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1) Your Name: |
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Personal Profile Picture/Image (Optional): |
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| 2) Stakeholder Group: | Not Applicable |
3) Constituency: | Not Applicable |
4) ICANN Affiliation (if not covered by item 2 or 3): | |
5) Please identify your current employer(s): |
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6) Please identify your current position(s): |
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7) Please identify the type(s) of work performed: | |
8) Please identify your declared country of primary residence (e.g., country to which you pay taxes): |
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9) Please list any financial relationship beyond de minimis stock ownership you may have with any company that to your knowledge has a financial relationship or contract with ICANN: |
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10) Do you believe you are participating in the GNSO policy process as a representative of any individual or entity, whether paid or unpaid? | No |
| If the answer is “Yes,” please provide the name of the represented individual or entity. (If professional ethical obligations prevent you from disclosing this information, please enter "Private"): | |
| 11) Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions: | |
a) Do you have any type of material interest in ICANN GNSO policy development processes and outcomes? |
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If the answer is “yes,” please describe the material interest in ICANN GNSO policy development processes and outcomes: |
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b) Are there any arrangements/agreements between you and any other group, constituency or person(s) regarding your participation as a work team member? |
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If the answer is “yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s): | |
12) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): | |
13) Additional Information (optional): | Khaled is a global public policy leader highly sought for advice and consulting on the intersection of business, technology, and governance. Khaled is the only person ever to have held significant leadership roles for two private giants in the industry, Meta ( formerly Facebook ) and Google, and to have also served on the board of directors for the Internet Corporation of Assigned Names and Numbers (ICANN), on the board of trustees for the Internet Society (ISOC), on the board of directors of AfriNIC, and as a member of the UN's Internet Governance Forum (IGF) Multistakeholder Advisory Group, four of the most influential non-governmental organizations in Internet governance. He has also served on the Public Interest Registry advisory council and the World Bank Group Council on Civic Engagement. Khaled is dynamic, creative, forward-thinking, and an extraordinary contributor to the field of Internet policy. He provides an invaluable perspective on the role of the Internet in world affairs. |
14) Page last revised: |
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SOI Template v5 (6 Feb 2014)
