CLINICALONCOLOGYAUTHORSHIPRESPONSIBILITY,FINANCIALDISCLOSURE&CONTRIBUTORSHIPManuscriptNo:Correspondingauthor’sname:_______________________________Address:_________________________Tel:E-mail:Bysigningthisform,eachauthoraffirmsthathe/shehasreadandagreestoallauthorshipresponsibility,contributorship,andfinancialdisclosure/conflictofinterestmatters.1.Authorshipresponsibility(tobesignedbyallnamedauthorsatthebottomofthisform):MysignaturecertifiesthatIhaveparticipatedsufficientlyintheconceptionanddesignofthiswork,theanalysisofthedata(whereapplicable)aswellasthewritingofthemanuscripttotakepublicresponsibility.Themanuscriptrepresentsvalidoriginalwork.Iattestthatthattheworkdescribedhasnotbeenpublishedbefore(exceptintheformofanabstractoraspartofapublishedlecture,revieworthesis).Itisnotunderconsiderationelsewhere,norwillitbesubmittedforpublicationelsewherewhileunderconsiderationbyClinicalOncology.Ihavereviewedthismanuscriptandapproveitssubmission.Theundersignedauthorsalsowarrantthatthisworkcontainsnolibellousorunlawfulstatements,doesnotinfringeontherightsofothers,orcontainsmaterialorinstructionsthatmightcauseharmorinjury.2.FinancialDisclosure/ConflictofInterest:BysigningbelowIcertifythatanyaffiliationswithorinvolvementinanyorganisationwithadirectfinancialinterestinthesubjectmatterormaterialsdiscussedinthepaperarenotedbelow.OtherwisemysignatureindicatesthatIhavenosuchfinancialinterest.Allfundingorprojectsupportisacknowledgedinthemanuscript.StatementofFinancialInterest:(pleaseuseadditionalsheetifnecessary)______________________________________________________________________________4.Contributorship:Pleaselisteachauthors’contributiontotheabovemanuscript.Pleaseprovidedetailssuchas,theoriginalideafortheresearch,whichindividual(s)undertookthecollectionofdata,proportionofpatientsenteredbyanindividual,responsibilityforthefirstdraftofthemanuscript,etc..2.Author1Author2Author3Author4Author5Author6Pleasealsogivedetailsofpersons(whomaynotbeonthelistofauthors)whoprovidedstatisticaladviceforthedatafromtheinceptionofthestudyandundertookstatisticalanalyses.----------------------------------------------------------------------------------------------------------------------------SignaturesAuthor1________________________________Date______________________Author2________________________________Date______________________Author3________________________________Date______________________Author4________________________________Date______________________Author5________________________________Date______________________Author6________________________________Date______________________
