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View file
nameAPRALO Individual Membership Application - 17 May 2017.pdf
height400

 

BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

2017

 

:     YES (L) or NO (R)
  •   
  •   
  •   
  •   
  •   
  
STATEMENT OF INTEREST: I  acknowledge

 

  •   
Internet

 

 

 

 

  AtLarge                                  
  •  Any other

 

NAME:

 

COUNTRY OF RESIDENCE:

 

OCCUPATION:

 

EMAIL ADDRESS:

 

OTHER CONTACT DETAILS

(OPTIONAL)

:

 

I can confirm that:

 YES    or    NO

  1. I am not a member of a certified At-Large Structure (ALS)
  2. I am subscribed to the APRALO the APRALO emailing list
  3. I am a permanent resident of a country within the APRALO regionRegion
  4. If I hold a leadership position in another Supporting Organization Organisation (SO) or Advisory Committee (AC), I am aware that I am not eligible for a leadership position in APRALO
  5. I am aware that I do not automatically qualify for any funding for travel or other expenses from ICANN or APRALO
  6. I am aware that upon ceasing to meet any of the above criteria, my unaffiliated membership will be terminated
 
  1. I do not have any conflicts of interest as defined by APRALO Rules of Procedure Section 27.5.2.7*.

   

  •  
  •  
  •  
  •  
 

                 

                    

                    

                    

           

Statement of Interest

 

I acknowledge

that I will complete the SOI upon acceptance (please check box):                       

Please complete the form online at https://community.icann.org/x/jg8QAg

 

Current or prior experience in representing the interests of

internet consumers or end-users, if applicable please include reference to any social media, blogs, web pages you may have or run:

Potential interest areas within APRALO,

AT-

LARGE or ICANN (Please select from the list below):

Accessibility


Accountability


ccTLD Policy


Community Networks


Consumer Protection


Contract Party Agreements


Data Protection


Development


DNS


E-commerce, E-payments


Education


Engagement


Freedom of Expression


Free Use of Encryption


Human rights


IANA


ICANN Board/Bylaws/structures


Internationalized Domain Names and Universal Acceptance


Intellectual Property


Internet Governance


Internet Infrastructure


Internet Protocols


Legal/Regulatory


New TLDs


New/Social Media


Net Neutrality


Open data/access


Policy Progress


Privacy


Public Interest


Reviews/Improvement


Security/Stability


WHOIS

 


Any other: ____________________

Applicant Signature

  

*Reference documents:

*APRALO current ROPs, approved in March 2014.

 

27.5 Unaffiliated Individual Members

27.5.1 These  These members are the unaffiliated individuals, including any certified Nomination Committee appointed representatives, to the APRALO who meet the following criteria:

27.5.2 Unaffiliated  Unaffiliated Individuals must:

27.5.2.1 be  be subscribed to the APDiscuss list,

27.5.2.2 be  be a permanent resident of one of the countries/territories in the APRALO region as defined by ICANN,

27.5.2.3 not  not be a member of a certified ALS.

27.5.2.4 By  By way of 'certification' of having met this criteria and therefore be able to contribute fully to APRALO an Unaffiliated Individual Member, must submit an affirmation of these criteria to At Large Staff indicating how they meet the required criteria and also note that:

27.5.2.5 Upon  Upon ceasing to meet any of the criteria, unaffiliated membership is terminated.

27.5.2.6 All  All unaffiliated individuals (treated as a group) will be responsible for selecting their representative (when required to from time to time and or to contribute to the Regional General Assembly)

27.5.2.7 This  This representative must not be employed or contracted by, or have substantive financial interest in, an ICANN contracted registry or accredited registrar.