At-Large Statement of Interest (SOI) Form
1) Please enter your Name: |
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2) Picture/Image: | |
3) Are you participating in the At-Large advisory process (including email and real-time discussions) as a representative of: |
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a) ALAC (if so, detail the region and term): |
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b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term): |
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c) An ICANN-accredited At-Large Structure (if so, which one): |
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d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))? |
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e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position): |
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4) Please identify your current employer(s): |
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5) Please identify your current position(s): |
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6) Please identify the type(s) of work performed: |
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7) Please identify your declared country of primary residence: |
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8) 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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9) Please identify any other relevant arrangements, interests, or benefits as requested in the following two questions: |
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a) Do you, your employer, and/or sponsor have any type of material or financial interest in the At-Large advisory process and its outcomes? |
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If the answer is “Yes,” please describe the interest: | |
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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If the answer is “Yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s): |
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10) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): |
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11) Additional information (optional): | I am an active member of the At-large community, I actively contribute to At-Large policy discussions and many of ALAC's public comments. I have contributed as a member to the new AFRALO ROP (2021). I have been the penholder of several AFRALO statements as well as several ALAC public comments. I am one of ALAC representatives to the EPDP on IDN gTLDs and was previously ALAC representative to the EPDP on gTLD registration data. In addition, I am a participate in several ICANN PDPs and working groups. I am an Engineer by training, I hold a B.Sc. in Electronics and Communications from the Faculty of Engineering, Cairo University, a M.Sc. in Management and Leadership from Szent Istvan University in Hungary and a Diploma in Engineering Management from the Faculty of Engineering, Cairo University. I have successfully completed the artificial intelligence: technology governance and policy frameworks 1905 course with the Diplo Foundation. I have also completed the Internet technology and policy course with the Diplo foundation and the course Internet Governance in the MENA region with Hivos and Diplo foundation. I have proposed, organized and participated as a panelist in a couple of IGFs. I am a Board member of a non profit organization and have worked for more than 14 years at .eg, Egypt's top level domain. I have also worked with organizations that help empower women and I am a Rotary member. |
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)