5-aps-en.htm

ACTA FAC MED NAISS YU ISSN 0351-6083

CONFLICT OF INTEREST STATEMENT

It’s the policy of the Acta Facultatis Medicae Naissensis (AFMN) that every individual
who submits or reviews manuscript for publication in AFMN discloses any financial,
professional, proprietary or any other personal or institutional interests that may influence
positions, opinions and results presented in, or the review of, manuscript.

The AMM requires that each author in the process of publication and review complete this
form as many times as necessary.

I, ______________________________________________________, declare that I

(first and second name, city, state)

have no proprietary, financial, professional or any other personal interest of any nature
or kind in any service, product or company that could influence the opinion and position
presented in, or the review of, the manuscript below entitled,

„_______________________________________________________________________

______________________________________________________________________“,

(title of the manuscript)

except for the following:

Author’s signature(s)

________________________ Date_____________________