At-Large Statement of Interest (SOI) Form

1) Please enter your Name:


2) Picture/Image:
(Instructions: Click in the field to the right to open up the text input window. Then click the <Insert> menu button, select <Image>, then choose (or browse) to locate an image file (e.g., JPG, PNG, BMP) from your local computer to upload. After insertion, please click on the picture and adjust the size to no larger than 200 pixels). 

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):

ALAC member (AFRALO) ALAC Leadership Team (2023 - 2024 AGM)

b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term):

Alternate Representative from ISOC BENIN in AFRALO (2023-2025) Vice-President Internet Society Benin Chapter (2023 - 2025)

c) An ICANN-accredited At-Large Structure (if so, which one):

Internet Society Benin Chapter

d) Any ICANN Committee, Constituency or Stakeholder Group (if so, which one(s))?

AFRALO Capacity Bulding Team Member AFRALO Newsletter Team Contributor NCUC member NPOC member

e) Any other company or organization, whether commercial or nonprofit (if so, please detail the organization and your position):

- Vice president ISOC Benin - Former president JCI Cotonou Aurore (Benin) - Member IGF Benin Association - Member Internet & Jurisdiction Policy Network - Member Youth Connekt Africa

4) Please identify your current employer(s):

NESS GATE Digital Finance Agency

5) Please identify your current position(s):


6) Please identify the type(s) of work performed:

I'm in charge to : - Strategic and operational planning of the agency's activities; - Coordination of operations; - Organizational performance management; - Recruitment, administrative management and monitoring of staff.

7) Please identify your declared country of primary residence:


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:

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?


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):

  • Consolidated Policy Working Group (CPWG)
  • At large Operations Finance and Budget Working Group (OFB-WG)
  • AFRALO Newsletter Member
  • UA Communications WG (Member)
  • AT-Large Social Media Working group Member
  • ALAC Subcommittee on Outreach and engagement participant
  • AT-Large Capacity building Working group Member
  • Joint AFRALO-AfrICANN Statements (participant)
  • ICANN Fellow Alumni 
  • ICANN Meetings participations ( ICANN 59 - ICANN 63 - ICANN 65 - ICANN 68 - ICANN 71 - ICANN 72 - ICANN 73 - ICANN 75 - ICANN 78)
  • AFRALO General Assembly Johannesburg, South Africa, 2017 
  • Benin DNS Forum organizing Committee Member
  • Woman and Internet Working group

11) Additional information (optional):

My ICANN Story

Others details

12) Page last revised:



At-Large SOI Template v3 (Feb 2014)