IEEE ICC 2016 Presenter Substitution Form

Complete this form if you need to request a substitute presenter for your paper other than one of the co-authors.

All requests must be received by Friday, 13 May 2016. After May 13, the substitute presenter will be imposed an additional US $100 and possible additional fees depending upon the new registrant's membership status for each request.
E.g. plane and hotel reservations, visa status screenshot, etc. Please do not include any documents with sensitive information - this form is not secure.
Please specify the Substitute Presenter's IEEE membership status. If an IEEE member, please also provide their IEEE member number.