| Name |
| *Title |
|
| First name (please spell out, i.e., Jane instead of J.) |
|
| Middle initial, if any |
|
| *Last name (mixed case, i.e., Smith instead of SMITH) |
|
| Suffix, such as Jr. or III |
|
| Affiliation |
| *Status (for statistics and registration options) |
|
| *Current affiliation (e.g., University of Testing) - do NOT include street address or country |
|
| Additional affiliation (e.g., XYZ Company) |
|
| Country of second affiliation, if different (rarely used) |
|
| Job title (e.g., Associate Professor, Senior Wizard, Research assistant) |
|
| Department |
|
| Mailing address |
| Room |
|
| Street address |
|
| P.O. box |
|
| City |
|
| If US or Australis, state; if Canada, province |
|
| If outside Australia, Canada or US, province or region |
|
| Postal (zip) code, if applicable |
|
| *Country (of current residence or affiliation) |
|
| Country of citizenship (optional) |
|
| VAT or other tax identifier, for receipts |
|
| Preferred time zone for deadlines |
|
| Brief biography (optional) |
| Brief bio |
|
| Contact information |
|
Please use a university, corporate, government, IEEE or ACM
email address. Anonymous email addresses may delay creation of the account. |
| *Email address (if possible, a university, corporate, government, ACM or IEEE address) |
|
| First alternate email address (optional; used for searching) |
|
| Second alternate email address (optional; used for searching) |
|
| Phone number (written as +1 900 555 1212 or +1 900 555 1212 x17) |
|
| Mobile phone number (written as +1 900 555 1212) |
|
| Fax number (written as +1 900 555 1212) |
|
| URL of personal home page (including http://) |
|
| Emergency contact information (used for conference attendees) |
| Emergency contact name (while attending conferences) |
|
| Emergency contact phone (while attending conferences; written as +1 900 555 1212) |
|
| Miscellaneous |
| Dietary constraints (for conferences and TPC meetings) |
|
| Special needs |
|
| Other special needs |
|
| Shirt size |
|
| Statistical information |
| Sex (for statistics) |
|
| Reason for needing an EDAS account |
|
| I consent to the EDAS privacy policies |
|
|
|
|
* denotes required field |