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: | |
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: | |
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? | |
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): | At-Large Capacity Building Working Group (CBWG) At-Large Review Implementation Working Group (ARIWG) At-Large Sub-Committee on Outreach and Engagement At-Large Technology Working Group (formerly At-Large Technology Task Force -TTF) At-Large Social Media Working Group |
11) Additional information (optional): | I'm the founding member and currently board member (Vice Chair) of Internet Society (ISOC) Bangladesh Dhaka Chapter and Founding member of Executive Committee of Bangladesh Network Operator Group (bdNOG). I have participated ISOC Next Generation Leadership (NGL) program and alumni member of fellow SANOG, APNIC, IETF (from ISOC), ICANN and UNIGF. I have also served as a National Point of Contact (NPoC) of Space Generation Advisory Council (SGAC), in support of the United Nations programme on space applications from 2015-2017 and member, Internet Society's Chapters Advisory Council Steering Committee (ChAC SC) elected representing the Asia-Pacific Region (2017). At present he has been working as a Sr. Manager , Data Communication Network in BanglaTel Group a leading International Internet gateway (IGW), International Territorial Cable (ITC) Operator, International Internet Gateway (IIG) and Interconnection Exchange (ICX) operator in Bangladesh. I also member of the Multi-stakeholder steering Group(MSG) of Asia Pacific Regional Internet Governance Forum (APrIGF). Member I have been working with various stakeholders and working groups in Asia Pacific and International ICTs community to build regional awareness and capacity building on critical internet resource and internet governance. For more please visit: |
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)