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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:Sergio Walter Salinas PortoDate:

08-May-2015

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

16-Jun-2015

LAC03

Trip Proposal Section

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
Sergio Walter Salinas Portopresidencia@internauta.org.arMar del PlataArgentina22-Jun-201525-Jun-2015
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
With CROPP travel support only available up to the day of the 24, the traveller is aware that he will be paying for the night 24 and day of the 25
4) Event/Conference Name, Title, or Descriptor:ICANN 53 Buenos Aires
5) Event/Conference Dates:
Start:21-May-2015End:25-May-2015
6) Event/Conference Website Link:http://buenosaires53.icann.org/en/
7) Primary Event/Conference Location:
Street
Address:
Sheraton Hotel Buenos Aires San Martín 1225
City:Buenos Aires Country:Argentina
8) ICANN Geographic Region:Latin America and Caribbean

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


CROPP

10) Purpose and Goals:

Learn more about current ICANN an RALO activities in order to perform better outreach in my country through my ALS´s activities, and participate in At-Large sessions. I will also participate in LACRALO activities, including the LACRALO meeting and showcase. I am chair of two LACRALO WGs (Governance and ccTLD) and outcomes from these WGs will be discussed at the LACRALO meeting and to guide . future work in these WGs

11) Proposed Outcomes:Travel Inform
12) 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 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.YesDev Anand Teelucksingh 18-May-2015
The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal.YesDev Anand Teelucksingh18-May-2015
The ICANN Stakeholder Engagement Vice-President has concurred that the Purpose/Goals of this Trip Proposal are consistent with operational plans and/or strategies.YesDev Anand Teelucksingh18-May-2015
  =======================================================

 


 

Program Administration: STAFF USE ONLY
Program RequirementDate Satisfied/ConfirmedInitialsNotes
Constituency Travel Notified18-May-2015JDLCHECK WITH TRAVELER ON ADDT'L NIGHTS - NOT COVERED BY CROPP
Trip Proposal Approved and
Transferred to Official Forms: 
19-May-2015Trip Assessment Approved and
Transferred to Official Forms: 


CROPP Application Template v8 (May 2014)

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