Board Nomination 2019 | AFRINIC Election Nominations

Is this a "Self-Nomination"? *

Self-Nomination:

(You must reside in the sub-region that you are nominating yourself for).

Nominee (Full name): *

Organisation (or affiliation): *

Position *

Physical address: *

E-mail address (of Nominee): *

Phone No. *

Country of Residence *

Sub-region nominated for: *

Brief background Statement: *

Brief Motivation:

Please highlight what expertise and experience you will bring to the organisation in general and to the board in particular: (not more than 500 words).

CV *

Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx odt odp ods.

Photo *

Please upload a recent photograph of yourself to use during the public comment period.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Seconder Information

(Your nomination must be seconded by two AFRINIC members in good standing).

Seconder 1:

Name: *

Organisation: *

AFRINIC ORG Handle: *

E-mail address (for Seconder 1): *

Seconder 2:

Name: *

Organisation: *

AFRINIC ORG Handle: *

E-mail address (for Seconder 2): *

Nomination:

(The Nominee must reside in the sub-region that he/she is being nominated for).

Nominee (Full name): *

Organisation (or affiliation): *

Position *

Physical address: *

E-mail address (of Nominee): *

Phone No. *

Country of Residence *

Sub-region nominated for: *

Brief background Statement: *

Brief Motivation:

Please highlight what expertise and experience you will bring to the organisation in general and to the board in particular: (not more than 500 words).

CV *

Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx odt odp ods.

Photo *

Please upload a recent photograph of yourself to use during the public comment period.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Nominator Information:

(The Nominator must be an AFRINIC Member in good standing).

Nominator:

Name: *

Organisation: *

AFRINIC ORG Handle: *

E-mail address (for Nominator): *

Seconder Information

(Your nomination must be seconded by one AFRINIC members in good standing).

Seconder:

Name: *

Organisation: *

AFRINIC ORG Handle: *

E-mail address (for Seconder): *

Notice - I agree to the use of my personal information as described in the PRIVACY NOTICE *

Math question * 8 + 6 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.