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DRAFT NEW FORM TO BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

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BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

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2017

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NAME:

COUNTRY OF RESIDENCE:

OCCUPATION:

EMAIL ADDRESS:

OTHER CONTACT DETAILS

:  

(OPTIONAL):

 

I can confirm that:	YES    or    NO
I am not a member of a certified At-Large Structure (ALS) I am subscribed to the APRALO emailing list I am a permanent resident of a country within the APRALO Region 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 I am aware that I do not automatically qualify for any funding for travel or other expenses from ICANN or APRALO I am aware that upon ceasing to meet any of the above criteria, my unaffiliated membership will be

automatically

terminated I do not have any conflicts of interest as defined by APRALO Rules of Procedure

Section 27

Section 27.5.2.7

(see below)

*.

 

 

 

 

YES

                                                                                            
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

STATEMENT OF INTEREST:

Current or prior experience in representing the interests of

Internet

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):

1)

Accessibility

2)

Accountability

3)

ccTLD Policy

4)

Community Networks

5)

Consumer Protection

6)

Contract Party Agreements

7)

Data Protection

8)

Development

9)

DNS

10)

E-commerce, E-payments

11)

Education

12)

Engagement

13)

Freedom of Expression

14)

Free Use of Encryption

15)

Human rights

16)

IANA

17)I CANN 19)

ICANN Board/Bylaws/structures

18) IDN

Internationalized Domain Names and Universal Acceptance Intellectual Property

20)

Internet Governance

21)

Internet Infrastructure

22)

Internet Protocols

23) 25)

Legal/Regulatory

24) NewTLDs

New TLDs New/Social Media

26)

Net Neutrality

27)

Open data/access

28)

Policy Progress

29)

Privacy

30)

Public Interest

31)

Reviews/Improvement

32)

Security/Stability

33)

WHOIS

34) Any other 

 

Any other: ____________________

By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy, and agree to abide by the website Terms of Service.

I agree

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

 

27.5.2.7 Conflict of Interest

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