Kosin Medical Journal

KMJ AUTHOR STATEMENT FORMS
Title of Manuscript
Corresponding Author Name/E-mail

To publish a paper in the Kosin Medical Journal (KMJ), all authors must read and sign the statements on

1. Authorship Responsibility;
2. Authorship Contributions;
3. Role of the Funding Source;
4. Disclosure of Conflicts of Interest;
5. Copyright Transfer Agreement.

1. Authorship Responsibility

• All authors have seen and approved the content of the submitted manuscript. The paper presents original work not previously published in similar form and is not currently under consideration by another journal.
• If the paper contains material (data or information in any other form) that is the intellectual property and copyright of any person(s) other than the author(s), permission from the copyright owner(s) to publish that material must be clearly identified and acknowledged in the text of the paper.
• The authors followed ethics guidelines.
• See the Authorship Policy in Instructions for Authors.

2. Authorship Contributions

Please indicate the specific contributions made by each author (list the authors’ initials, e.g., KDH).
• Conceptualization: ________________________________
• Data curation: ________________________________
• Formal analysis: ________________________________
• Methodology: ________________________________
• Software: ________________________________
• Validation: ________________________________
• Investigation: ________________________________
• Funding acquisition: ________________________________
• Project administration: ________________________________
• Resources: ________________________________
• Supervision: ________________________________
• Visualization: ________________________________
• Writing - original draft: ________________________________
• Writing - review and editing: ________________________________

3. Role of the Funding Source
Please disclose any funding sources and their role, if any, in the writing of the manuscript or the decision to submit it for publication. The information provided here must match the role of the funding source statement in the manuscript.

4. Disclosure of Conflicts of Interest

Please check A or B.
□ A. We/I do not have and have not had a financial interest or other relationships in which any individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest, or other financial benefit from the research described in the submission.
□ B. We/I now have or have had a financial interest or other relationships in which any individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest, or other financial benefit. Pease list the manufacturers and/or service providers with whom you have a financial relationship, and describe the condition of your relationship(s). Please be specific.

5. Copyright Transfer Agreement
In the occasion of the final acceptance of this manuscript, the authors of the article hereby agree that Kosin University College of Medicine holds the copyright to all materials and the right to publish, transmit, sell, and distribute them in the journal or other media.

Names of Author(s)	Signature(s)	Date

Copyright transfer agreement