| Name |
| Title |
|
| *First name (please spell out, i.e., Jane instead of J.) |
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| Middle initial, if any |
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| *Last name (mixed case, i.e., Smith instead of SMITH) |
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| Affiliation |
| *Current affiliation (e.g., University of Testing) |
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| Department |
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| Mailing address |
| Room |
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| Street address |
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| P.O. box |
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| City |
|
| If US, state; if Canada, province |
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| If outside US and Canada, province or region |
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| Postal (zip) code |
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| *Country |
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| Brief biography |
| Brief bio |
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| Memberships |
| ACM membership number |
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| IAPR membership number |
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| IEE membership number |
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| IEEE membership number |
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| SMPTE membership number |
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| SPIE membership number |
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| VSF membership number |
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| Contact information |
| *Email address |
|
| First alternate email address (used for searching) |
|
| Second alternate email address (used for searching) |
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| Phone number (written as +1 900 555 1212 or +1 900 555 1212 x17) |
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| Mobile phone number (written as +1 900 555 1212 or +1 900 555 1212 x17) |
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| Fax number (written as +1 900 555 1212) |
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| URL of personal home page |
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| Miscellaneous |
| Dietary constraints (for conferences and TPC meetings) |
|
| Shirt size |
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| *Status (for statistics) |
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| I consent to the EDAS privacy policies |
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* denotes required field |