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| Info |
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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. |
Note |
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Trip Proposals must be completed at least six (6) weeks before the event start date. |
Person Completing Form: | Text data |
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name | PERSON |
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type | line |
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content | text |
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required | true |
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| Date: | Date data |
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name | APPDATE |
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format | dd-MMM-yyyy |
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name | APPDATE |
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required | true |
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Column |
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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 | Form ID # | | | |
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Trip Proposal Section | LINK: APRALO Trip/Event Assessment 1 DRAFT |
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1) Number of Travelers: (Note: Each traveler uses one trip of the five (5) allocated to each organization/structure). | Number data |
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minValue | 1 |
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maxValue | 5 |
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widthformat | 100px### |
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name | TRIPS |
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formatwidth | ###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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name | DEPART |
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format | dd-MMM-yyyy |
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name | DEPART |
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| Date data |
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name | RETURN |
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format | dd-MMM-yyyy |
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name | RETURN |
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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 | name |
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SPECIAL | 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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name | START |
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format | dd-MMM-yyyy |
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name | START |
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| End: | Date data |
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name | END |
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format | dd-MMM-yyyy |
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name | 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 Geographic 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 | Russia/CIS/Eastern Europe |
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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: | |
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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 | Community Confirmation Section |
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Note: To be completed by a Pilot Program Coordinator (PPC) 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 FY16 Community Regional Outreach Pilot Program (CROPP) as outlined on the Program Elements page. | | Text data |
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name | ACKNAME-1 |
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type | line |
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content | text |
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| Date data | name |
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ACKDATE-1 | format | dd-MMM-yyyy |
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name | ACKDATE-1 |
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| Text data |
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width | 300px |
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name | ACKNOTES-1 |
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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 | ACKNAME-2 |
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type | line |
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content | text |
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| Date data |
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name | ACKDATE-2 |
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format | dd-MMM-yyyy |
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name | ACKDATE-2 |
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| Text data |
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width | 300px |
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name | ACKNOTES-2 |
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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 | ACKNAME-3 |
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type | line |
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content | text |
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| Date data |
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name | ACKDATE-3 |
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format | dd-MMM-yyyy |
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name | ACKDATE-3 |
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| Text data |
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width | 300px |
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name | ACKNOTES-3 |
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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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minDate | 01-Jul-2015 | name | ADEPART |
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format | dd-MMM-yyyy |
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name | ADEPART |
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maxDate | 30-Jun-2016 |
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| Date data |
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minDate | 01-Jul-2015 | name |
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ARETURN | format | dd-MMM-yyyy |
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name | ARETURN |
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maxDate | 30-Jun-2016 |
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| List data |
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multiple | true |
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name | FUNDED | multiple | true |
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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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| Date data |
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name | SATISFIED |
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format | dd-MMM-yyyy |
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name | SATISFIED |
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| List data |
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name | INITIALS |
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width | 50px | name | INITIALS |
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| Text data |
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name | NOTES |
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width | 300px | name | NOTES |
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content | text |
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Trip Proposal Confirmed and Transferred | Trip Proposal | Date data | name |
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P-POSTED | format | dd-MMM-yyyy |
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name | P-POSTED |
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| Trip/Event Assessment Confirmed andTransferred to Approved Forms: | Date data | name |
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A-POSTED | format | dd-MMM-yyyy |
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name | A-POSTED |
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CROPP Trip Proposal Template v4 (Aug 2015)