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Statement
Today
(date),
the undersigned
...
author / researcher
publishing the present issue which has the subject/title
.. and which issue has (number of pages)
printed pages, solemnly state that:
a)
.,
b)
..,
c)
,
d)
.,
agree with
its content, as well as with its publication to C.V.P. MEDICAL Journal
and have authorized me to sign the present declaration on their behalf. (erase the empty lines).
In
case that a third party, Natural or Legal entity, raises any claims or rights
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whatsoever will the publishing House VIPAPHARM be responsible.
The
author responsible for correspondence
Signature
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