Agreement for the Establishment - ccNSO - icann

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Forum des Cadres Scientifiques pour le Développement

« FORCAS» Siège Social : B20, Faculté des Sciences, Unikin Tél. (+243) 991926570, (+243) 898065525 B.P. 38 Kin 7, E-mail: [email protected] Site web: www.forcas.net

Ville de Kinshasa, Rép. Dém. du Congo

Application for "At-Large Structure" (ALS) Designation

Please fill out this form, and send it to [email protected] I. Contact information 1. Organization's Name: FORCAS ( Forum des Cadres Scientifiques pour le Développement ) 2. Organization's email address: [email protected] 3. Organization's phone number (include country/city codes): (00243)991926570 4. Organization's address (location and postal address, if different): Local B20, Faculty of Sciences, University of Kinshasa, Kinshasa, Democratic Republic of the Congo. 5. Organization's website (URL) (if available): www.forcas.net (under construction). 6. Organization's contact for ALS application (email, phone, address): 1. Emmanuel NDIADIA KANDOLO, Coordonnateur Tel. : (00243)991926570, e-mail : [email protected] 2. Alain ILUNGA NGOIE, 2ème Vice-Président Tel.: (00243)818135453, e-mail : [email protected] II. Description 7. Is your organization constituted so that participation by individual Internet users who are citizens or residents of countries within the Geographic Region in which your organization is based will predominate in your organization's operation? Yes. 8. Describe your organization's constituents/membership (number, citizenship/location, defining characteristic - e.g. Profession for professional societies): Our organization is a non profit organization who promote and provide information on Free and Open Source Software to achieve the goals. It's constitute by 152 members, mostly congoleses, professionals involved in Internetrelated activities.

FORCAS, Organisme de formation ǁ F.92 / 12.482 ǁ Min. Plan Cert. E. N°276 / PL / 2009 B20, Faculté des Sciences, Université de Kinshasa ǁ www.forcas.net ǁ [email protected] ǁ (+243) 991926570, 898065525

9. Explain the eligibility requirements (if any) for your organization's constituents/membership (if you provide a written application for admission as a member, you may attach a copy): Adherence to ISOC values. 10. In what language/s does your organization conduct its business? French, Lingala, Swahili, Kikongo and Tshiluba ( local languages). English if necessary. 11. Provide support for the statement that your organization is self-supporting (by answering "yes" you confirm that it will not rely on ICANN for funding): Yes. 12. Describe your organization's structure (e.g. governing and decision-making bodies and processes): Executive committee manage day to day operations, General assembly once per year. 13. Does your organization commit to supporting its individual constituents'/membership's informed participation in ICANN? Yes. 14. Describe how your organization keeps its constituents/membership informed about, and enables them to participate in, decisions regarding issues of interest: Web site ( www.forcas.net ), Mailing list ( [email protected] ), Events, Yearly general assembly. 15. Does your organization post on the Internet publicly-accessible, current information about your organization's goals, structure, description of constituent group(s)/membership, working mechanisms, leadership, and contact(s) (if this information currently is available, provide URLs)? Yes, at www.forcas.net (under construction). 16. Provide information on your organization's leadership (leaders'names, positions, emails): 1. Emmanuel NDIADIA KANDOLO, Coordonnateur, [email protected] 2. Nicole ANSHAMBI MUZUTIE, Présidente, [email protected] 3. Jeanne MATONDO MANZAMBI, 1ère Vice-Présidente, [email protected] 4. Alain ILUNGA NGOIE, 2ème Vice-Président, [email protected] III. Objectives 17. What is your organization's primary goal or mission (please attach any mission or policy statement for your organization, if in writing, or provide a URL, if posted): Promote the development of Democratic Republic of the Congo through the use of Internet and ICT. 18. What ICANN-related issues currently are of interest to your organization's constituents/membership: ALL.

FORCAS, Organisme de formation ǁ F.92 / 12.482 ǁ Min. Plan Cert. E. N°276 / PL / 2009 B20, Faculté des Sciences, Université de Kinshasa ǁ www.forcas.net ǁ [email protected] ǁ (+243) 991926570, 898065525

19. If formed, will your organization commit to assisting the Regional At-Large Organization (RALO) for the region in which your organization is based in performing its function? Yes. 20. If your Organisation is accredited, does it or will it agree to adhere to the provisions of the Memorandum of Understanding (MoU) between the other ALSes in your Geographic Region and ICANN, as if it were an original signer of that document? Yes. Signature Emmanuel NDIADIA KANDOLO, Cordinnator 2010.08.16

(Include the name, and title, if applicable, of the individual who is authorized by your organization to sign this application and commit your organization to comply with ALS criteria.)

FORCAS, Organisme de formation ǁ F.92 / 12.482 ǁ Min. Plan Cert. E. N°276 / PL / 2009 B20, Faculté des Sciences, Université de Kinshasa ǁ www.forcas.net ǁ [email protected] ǁ (+243) 991926570, 898065525