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: |
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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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If the answer is “Yes,” please describe the arrangements/agreements and the name of the group, constituency, or person(s): | ||
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): | Enterprise Trainer & Evangelist of good Practices mapping business with IT and advisory role of working with organisations from start of project to the time the organisation can sustain itself. Expertise in Information Systems Audit and Control, IT & Enterprise Governance, Computer Security, Information warfare. Has completed various banking and finance audits as well as alignment with BASEL II and various other core standards. He has been actively participating in on various International Standards bodies for Security. He is a member of Advisory Board of The New Security Foundation, Member of The American College of Forensic Examiners & Institute of Forensics Science. He was Chair / Founder of the ISACA Mauritius Chapter, Member of the Academic Subcommittee of ISACA & ITGI. A Fellow and past Board Member of the International Professors Project also Vice President and Director of Governance and Policy International at Center for the Advancement of the Enterprise Architecture Profession and a member of the Digital Forensics Association (DFA). A Chartered Fellow of the British Computer Society and a member of the BCS Cyber forensics Group. •ISACA Liaison to INTOSAI (WGITA) •Cloud Advise – Founding Member and Advisory Councilor | |
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)