AT-LARGE GATEWAY
At-Large Regional Policy Engagement Program (ARPEP)
At-Large Review Implementation Plan Development
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Name: Aly DIOUF ………………………………………………………………………………………………………………………………………………………………………………………………………….
Country of Residence: Senegal …………………………………………………………………………………………………………………………………………………………………….
Occupation: Entrepreneur …………………………………………………………………………………………………………………………………………………………………………………………..
e-‐mail address:senegalsoft@gmail ……………………………………………………………………………………………………………………………………………………………………………………..com
Phone number(s): (+221) 775058495 ………………………………………………………………………………………………………………………………………………………………………………..
Other contact details (optional): ………………………………………………………………………………………………………………………………………….
How do you represent end users’ interests:Promote respect for privacy and access for all to Internet resources …………………………………………………………………………………………………………………..
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Date: ………………………………………………….
Applicant Signature: Aly DIOUF ………………………………………………….