Conference Proceedings Co-Author Disclosure Form

Manuscript Information

Title of Paper Conference Name Manuscript ID (if any)

Corresponding Author

Full Name Email Affiliation

Co-Authors

Name	Email	Affiliation	Contribution

Disclosure of Conflicts of Interest

Does any author have conflicts of interest to declare? If yes, please specify

Author Contribution Statement

Acknowledgment of Responsibilities

By signing below, all authors confirm that they have contributed to the work, reviewed the final manuscript, and agree with its submission to the conference proceedings.

Author Name Date Signature