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NEW FORM TO BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

EN

ENESFRARPTRUZH

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nameAPRALO Individual Membership Application -

18 May 2017

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BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

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.

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