At-Large Statement of Interest (SOI) Form

1) Please enter your Name:

<p>Fatima Cambronero</p>

2) Picture/Image:
(Instructions: Click in the field to the right to open up the text input window. Then click the <Insert> menu button, select <Image>, then choose (or browse) to locate an image file (e.g., JPG, PNG, BMP) from your local computer to upload. After insertion, please click on the picture and adjust the size to no larger than 200 pixels). 

3) Are you participating in the At-Large advisory process (including email and real-time discussions) as a representative of:


a) ALAC (if so, detail the region and term):

<p>Not Applicable</p>

b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term):


c) An ICANN-accredited At-Large Structure (if so, which one):

<p>AGEIA DENSI Argentina</p>

d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))?


e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position):

<p>&nbsp;&nbsp;Not Applicable</p>

4) Please identify your current employer(s):

<p>Independent Professional</p>

5) Please identify your current position(s):

<p>Lawyer and Attorney Specialized at Law and Technology</p>

6) Please identify the type(s) of work performed:

<p>Legal affairs, IT Law advisor, Consultant</p>

7) Please identify your declared country of primary residence:


8) Please list any financial relationship beyond de minimus stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN:

<p>&nbsp;&nbsp;Not Applicable</p>

9) Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions:


a) Do you, your employer, and/or sponsor have any type of material or financial interest in the At-Large advisory process and its outcomes?


If the answer is “Yes,” please describe the interest:

<p>&nbsp;&nbsp;Not Applicable</p>

b) Are there any arrangements/agreements between you and any other group, constituency or person(s) regarding your participation as a work team member?


If the answer is “Yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s):

<p>&nbsp;&nbsp;Not Applicable</p>

10) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable):

ICANN Latin American and Caribbean (LAC) Strategy;  At-Large Capacity Building WG; ATLAS II WG; At-Large Whois WG; ROPs WG; ICANN Academy WG, LACRALO Capacity Building initiative; LACRALO Governance WG

11) Additional information (optional):

Member of the Multistakeholder Advisory Group (MAG) of the Internet Governance Forum (IGF) as a Civil Society representative; Expert Moderator of Internet Society (ISOC) for the Next Generation Leaders Program eLearning Spanish Course; Lecturer of DiploFoundation for the eLearning Infrastructure and Critical Internet Resources course; ISOC Global Member and Collaborator Member of ISOC Brazil Chapter; GigaNet Member. For more information please see:

12) Page last revised:




At-Large SOI Template v3 (Feb 2014)

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