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SUPPLEMENTARY PAPER SUBMISSION FORM

Please confirm the completeness of your manuscript, filling in the following points:

[ ] Title of the article in English or both in Greek and in English

[ ] Author(s) name(s) in English or both in Greek and in English

[ ] Institute of origin of the issue in English or both in Greek and in English

[ ] A structured summary in English or both in Greek and in English

[ ] Submit five words for indexing purposes in English or both in Greek and in English

[ ] Names of all the authors (up to 6) in the bibliographical references.

[ ] Last pages of the articles in the bibliography

[ ] Three complete copies of the issue

[ ] A short Curriculum Vitae of the author(s)

[ ] A 3,5`` Diskette, in which the whole issue / research will be saved.

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:

1. All the authors of this issue who are

a) ………………………………………………………………….,

b) …………………………………………………………………..,

c) …………………………………………………………………,

d) ………………………………………………………………….,

agree with its content, as well as with its publication to “C.V.P. PHARMACOECONOMICS” Journal and have authorized me to sign the present declaration on their behalf. (erase the empty lines).

2. The work was dispatched to publication in journal " C.V.P. PHARMACOECONOMICS " on……… ………………… (date).
3. The same text or a synopsis of the entire issue or of part of it have not been submitted before for publication in any other Greek or foreign journal.
4. The results of the submitted paper have / have not been published / pre-announced as a forerunner publication / in a Conference (please delete accordingly – send the copies of the pre-announcements / summaries or records of the Conference)
5. The exclusive responsibility of the paper or of the review are laid exclusively and completely upon the declarer and the rest of the authors, in accordance to the Law for Ethics Regulations, as far as it concerns the content of the paper or the review.

In case that a third party, Natural or Legal entity, raises any claims or rights of copyright on the paper or on the publication, the exclusive responsibility lays on all the authors collectively and on each one separately. In no case whatsoever will the publishing House “VIPAPHARM” be responsible.

6. All the authors agree and unreservedly accept the operation regulations and operating procedures of the journal and of the publishing House “VIPAPHARM”.
7. All the authors agree and unreservedly accept to submit their paper for comment. If a case comes up where a comment by a third party proves to have been inappropriate, beyond the limits set by the ethics of science and deontology, and is a personal attack, whether abusive or not for the authors, then the authors are the only ones who can claim that the comment is harmful and unfair and will inform accordingly the Management of the journal.

The author responsible for correspondence

Signature

(We request that your signature be signed before a notary public to certify that it is genuine. We prefer that you use the Greek consulate or embassy in your country.

If the statement, when printed, is more than one page, you are requested to sign each page.)

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