Authorship Statement Form

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To: Boris Topor, MD, PhD, Professor
Editor-in-Chief

From: Author or corresponding author: ………………………………………………………………………….

Article title: ………………………………………………………………………………………………………

Author(s): ………………………………………………………………………………………………………..

Affiliation of authors: ……………………………………………………………………………………………

Corresponding author’s e-mail: …………………………………………………………………………………

Corresponding author’s telephone number: ……………………………………………………………………

        To start the editorial processing of your article in the Moldovan Medical Journal (MMJ), we kindly ask the author or corresponding author to fill in, sign, scan and send this form together with the article to editor@moldmedjournal.md. With this the author or corresponding author certifies that he personally and co-authors accept the responsibility for the
content of this article and he/she agrees with Editorial roles.

        We kindly ask the authors to read our website www.moldmedjournal.md and strictly follow the directions of the Publication Ethics and Malpractice Statement.

        The signature provides evidence about the mutual understanding between the author(s) and the MMJ on the rights and responsibilities of both parties in the process of article evaluation and its possible publication in the MMJ.

        Herewith, I confirm that I am the owner (or authorized to act on behalf of the co-authors) of the materials used in this article, and thus I render the permission to use it to the Moldovan Medical Journal.

        Herewith, I confirm that I am aware of the:

1. – Submission and Publication procedure,
2. – Reviewing process,
3. – Plagiarism policy,
4. – Privacy statement,
5. – Conflict-of-interest statement,
6. – Open access statement,
7. – Licensing terms,
8. – Copyright notice,
9. – Article processing charges.

Author’s or corresponding author’s signature _______________________________Date ___________________

 

We prefer to receive the Authorship Statement Form together with the article at:
editor@moldmedjournal.md

or send by regular mail to:

The Moldovan Medical Journal
192, Stefan cel Mare Avenue
Chisinau, MD-2004, the Republic of Moldova