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<th>Full Name of Officer:</th>
<td>Manjeet Bhatkar</td>
</tr>
<tr>
<th>Officer Email Address:</th>
<td>manjeet.bhatkar@icann.org</td>
</tr>
<tr style="background-color: #f2f2f2;">
<th>Date Prepared:</th>
<td>18 December 2021</td>
</tr>
<tr>
<th>GNSO Organization:</th>
<td>Commercial Stakeholder Group</td>
</tr>
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<th>Officer Position or Title:</th>
<td>Sr. Manager</td>
</tr>
<tr>
<th>Name of Absent Councilor:</th>
<td>Manjul</td>
</tr>
<tr style="background-color: #f2f2f2;">
<th>Voting Remedy:</th>
<td>Proxy</td>
</tr>
<tr>
<th>Proxy Information</th>
<td></td>
</tr>
<tr style="background-color: #f2f2f2;">
<th>Reason(s) for or condition(s) leading to the remedy:</th>
<td>test reason for leading to the remedy</td>
</tr>
<tr>
<th>Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised:</th>
<td>test specified subject</td>
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<th>Date upon which the remedy will expire or terminate:</th>
<td>1 January 2023</td>
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<th>I affirm that a voting position has been established on the matter(s) at issue pursuant to provisions contained in our Charter or Bylaws.</th>
<td>No</td>
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<tr style="background-color: #f2f2f2;">
<th>Our GNSO Councilor has been instructed on how to vote on the matter(s).</th>
<td>Yes</td>
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<th>Full Name of GNSO Councilor Serving as Voting Proxy:</th>
<td>Prachi</td>
</tr>
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<th>Temporary Alternate Information</th>
<td></td>
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<th>Reason(s) for or condition(s) leading to the remedy:</th>
<td></td>
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<th>Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised:</th>
<td></td>
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<th>Date upon which the remedy will expire or terminate:</th>
<td></td>
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<th>Full Name of Councilor's Temporary Alternate:<p>[Note: if not already published and available, a short bio and Statement/Disclosure of Interest should be prepared by the Temporary Alternate and delivered to the GNSO Secretariat in advance of any discussion or voting scheduled to take place].</p></th>
<td></td>
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<tr>
<th>Temporary Alternate Email Address:</th>
<td></td>
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<th>Voting Direction Information</th>
<td></td>
</tr>
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<th>Reason(s) for or condition(s) leading to the remedy:</th>
<td></td>
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<tr style="background-color: #f2f2f2;">
<th>Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised:</th>
<td></td>
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<th>Date upon which the remedy will expire or terminate:</th>
<td></td>
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<th>I affirm that a voting position has been established on the matter(s) at issue pursuant to provisions contained in our Charter or Bylaws.</th>
<td></td>
</tr>
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<th>Our GNSO Councilor has been instructed on how to vote on the matter(s).</th>
<td></td>
</tr>
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<th>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">Privacy Policy</a>, and agree to abide by the website <a href="https://www.icann.org/privacy/tos">Terms of Service</a>.</th>
<td>I Agree</td>
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