At-Large Statement of Interest (SOI) Form
1) Please enter your Name: |
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2) Picture/Image: |
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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): | |
b) A Regional At-Large Organization (RALO) (if so, please detail the region, position and term): | |
c) An ICANN-accredited At-Large Structure (if so, which one): | |
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? |
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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): | Observer : ALAC Subcommittee on At-Large Metrics Member : Unaffiliated Individuals Mobilization Working Party Member : APRALO Policy Forum |
11) Additional information (optional): | The areas of Interest of Dr. T V Gopal include: Operating Systems Distributed Computing Cyber - Physical Systems Usability Engineering Information Architecture, Object Oriented Technologies Software Quality Nano-Computing Science and Spirituality Dr. T V Gopal served as a Member of the Sub-Committee of the IT Task Force, Government of Tamil Nadu from 27 November 2000 to 25 July 2001. The IT Task Force and its sub-committee have been replaced by the Tamil Nadu Information Technology Council (TNITC). This responsibility has been duly gazetted by the Government of Tamil Nadu. My work with ICANN has been fully formal with the Government of Tamil Nadu. |
12) Page last revised: |
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At-Large SOI Template v3 (Feb 2014)
