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FITOFARMAKA JURNAL ILMIAH FARMASI pISSN: 2087-9164/eISSN: 2622-755X

Email: [email protected]

Program Studi Farmasi FMIPA Universitas Pakuan

COPYRIGHT FORM

The undersight author(s)

1. Full name with title:

Afiliation:

Email address:

Phone:

Framesti Frisma Sriarumtias., S.Farm., M.Si.*

Universitas Garut [email protected] 085723839927

Signature

2. Full name with title:

Afiliation:

Email address:

Phone:

Apt. Aji Najihudin., M.Farm., Universitas Garut

[email protected] 085723830806

3. Full name with title Afiliation:

Email address:

Phone:

Nopi Rantika., M.Farm., Universitas Garut [email protected] 08814573098

4. Full name with title Afiliation:

Email address:

Phone:

Rita Nengsih., S.Farm., Universitas Garut

[email protected] 082127668361

Note: Please add * for the corresponding autho rdeclare that the paper entitled:

is an original work has not been published in the same form elsewhere and will not be submitted anywhere else for publication prior to acceptance/rejection by this Journal.

Furthermore I/We hereby transfer the unlimited rights of publication of the above mentioned paper in whole to Fitofarmaka Jurnal Ilmiah Farmasi. The copyright transfer covers the exclusive right to reproduce and distribute the article, including reprints, translations, photographic reproductions, microform, electronic form (offline, online) or any other reproductions of similar nature.

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