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): | |
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))? | |
e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position): | |
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: | |
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): | |
10) Please identify any Working Groups or other chartered teams in which you are participating (include acronyms, if applicable): | |
11) Additional information (optional): | I've been deeply engaged in the process of establishment of the national Armenian IGF (ArmIGF) and contribute towards ensuring its multistakeholder and open process. Since its launch in 2015, ArmIGF held 3 successful meetings. Alongside with the Armenian IGF, I'm an active participant of other national IGFs in the region of Eastern Europe, such as Georgian, Belarus, Ukrainian IGFs and I'm also engaged with the regional IGF, namely with SEEDIG (South Eastern European Dialogue on Internet Governance), serving as a member of Executive Committee since its establishment in 2015. I was the initiator of establishing the Armenian School of Internet Governance (ArmSIG) by ISOC Armenia in 2017 and the first edition of 5-day free course was dedicated to students from Universities across Armenia. Working for .am ccTLD Registry and ․հայ IDN ccTLD Registry, I’m also involved in various aspects of Domain Name registration and its policy making process. I'm a Board Member of ISOC Armenia and the Chapter Advisory Council (ChAC) delegate in the Internet Society. |
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)