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Info

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.

Note

Trip Proposals must be completed at least six (6) weeks before the event start date.

Person Completing Form:
Text data
namePERSON
typeline
contenttext
requiredtrue
Date:

Date data
nameAPPDATE
formatdd-MMM-yyyy
requiredtrue

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width45%
Panel
bgColorwhite
titleColormaroon
titleBGColorlightcyan
titleSTAFF USE ONLY
Application
Status 
Assessment
Due-Date 
Form ID #
Text data
nameSTATUS
typeline

Status
colourBlue
titleLAC02

Trip Proposal Section

1) Number of Travelers:
(Note: Each traveler uses one trip of the five (5) allocated to each organization/structure).  

Number data
minValue1
maxValue5
width100px
nameTRIPS
format###

2) Traveler Contact Information and Itinerary:

Table data
nameCONTACTINFO
initialRows1
TravelerEmailFrom
City
From
Country
Depart
Date
Return
Date
Text data
nameTRAVELER1
typeline
contenttext
Text data
nameT-EMAIL
typeline
Text data
nameFROM1
typeline
contenttext
Text data
nameFROM2
typeline
contenttext
Date data
nameDEPART
formatdd-MMM-yyyy
Date data
nameRETURN
formatdd-MMM-yyyy
3) Special Travel Circumstances, Arrangements,
Explanations, or Notations: 
(Please identify each traveler, as applicable)
Text data
width650px
nameSPECIAL
contenttext
4) Event/Conference Name, Title, or Descriptor:
Text data
nameEVENT
contenttext
5) Event/Conference Dates:
Start:
Date data
nameSTART
formatdd-MMM-yyyy
End:
Date data
nameEND
formatdd-MMM-yyyy
6) Event/Conference Website Link:
Text data
nameLINK
7) Primary Event/Conference Location:
Street
Address:
Text data
nameADDRESS
contenttext
City:
Text data
nameCITY
typeline
contenttext
Country:
Text data
nameCOUNTRY
typeline
contenttext
8) ICANN Geographic Region:
List data
nameREGION
List option
sortValueA
valueAfrica
List option
sortValueB
valueAsia
List option
sortValueC
valueAustralasia/Pacific Islands
List option
sortValueD
valueEurope
List option
sortValueE
valueLatin America and Caribbean
List option
sortValueF
valueMiddle East
List option
sortValueG
valueNorth America
List option
sortValueH
valueRussia/CIS/Eastern Europe

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


Text data
nameSPONSORS

10) Purpose and Goals:

Text data
namePURPOSE
contenttext

11) Proposed Outcomes:
Text data
nameOUTCOMES
contenttext
12) Additional Information (optional):

Text data
nameADDTLINFO

...