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AUTHOR AGREEMENT FORM

It is important that you return this form upon submission. Your article will not be considered without completion and return of this form.

TITLE OF PAPER: ______________________________________________________

______________________________________________________________________

Author (1: corresponding) ________________________________________________

Address: _______________________________________________________________

______________________________________________________________________

Author (2) _____________________________________________________________

Address: _______________________________________________________________

______________________________________________________________________

Author (3) _____________________________________________________________

Address: _______________________________________________________________

______________________________________________________________________

Author (4) _____________________________________________________________

Address: _______________________________________________________________

_____________________________________________________________________

A: CONFLICT OF INTEREST: Please tick one of the following boxes:

[NO] We have no conflict of interest to declare. (E.g. affiliations, employment, funding sources, owning of shares and grants for lectures or travel).

[YES] We have a competing interest to declare (please fill in box below):

B: AUTHORS AGREEMENT

On behalf of all Co-Authors, the corresponding Author shall bear full responsibility for the submission. This research has not been submitted for publication nor has it been published in whole or in part elsewhere. We attest to the fact that all Authors listed on the title page have contributed significantly to the work, have read the manuscript, attest to the validity and legitimacy of the data and its interpretation, and agree to its submission to The Journal. All authors agree that the author list is correct in its content and order and

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that no modification to the author list can be made without the formal approval of the Editor. No additional authors will be added post submission. All authors warrant that they have obtained all necessary permissions for the reproduction of any copyright works contained in the article and not owned by them and they have acknowledged all the sources. All authors warrant that the article contains no violation of any existing copyright, other third party rights, and does not infringe any rights of others.

Author 1:

Name: Signature: Date:

Author 2:

Name: Signature: Date:

Author 3:

Name: Signature: Date:

Author 4:

Name: Signature: Date:

Author 5:

Name: Signature: Date:

Author 6:

Name: Signature: Date:

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