Common use of DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS Clause in Contracts

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 54 contracts

Samples: Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement

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DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] 5 (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Open by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science Open are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx ScienceOpen? [ ] YES [ ] NO If Yes, Xxxxxxx Science Open will provide a quote in respect of the same.

Appears in 29 contracts

Samples: Open Access Publishing Agreement, Open Access Publishing Agreement, Open Access Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.. 7 [v.122016]

Appears in 10 contracts

Samples: Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] 5 (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Open by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science Open are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx ScienceOpen? [ ] YES [ ] NO If Yes, Xxxxxxx Science Open will provide a quote in respect of the same.

Appears in 5 contracts

Samples: Open Access Publishing Agreement, Open Access Publishing Agreement, Open Access Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 2008 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 xxxx://xxx.xxx.xxx/en/20activities/10ethics/10helsinki/)? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one the 8th Edition of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedureshttp:// xxxxxx.xxx.xxx/xxxxxx/xxxx/Xxxxx-xxx-xxx-xxxx-xxx-xxx-xx- laboratory-animals.pdf) Act 1986 Amendment Regulations (SI 2012/3039). published by the National Academy of Sciences, The National Academies Press, Washington DC, United States of America? [ ] YES [ ] NO 6 [v.122016] CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are [ ] YES, I / We, the author(s)/reviewer(s)/editor(s), confirm that unless explicitly disclosed below there any actual, or potential, conflicts is no conflict of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 5 contracts

Samples: Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 3 contracts

Samples: Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? ?: [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 3 contracts

Samples: Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] 5 (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Open by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science Open are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx ScienceOpen? [ ] YES [ ] NO If Yes, Xxxxxxx Science Open will provide a quote in respect of the same.

Appears in 2 contracts

Samples: Open Access Publishing Agreement, Open Access Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in having the English grammar completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide that your institute did not receive any grants or funds for your work from a quote in respect of the samethird-party source.

Appears in 2 contracts

Samples: Copyright Assignment and Publishing Agreement, Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Medical Imaging- CMIM

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Adolescent Psychiatry - APS

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? ?: [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Neurovascular Research - CNR

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Journal of Environmental Materials and Sustainable Energy- JESE

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc.: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Recent Patents on Anti-Cancer Drug Discovery - PRA

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 2008 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 xxxx://xxx.xxx.xxx/en/20activities/10ethics/10helsinki/)? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one the 8th Edition of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedureshttp:// xxxxxx.xxx.xxx/xxxxxx/xxxx/Xxxxx-xxx-xxx-xxxx-xxx-xxx-xx- laboratory-animals.pdf) Act 1986 Amendment Regulations (SI 2012/3039). published by the National Academy of Sciences, The National Academies Press, Washington DC, United States of America? [ ] YES [ ] NO 6 [v.122016] CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are [ ] YES, I / We, the author(s)/reviewer(s)/editor(s), confirm that unless explicitly disclosed below there any actual, or potential, conflicts is no conflict of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does LANGUAGE AND EDITING: Assignor require requires assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? : [ ] YES [ ] NO If Yes, Xxxxxxx Eureka Science will provide a quote in respect of the same.. NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: TITLE OF JOURNAL(S): Recent Advances in Cardiovascular Drug Discovery

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Alzheimer Research - CAR

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): New Advances on Endocrine Metabolic and Immune Diseases - NAEMID

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Drug Safety - CDS

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Recent Advances in Food, Nutrition & Agriculture - FNA

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Protein & Peptide Letters - PPL

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Cosmetic Science - COSCI

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 8 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 9 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 11 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Mini-Reviews in Medicinal Chemistry-MRMC

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): MicroRNA

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Nanoscience & Nanotechnology-Asia- NNA

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Molecular Pharmacology - CMP

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Vascular Pharmacology - CVP

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] 5 (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 1 contract

Samples: Open Access Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Drug Research Reviews - CDRR

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in having the English grammar completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide that your institute did not receive any grants or funds for your work from a quote in respect of the samethird-party source.

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Anti-Cancer Agents in Medicinal Chemistry - ACAMC

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Drug Therapy - CDTH

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 8 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 9 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 11 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Nanomedicine - CNANOM

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Open by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science Open are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx ScienceOpen? [ ] YES [ ] NO If Yes, Xxxxxxx Science Open will provide a quote in respect of the same.

Appears in 1 contract

Samples: Open Access Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Proteomics-CP

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 2008 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 xxxx://xxx.xxx.xxx/en/20activities/10ethics/10helsinki/)? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one the 8th Edition of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedureshttp:// xxxxxx.xxx.xxx/xxxxxx/xxxx/Xxxxx-xxx-xxx-xxxx-xxx-xxx-xx- laboratory-animals.pdf) Act 1986 Amendment Regulations (SI 2012/3039). published by the National Academy of Sciences, The National Academies Press, Washington DC, United States of America? [ ] YES [ ] NO 6 [v.122016] CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are [ ] YES, I / We, the author(s)/reviewer(s)/editor(s), confirm that unless explicitly disclosed below there any actual, or potential, conflicts is no conflict of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does LANGUAGE AND EDITING: Assignor require requires assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? : [ ] YES [ ] NO If Yes, Xxxxxxx Eureka Science will provide a quote in respect of the same.. NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: TITLE OF JOURNAL(S): Current Angiogenesis

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Bioactive Compounds- CBC

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Respiratory Medicine Reviews - CRMR

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Drug Delivery- CDD

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Radiopharmaceuticals- CRP

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Reviews in Clinical and Experimental Pharmacology- CRCEP

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Computer-Aided Drug Design- CCADD

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): The International Journal of Gastroneterology & Hepatology Diseases - IJGHD

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Letters in Drug Design & Discovery- LDDD

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Psychiatry Research and Reviews - CPRR

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in having the English grammar completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and style that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work checked and improved Please provide the following details: Type of Support: Funds Received by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect the Author or Institution: Name of Institution: Travel Allowances for the same.Research:

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

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DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Letters in Drug Design & Discovery- LDDD

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Nanotoxicity and Prevention - CNTP

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Pharmacogenomics and Personalized Medicine (CPPM)

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Cardiovascular & Hematological Disorders-Drug Targets - CHDDT

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Protein & Peptide Science - CPPS

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 8 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 9 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 11 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Probiotics - PROBIOTICS

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Nanoscience - CNANO

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Open by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science Open are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx ScienceOpen? [ ] YES [ ] NO If Yes, Xxxxxxx Science Open will provide a quote in respect of the same.

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Samples: Open Access Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 2008 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 xxxx://xxx.xxx.xxx/en/20activities/10ethics/10helsinki/)? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one the 8th Edition of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedureshttp:// xxxxxx.xxx.xxx/xxxxxx/xxxx/Xxxxx-xxx-xxx-xxxx-xxx-xxx-xx- laboratory-animals.pdf) Act 1986 Amendment Regulations (SI 2012/3039). published by the National Academy of Sciences, The National Academies Press, Washington DC, United States of America? [ ] YES [ ] NO 6 [v.122016] CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are [ ] YES, I / We, the author(s)/reviewer(s)/editor(s), confirm that unless explicitly disclosed below there any actual, or potential, conflicts is no conflict of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does LANGUAGE AND EDITING: Assignor require requires assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? : [ ] YES [ ] NO If Yes, Xxxxxxx Eureka Science will provide a quote in respect of the same.. NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: TITLE OF JOURNAL(S): Inflammation & Allergy – Drug Targets

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Neuropharmacology- CN

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.. 7 [v.122016]

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Topics in Medicinal Chemistry - CTMC

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 2008 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 xxxx://xxx.xxx.xxx/en/20activities/10ethics/10helsinki/)? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one the 8th Edition of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedureshttp:// xxxxxx.xxx.xxx/xxxxxx/xxxx/Xxxxx-xxx-xxx-xxxx-xxx-xxx-xx- laboratory-animals.pdf) Act 1986 Amendment Regulations (SI 2012/3039). published by the National Academy of Sciences, The National Academies Press, Washington DC, United States of America? [ ] YES [ ] NO 6 [v.122016] CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are [ ] YES, I / We, the author(s)/reviewer(s)/editor(s), confirm that unless explicitly disclosed below there any actual, or potential, conflicts is no conflict of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: LANGUAGE AND EDITING: Assignor require requires assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? : [ ] YES [ ] NO If Yes, Xxxxxxx Eureka Science will provide a quote in respect of the same.. TITLE OF JOURNAL(S): Recent Patents on Nanomedicine

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Pharmaceutical Biotechnology - CPB

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Cancer Therapy Reviews - CCTR

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Indian Science-CIS

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Combinatorial Chemistry & High Throughput Screening - CCHTS

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Catalysis - CCAT

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Gene Therapy -CGT

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Recent Advances in Drug Delivery and Formulation - RADDF

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Pediatric Reviews – CPR

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING PUBLICATION VIA JOURNAL TITLE OF SUBSCRIPTION JOURNAL(S): Anti-Infective Agents- AIA

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.. 7 [v.122016]

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Pharmaceutical Design - CPD

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: B1. Government Support for Research Work Please provide the following details: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Cardiology Reviews - CCR

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 7 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same.

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Bioinformatics - CBIO

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO  If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 2008 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 xxxx://xxx.xxx.xxx/en/20activities/10ethics/10helsinki/)? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one the 8th Edition of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedureshttp:// xxxxxx.xxx.xxx/xxxxxx/xxxx/Xxxxx-xxx-xxx-xxxx-xxx-xxx-xx- laboratory-animals.pdf) Act 1986 Amendment Regulations (SI 2012/3039). published by the National Academy of Sciences, The National Academies Press, Washington DC, United States of America? [ ] YES [ ] NO 6 [v.122016] CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are [ ] YES, I / We, the author(s)/reviewer(s)/editor(s), confirm that unless explicitly disclosed below there any actual, or potential, conflicts is no conflict of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. Does LANGUAGE AND EDITING: Assignor require requires assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? : [ ] YES [ ] NO If Yes, Xxxxxxx Eureka Science will provide a quote in respect of the same.. NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: NAME: AFFILIATION: EMAIL: TITLE OF JOURNAL(S): Clinical Anti-inflammatory & Anti-Allergy Drugs

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Samples: Copyright Assignment and Publishing Agreement

DECLARATION OF COMPLIANCE WITH APPLICABLE STANDARDS. 1. Does the Work report experiments involving human subjects? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the ethical standards of the committee responsible for human experimentation (institutional and national), and with the Helsinki Declaration of 1975, as revised in 2013 (xxxx://xxxxxx.xxx.xxx/ecodes/node/3931 )? [ ] YES [ ] NO (If Yes, the Assignor must submit a copy of the approval and consent-to-disclose form to Xxxxxxx Science Publishers by fax or email.) Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number. (If No, the Assignor must mention an institutional or regional guideline.) 2. Does the Work report experiments involving animals? [ ] YES [ ] NO If Yes, were the reported experiments in accordance with the standards set forth in one of below national guidelines and regulations: o The US National Research Council's "Guide for the Care and Use of Laboratory Animals," o The US Public Health Service's "Policy on Humane Care and Use of Laboratory Animals," and "Guide for the Care and Use of Laboratory Animals." o UK : the Animals (Scientific Procedures) Act 1986 Amendment Regulations (SI 2012/3039). [ ] YES [ ] NO 6 [v.122016] (If Yes, the Assignor must submit a copy of the approval to Xxxxxxx Science Publishers by fax or email and please also state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number.) (If No, the Assignor must mention an institutional or regional guideline. CONFLICTS OF INTEREST Conflicts of interest arise when authors, reviewers, or editors have interests (such as financial or personal interests) that are not made clear and that may influence their judgment on the content of their work. Authors and editors who submit work for publication with Xxxxxxx Science are required to disclose and acknowledge all forms of financial support relating to the work to be published, all commercial or financial involvement that might present an appearance of a conflict of interest in respect of the work, and all agreements relating to sponsorship of any research upon which the work is based. Are there any actual, or potential, conflicts of interest? [ ] YES [ ] NO If Yes, details of the actual or potential conflicts of interest must be set-out in the spaces provided below. DISCLOSURE REGARDING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST: [INSERT] DISCLOSURE REGARDING THIRD PARTY FINANCIAL CONTRIBUTIONS: [INSERT] The following details pertain to knowing about the resources, which you directly or indirectly received (from your university or institution supporting you in the completion of your research. However, if you select “No” here, then it refers to you carrying out the work without receiving any third-party financial support, implicating that your study work was carried out using the grants from your own institute (that pays your salary) and that your institute did not receive any grants or funds for your work from a third-party source. B1. Commercial Sponsorship for Research Work Please provide the following details: B1. Government Support for Research Work Please provide the following details: Type of Support Grant Number: Funds Received for Article Preparation and Reviewing: Name of Institution: Support Provided for Article Writing Assistance, for Drugs, Equipment etc: Funds Received by the Author or Institution: Travel Allowances for the Research: Type of Support: Funds Received by the Author or Institution: Name of Institution: Travel Allowances for the Research: 7 [v.122016] LANGUAGE AND EDITING: Does Assignor require assistance in having the English grammar and style of the Work checked and improved by Xxxxxxx Science? [ ] YES [ ] NO If Yes, Xxxxxxx Science will provide a quote in respect of the same. US GOVERNMENT EMPLOYEES / CONTRACTORS Was any Author a US government employee when the Work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) Was Author an independent contractor to the US government when the work was created? [ ] YES [ ] NO (If Yes, the relevant Author/s must each execute and submit to Xxxxxxx Science, using Xxxxxxx Science’s form letter, the supplemental terms applicable to the Author.) 8 [v.122016] Author contribution: Please specify the contribution of each author to the paper, e.g. study concept or design, data collection, data analysis or interpretation, writing the paper, others, who have contributed in other ways, should be listed as contributors. NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 9 [v.122016] NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: NAME: AFFILIATION: EMAIL: AUTHOR CONTRIBUTION: Study Concept or Design Data Collection Data Analysis or Interpretation Writing the Paper Others ORCID: We agree to the terms as set out in the Agreement. Signed by: 10 [v.122016] SCHEDULE 4: PUBLISHING TITLE OF SUBSCRIPTION JOURNAL(S): Current Drug Discovery Technologies - CDDT

Appears in 1 contract

Samples: Copyright Assignment and Publishing Agreement

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