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DRAFT FORM TO BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO.docx

 

DRAFT - BECOME AN UNAFFILIATED INDIVIDUAL MEMBER OF APRALO

2017

 

NAME:

 

COUNTRY OF RESIDENCE:

 

OCCUPATION:

 

EMAIL ADDRESS:

 

OTHER CONTACT DETAILS:   (OPTIONAL)

 

 

I confirm that:

  1.   I am not a member of a certified At-Large Structure (ALS)
  2.   I am subscribed to the APRALO emailing list
  3.   I am a permanent resident of a country within the APRALO Region
  4.   If I hold a leadership position in another Supporting Organization (SO) or Advisory Committee (AC), I am aware that I am not eligible for a leadership position in APRALO
  5.   I am aware that I do not automatically qualify for any funding for travel or other expenses from ICANN or APRALO
  6.   I am aware that upon ceasing to meet any of the above criteria, my unaffiliated membership will be automatically terminated

 

 

 

 

 

YES    /  NO

STATEMENT OF INTEREST:

 

Current or prior experience in representing the interests of Internet consumers or end-users:

 

 

 

 

 

Potential interest areas within APRALO, AT-LARGE or ICANN:

 

 

 

 

 

 

 

Reference documents:

 

27.5 Unaffiliated Individual Members

27.5.1 These members are the unaffiliated individuals, including any certified Nomination Committee appointed representatives, to the APRALO who meet the following criteria:

27.5.2 Unaffiliated Individuals must:

27.5.2.1 be subscribed to the APDiscuss list,

27.5.2.2 be a permanent resident of one of the countries/territories in the APRALO region as defined by ICANN,

27.5.2.3 not be a member of a certified ALS.

27.5.2.4 By way of 'certification' of having met this criteria and therefore be able to contribute fully to APRALO an Unaffiliated Individual Member, must submit an affirmation of these criteria to At Large Staff indicating how they meet the required criteria and also note that:

27.5.2.5 Upon ceasing to meet any of the criteria, unaffiliated membership is terminated.

27.5.2.6 All unaffiliated individuals (treated as a group) will be responsible for selecting their representative (when required to from time to time and or to contribute to the Regional General Assembly)

27.5.2.7 This representative must not be employed or contracted by, or have substantive financial interest in, an ICANN contracted registry or accredited registrar.

 

 

 

 

 

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