Full Name of Officer: Test Name All Good Officer Email Address: laddbox@yahoo.com Date Prepared: 31 December 2022 GNSO Organization: Internet Services Provider Constituency Officer Position or Title: title test Name of Absent Councilor: Name Voting Remedy: Proxy Proxy Information Reason(s) for or condition(s) leading to the remedy: {@gnso.reasons} Specific subject(s)/measure(s)/motion(s)/action(s) of the Council for which the remedy is being exercised: Proxy remedy Date upon which the remedy will expire or terminate: 31 December 2041 I affirm that a voting position has been established on the matter(s) at issue pursuant to provisions contained in our Charter or Bylaws. No Our GNSO Councilor has been instructed on how to vote on the matter(s). Yes Full Name of GNSO Councilor Serving as Voting Proxy: Full Name By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy [1], and agree to abide by the website Terms of Service [2]. I Agree [1] https://www.icann.org/privacy/policy [2] https://www.icann.org/privacy/tos