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<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Name of Officer:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<span class="fn n">
<span class="given-name" style="padding:0 5px 0 0">Syed Ismail</span>
<span class="family-name">Shah</span>
</span>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Officer Email Address:
<span class="req" style="color:red;">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<a class="email" href="mailto:syedismailshah@gmail.com">syedismailshah@gmail.com</a>
</td>
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<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Date Prepared:
<span class="req" style="color:red;">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<abbr class="dtstamp" title="19691231" style="font-style:normal;border:none;">Wednesday, December 31, 1969</abbr>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
GNSO Organization:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Non-Commercial Users Constituency</div>
</td>
</tr>
<tr style="background-color:#F5F5F5" >
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Officer Position or Title:
<span class="req" style="color:red">*</span> </th>
<td id="roField5" style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Nomcom Nominee</div>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Voting Remedy:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Proxy</div>
</td>
</tr>
<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Reason(s) for or condition(s) leading to the remedy:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Cannot attend the meeting</div>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>All</div>
</td>
</tr>
<tr style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Date upon which the remedy will expire or terminate:<br />
[Note: may not exceed 3 months initially; may be renewed by sending an email with explanation to GNSO Secretariat]
<span class="req" style="color:red;">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<abbr class="dtstamp" title="20190828" style="font-style:normal;border:none;">Wednesday, August 28, 2019</abbr>
</td>
</tr>
<tr class="radio" style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
I affirm that a voting position has been established on the matter(s) at issue pursuant to provisions contained in our Charter or Bylaws.
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Yes</div>
</td>
</tr>
<tr class="radio" style="background-color:#F5F5F5">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Our GNSO Councilor has been instructed on how to vote on the matter(s).
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<div>Yes</div>
</td>
</tr>
<tr style="background-color:#FFFFFF">
<th style="vertical-align:top;color:#222;text-align:left;padding:7px 9px 7px 9px;border-top:1px solid #eee;">
Please identify the GNSO Councilor who will serve as the voting proxy:
<span class="req" style="color:red">*</span> </th>
<td style="vertical-align:top;color:#333;width:60%;padding:7px 9px 7px 0;border-top:1px solid #eee;">
<span class="fn n">
<span class="given-name" style="padding:0 5px 0 0">Rafik</span>
<span class="family-name">Dammak</span>
</span>
</td>
</tr>
<tr class="checkbox" style="background-color:#F5F5F5">
<th style="border-top: 1px solid rgb(238, 238, 238); padding: 7px 9px; vertical-align: top; color: rgb(34, 34, 34); text-align: left;">
By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN <a href="https://www.icann.org/privacy/policy" target="_blank">Privacy Policy</a>, and agree to abide by the website <a href="https://www.icann.org/privacy/tos" target="_blank">Terms of Service</a>.
<span class="req" style="color:red;">*</span> </th>
<td style="border-top: 1px solid rgb(238, 238, 238); padding: 7px 9px 3px 0; vertical-align: top; color: rgb(51, 51, 51); width: 60%;">
<ul style="list-style:inside;margin:0;padding:0;">
<li style="margin:0;padding:0 0 4px 0;">I Agree</li>
</ul>
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