) Gabonese structures operating AFRALO • Recruit at least three (03) Gabonese structures for new African ALS • Perform (01) comparative study between the national IGF Senegal and the national IGF Gabon (a sub item will address the role of young people in this hitch). | ||||||||||||
| 12) Additional Information (optional): | National IGF Gabon; the days selected are 14, 15 and 16 July 2014 | ||||||||||||
Note: To be completed by a Pilot Program Coordinator (PPC) designated by this organization/structure.
| Acknowledgements | Confirmed? | Name | Date | Notes |
|---|---|---|---|---|
| The participants identified in this application are familiar with the Program Operations associated with this Community Regional Outreach Pilot Program (CROPP)-FY15 and agree to abide by its terms and conditions. | Yes | Tijani BEN JEMAA | 11-Jun-2014 | |
| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | Yes | Aziz Hilali | 11-Jun-2014 | |
| 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 | Pierre Dandjinou | 11-Jun-2014 | |
| =============== | ========== | ============================== |
| Program Requirement | Date Satisfied/Confirmed | Initials | Notes |
| Constituency Travel Notified | 12-Jun-2014 | JDL | Not in the 6 week window but have sent request to ICANN Travel |
| Program Criteria Satisfied | 12-Jun-2014 | JDL |
| Trip Assessment Approved and Transferred to Official Forms: |
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CROPP Application Template v8 (May 2014)
