At-Large Statement of Interest (SOI) Form

1) Please enter your Name:


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):

YES Member of ALAC representing Asia-Pacific (2021-2023)

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):

APRALO Individual Member

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

APRALO NCUC RSSAC Caucus GNSO representative to SSR2-Review Team (2018-2021) RSSAC Caucus representative to ICANN Fellowship Mentoring Committee (2019-2021) Member of GNSO Standing Selection Committee (SSC) (2020-2021)

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

Ex-President, ISOC Islamabad Chapter Ex-Board Member, PK NOG Ex-Steering Committee Member, PKSIG

4) Please identify your current employer(s):


5) Please identify your current position(s):


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


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:


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:

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):

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

  1. Member, CPWG
  2. Member, OBF-WG
  3. Member, CBWG
  4. Member, O&E SC
  5. Member, APRALO Policy Forum
  6. Member, APRALO GA Planning Group
  7. Member, Planning Committee
  8. EX-Member, SSR2-Review Team
  9. Ex-Member, Fellowship Mentoring Committee
  10. Ex-Officio Membership Affairs Team (NCUC)
  11. Ex-Member, GNSO SSC
  12. Member, MEAC-SWG
  13. Member, MEAC-CDG
  14. Member, Public Interest WG, At-Large
  15. RSSAC Work Party on Rogue RSO
  16. Ex-Observer, CCWG on IG

11) Additional information (optional):

  1. ICANN Fellow (ICANN 50, 56, 59)
  2. ICANN Coach/Mentor for Newcomer Fellows (ICANN 52, 53, 54, 62, 63, 64)
  3. ICANN Fellowship Lead (ICANN 55)
  4. ICANN Fellowship Community Mentor (65, 66, 67, 68, 69, 70, 71)
  5. Ex-Member, ICANN NextGen Selection Committee
  6. ISOC Fellow to IETF'92 and IETF'100
  7. Participant of APRALO Mentorship Program as Mentee
  8. Former participant of Community Onboard Pilot Programme, ICANN
  9. Voluntary Trainer on DNS/DNSSEC for ICANN
  10. Ex. President, Internet Society Islamabad Chapter
  11. Ex. Board Member, PKNOG
  12. Ex. Chair, Steering Committee, Pakistan School of Internet Governance

12) Page last revised:




At-Large SOI Template v3 (Feb 2014)