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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:
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).
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.
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