japan society for hematopoietic cell transplantation coi disclosure name of first author : e.g.,...
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![Page 1: Japan Society for Hematopoietic Cell Transplantation COI disclosure Name of first author : e.g., John Doe I have no personal or financial interests to](https://reader036.vdocuments.us/reader036/viewer/2022082821/5697c0131a28abf838ccca60/html5/thumbnails/1.jpg)
Japan Society for Hematopoietic Cell Transplantation
COI disclosure
Name of first author : e.g., John Doe
I have no personal or financial interests to declare: I have no financial support from an
industry source at the current presentation.
Use the following slide to disclose any conflicts of interestForm 1-A: For oral presentation at the annual meeting with no conflicts of interest to declare.
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I currently have, or I have had in the past two years, an affiliation or financial interest with business corporation(s): (Yes or No, if “yes” include name of company)
(1) Consulting fees : No(2) Stock / allotment : No (3) Patent royalties / licensing fees : No
(4) Honoraria (e.g. lecture fees) : No (5) Fees for promotional materials : No (6) Research funding : Yes, Company X (7) Scholarship from corporation : Yes, Company Y (8) Corporate laboratory funding: Yes, Company Z (9) Others (e.g. trips, travel, or gifts) No
Japan Society for Hematopoietic Cell TransplantationCOI disclosure
Name of first author : e.g., John Doe
Form 1-B: For oral presentation at the annual meeting 、 with conflict of interest to declare.
![Page 3: Japan Society for Hematopoietic Cell Transplantation COI disclosure Name of first author : e.g., John Doe I have no personal or financial interests to](https://reader036.vdocuments.us/reader036/viewer/2022082821/5697c0131a28abf838ccca60/html5/thumbnails/3.jpg)
COI disclosure of first author (1) Consulting fees : No(2) Stock / allotment : No (3) Patent royalties / licensing fees : No(4) Honoraria (e.g. lecture fees) : No(5) Fees for promotional materials : No(6) Research funding : Yes, Company X(7) Scholarship from corporation : Yes, Company Y(8) Corporate laboratory funding: Yes, Company Z(9) Others (e.g. trips, travel, or gifts) No
Use the following to disclose your conflict of interest for a poster presentation at the annual meeting.Form 1-C: Disclosure of conflict of interest
As first author, I have no personal or financial interests to declare: I have no financial support from an industry source at the current presentation.
OR