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1) Your Name:

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 Bertrand de LA CHAPELLE

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).

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nameIMAGE

 

2) Stakeholder Group:
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nameSG

Non affiliated - individual

Registries1

 

Registrars2

 

Commercial3

 

Non-Commercial4

 

Not Applicable5

 

3) Constituency:

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nameCONSTITUENCY

Non affiliated - independent participant

Business (BC)1

 

Intellectual Property (IPC)2

 

Internet Service Providers (ISPC)3

 

Non-Commercial Users (NCUC)4

 

Not-for-Profit Operational Concerns (NPOC)5

 

Not Applicable6

 

4) ICANN Affiliation (if not covered by item 2 or 3):

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nameAFFIL
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 None

5) Please identify your current employer(s):

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 Internet & Jurisdiction Project

6) Please identify your current position(s):

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 Director

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

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The I&J Project facilitates a global multi-stakeholder dialogue process to develop a due process framework for transborder requests for domain seizures, content takedowns and access to user identification in speech-related issues.

8) Please identify your declared country of primary residence (e.g., country to which you pay taxes):

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 France

9) 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:

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Google, a new gTLD applicant, is a contributor to the funding pool of the Internet & Jurisdiction Project, along 12 other non-ICANN related entities.

10) Do you believe you are participating in the GNSO policy process as a representative of any individual or entity, whether paid or unpaid?

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nameREP

NO

No

 

Yes

 

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"):
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nameREPEXPLAIN
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nameREPEXPLAIN
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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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NO

Yes

 

No

 

If the answer is “yes,” please describe the material interest in ICANN GNSO policy development processes and outcomes:

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nameINTERESTEXPLAIN
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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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NO

Yes

 

No

 

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

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

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 None

13) Additional Information (optional):

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nameINFORMATION
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14) Page last revised:

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today

 

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