STATEMENTOFAUTHORSHIPANDDISCLOSUREOFPOTENTIALCONFLICTOFINTERESTFORMMANDATORYSUBMISSIONFORMManuscriptNo._________Iamawareofthecontentsandconsenttotheuseofmynameasanauthorofamanuscriptentitled:________________________________________________________________________________________________________________________________________________________________________thatistobeconsideredforpublicationintheJournalofMolecularMedicine(JMolMed).Iherebycertifythat,tothebestofmyknowledge:1.Thismanuscriptisnotcurrentlyunderconsideration,inpressorpublishedelsewhere.2.Thismanuscriptistruthfuloriginalworkwithoutfabrication,fraudorplagiarism.3.Ihavemadeanimportantscientificcontributiontothisstudy,Iamfamiliarwiththeprimarydata,andIhavereadtheentiremanuscriptandtakeresponsibilityforitscontent.4.Nofinancialsupportorbenefitshavebeenreceivedbyme,byanymemberofmyimmediatefamily,oranyindividualorentitywithwhomorwithwhichIhaveasignificantrelationshipfromanycommercialsourcewhichisrelateddirectlyorindirectlytothescientificworkwhichisreportedoninthearticleexceptasdescribedbelow.(Iunderstandanexampleofsuchsupportwouldbeaconsultingfee,supportforresearchactivitiesoragift.)5.Moreover,neitherI,noranymemberofmyimmediatefamily,noranyindividualorentitywithwhomorwithwhichIhaveasignificantrelationshiphasafinancialinterestinthesubjectmatterdiscussedinthemanuscript.(Iunderstandanexampleofsuchafinancialinterestwouldbeastockinterestinanybusinessentitywhichisincludedinthesubjectmatterofthemanuscriptorwhichsellsaproductrelatingtothesubjectmatterofthemanuscript.)Exceptionstopoints4and/or5:Pleasedescribehere,usingaseparatesheetifnecessary,anyfinancialinterests/arrangementswithoneormoreorganizationsthatcouldbeperceivedasarealorapparentconflictofinterestinthecontextofthesubjectofyourmanuscript:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________...
