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| Info |
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Instructions: - Please use the <Edit Contents> menu option (directly above) to complete this form. Remember to <Save> the page (bottom right) after making updates.
- Multiple travelers are asked to collaborate as a team in pulling together the appropriate information.
- 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.
- This form may be edited/saved as many times as needed. When completed, please notify your Program Coordinator (PC) for further processing.
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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 |
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Name: | Text data |
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name | PERSON |
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type | line |
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content | text |
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| Date: | Date data |
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format | dd-MMM-yyyy |
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name | APPDATE |
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| Panel |
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bgColor | white |
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titleColor | maroon |
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titleBGColor | lightcyan |
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title | STAFF USE ONLY |
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| Application Status | Assessment Due-Date | | |
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Trip Proposal Section | LINK TO TRIP ASSESSMENT: NARALO Trip Assessment 5 DRAFT |
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1) Number of Travelers: (Note: Each traveler uses one trip of the total number allocated to each organization/structure). | Number data |
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minValue | 1 |
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maxValue | 5 |
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format | ### |
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name | TRIPS |
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width | 100px |
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2) Traveler Contact Information and Itinerary: Table data |
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name | CONTACTINFO |
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initialRows | 1 |
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| Traveler | Email | From City | From Country | Depart Date | Return Date |
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Text data |
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name | TRAVELER1 |
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type | line |
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content | text |
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name | FROM1 |
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type | line |
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content | text |
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| Text data |
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name | FROM2 |
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type | line |
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content | text |
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| Date data |
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minDate | 01-Jul-2017 |
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format | dd-MMM-yyyy |
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name | DEPART |
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| Date data |
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format | dd-MMM-yyyy |
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name | RETURN |
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maxDate | 30-Jun-2018 |
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3) Special Travel Circumstances, Arrangements, Explanations, or Notations: (Please identify each traveler, as applicable) | Text data |
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name | SPECIAL |
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width | 650px |
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content | text |
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4) Event/Conference Name, Title, or Descriptor: | |
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5) Event/Conference Dates: | Start: | Date data |
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format | dd-MMM-yyyy |
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name | START |
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| End: | |
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6) Event/Conference Website Link: | |
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7) Primary Event/Conference Location: | Street Address: | |
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City: | Text data |
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name | CITY |
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type | line |
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content | text |
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| Country: | Text data |
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name | COUNTRY |
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type | line |
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content | text |
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8) ICANN Global Stakeholder Engagement Region: | List data |
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| List option |
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sortValue | C |
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value | Australasia/Pacific Islands |
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List option |
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sortValue | E |
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value | Latin America and Caribbean |
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List option |
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sortValue | F |
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value | Middle East |
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List option |
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sortValue | G |
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value | North America |
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List option |
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sortValue | H |
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value | Eastern Europe and Central Asia |
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9) Activity Sponsors: (Note: all event sponsors must be identified in order to comply with ICANN travel guidelines).
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10) Proposed Goals and Outcomes: Content Guidelines (click here) |
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11) Additional Information (optional): | |
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_______________________________________________________________ |
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Panel |
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titleColor | navy |
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titleBGColor | lightyellow |
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title | Acknowledgements Section |
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Note: The first three elements below should be completed by a Program Coordinator (PC) designated by this organization/structure. Acknowledgements | Confirmed? | Name | Date | Notes |
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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. | | Text data |
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name | ACKNAME1 |
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type | line |
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content | text |
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| Date data |
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format | dd-MMM-yyyy |
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name | ACKDATE1 |
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| Text data |
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name | ACKNOTES1 |
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width | 300px |
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content | text |
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| The ICANN Organization / Structure's leadership has authorized the submission of this Trip Proposal. | | Text data |
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name | ACKNAME2 |
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type | line |
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content | text |
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| Date data |
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format | dd-MMM-yyyy |
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name | ACKDATE2 |
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| Text data |
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name | ACKNOTES2 |
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width | 300px |
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content | text |
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| 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. | | Text data |
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name | ACKNAME3 |
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type | line |
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content | text |
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| Date data |
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format | dd-MMM-yyyy |
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name | ACKDATE3 |
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| Text data |
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name | ACKNOTES3 |
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width | 300px |
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content | text |
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| The CROP Staff Administrators confirm that this trip satisfies the program's terms, guidelines, and policies. | | Text data |
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name | ACKNAME4 |
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type | line |
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content | text |
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| Date data |
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format | dd-MMM-yyyy |
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name | ACKDATE4 |
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| Text data |
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name | ACKNOTES4 |
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width | 300px |
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content | text |
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| =============== | ========== | ============================== |
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Panel |
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bgColor | lightyellow |
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titleColor | maroon |
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titleBGColor | lightcyan |
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title | Program Administration: STAFF USE ONLY |
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Approved Travel Elements: Table data |
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name | TRAVELAPPROVAL |
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initialRows | 1 |
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| Traveler | Approved Arrival Date | Approved Departure Date | Approved Fees |
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Text data |
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name | ATRAVELER |
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type | line |
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content | text |
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| Date data |
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format | dd-MMM-yyyy |
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name | ADEPART |
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| Date data |
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format | dd-MMM-yyyy |
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name | ARETURN |
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| List data |
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multiple | true |
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name | FUNDED |
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type | check |
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separator | newline |
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| List option |
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sortValue | B |
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value | Hotel/Lodging |
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List option |
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sortValue | E |
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value | Registration |
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Staff Department Notifications: Table data |
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name | REQUIREMENTS |
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initialRows | 1 |
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| Program Requirement | Date Satisfied/Confirmed | Initials | Notes | List data |
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| List option |
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sortValue | A |
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value | Speakers Bureau |
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List option |
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sortValue | B |
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value | Communications Department |
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List option |
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sortValue | C |
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value | Meetings Team |
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List option |
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sortValue | D |
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value | Constituency Travel Notified |
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List option |
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sortValue | E |
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value | Travel Booking Initiated with Attendees |
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List option |
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sortValue | F |
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value | Travel Booking Completed/Confirmed |
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List option |
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sortValue | G |
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value | Program Criteria Satisfied |
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List option |
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sortValue | H |
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value | Other Disposition |
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| Date data |
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format | dd-MMM-yyyy |
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name | SATISFIED |
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| | Text data |
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name | NOTES |
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width | 300px |
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content | text |
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Trip Proposal | Date data |
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format | dd-MMM-yyyy |
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name | PPOSTED |
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| Trip Assessment | Date data |
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format | dd-MMM-yyyy |
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name | APOSTED |
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CROP Trip Proposal Template (May 2017)