STATEMENT OF INFORMED CONSENT

STATEMENT OF ETHICAL TREATMENT OF HUMAN SUBJECTS AND ANIMALS

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STATEMENT OF INFORMED CONSENT FOR PUBLICATION OF IDENTIFYING MATERIALS

I give my permission for the following material to appear in the print, on-line and licensed versions of SIIC  Journals.

Title of article and/or photograph


I understand that my name will not be published  but that complete anonymity cannot be guaranteed.

Please, check the appropriate box below:

       I have read the manuscript and a general description of what the manuscript contains and reviewed all photographs and illustrations in which I am included that will be published.

        I have been offered the opportunity to read the manuscript and a general description of what the manuscript contains and reviewed all photographs and illustrations in which I am included, but I waive my right to do so.


Signature: _____________________________________

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Place and Date:    



STATEMENT OF ETHICAL TREATMENT OF HUMAN SUBJECTS AND ANIMALS


By signing below , I certify that the procedures followed in experiments on human subjects were in accordance with the ethical standards of the appropriate institutional and national review board and with the Helsinki Declaration of 1975, as revised in 2000.


Signature: _____________________________________

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Place and Date:    


By signing below, I certify that the institutional and national guide for the care and use of laboratory animals were followed


Signature: _____________________________________


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Place and Date:    

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