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NEW FORM TO BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

EN

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18 May 2017

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BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

2017

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 emailing list
  3. I am a permanent resident of a country within the APRALO Region
  4. If I hold a leadership position in another Supporting 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
  7. I do not have any conflicts of interest as defined by APRALO Rules of Procedure Section 27.5.2.7*.

                    

                    

                    

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           

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: ____________________

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.

...

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