Journal of
Breast
Cancer
http://ejbc.kr
Conflict of Interest Disclosure Form
Manuscript Title: ___________________________________________________________________________
__________________________________________________________________________________________
Each author should complete and return this form to the corresponding author.
According to the standards established by the International Committee of Medical Journal Editors (ICMJE), it is the Journal
of Breast Cancer (JBC)’s editorial policy to assure independence, objectivity, and scientific exactness in all of its articles
through the disclosure of financial interests and other relationships, and management of potential conflicts. The financial
interests or relationships requiring disclosure are employment or leadership position in either full-time or part-time service,
consultant or advisory role, stock ownership, honoraria, research funding in whole or in part, expert testimony, and other
remuneration in the subject matter under consideration in your manuscript during the past two years.
All authors are expected to answer any kind of possible conflict of interest (Employment, Consultant, Stock ownership,
Honoraria, Research Funding, Expert Testimony, or other remuneration) to disclose any relationships with commercial
entities that may have a direct bearing on the relevant subject matter. Each author should complete and return this form to
the corresponding author. Disclosures should be entered on-line at the time of submission by the corresponding author. The
corresponding author is encouraged to send completed forms on file to the editor-in-chief as soon as possible.
○ Yes, I have conflict of interest to disclose.
○ No, I do NOT have conflict of interest to disclose.
Principal Investigator
Are you the corresponding author for this report ?
○ Yes, I AM the corresponding author.
○ No, I am NOT the corresponding author.
By completing this form, I confirm that the information reported above is correct. I understand that, where appropriate, this
information may be disclosed publicly by JBC. I further understand that the JBC reserves the right to refuse to publish my
work if the JBC believes a significant conflict of interest exists. Furthermore, I understand that failure to complete this
Disclosure Declaration will disqualify me from submitting my manuscript to the Journal of Breast Cancer.
Print Name: _____________________ Signature: _____________________ Date: _____________________
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