Authorship Responsibility Statement

Authorship Responsibility Statement

Please fill in the fields with the relevant text. A completed form must be hand signed by all the authors. If necessary, multiple forms must be filled in. Scan and submit the filled form(s) through the Oftalmologia platform. If you have any difficulties submitting it, send it to editor.oftalmologia@gmail.com)

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Manuscript title

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List of authors (by the presentation order in the article)

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Corresponding author

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E-mail

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Address

Authorship contribution

The authors declare that they:

(1) Agree to the author proposed for the corresponding author;

(2) Agree to the number of authors for the article and the order of their presentation;

(3) Have contributed significantly to the work identified hereinabove, in accordance with the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals by the International Committee of Medical Journal Editors – ICMJE, namely (specify the individual contribution of each author to the article – e.g. bibliographical search, study design, data collection, analysis and interpretation of results, drafting of the article, critical reviewing of the content of the article, etc.):

Date: ______________________________

Name: _______________________________________________________________________________________________________________

Contribution: _______________________________________________________________________________________________________________ORCID id: _______________________________________________________________________________________________________________

Name: _______________________________________________________________________________________________________________

(4) Accept any type of legal action arising from the inaccuracies of previous statements.

(5) Have had access to all the data presented in the study (for original articles) and take responsibility for their validity.

(6) Have read the latest version of the article identified hereinabove and agree with its content. Be responsible for the presented results of scientific research (where applicable) and all the opinions expressed in the article.

(7) Authorize the submission to and publication by Oftalmologia of the article identified hereinabove.

Copyright assignment - CC BY-NC

We ask you to sign this publishing agreement to establish the originality and provenance of your article and to give us the non-exclusive right to publish the Version of Record of your article; you (the author) retain copyright. CC BY-NC articles allow the author, and any non-commercial bodies, to reuse the material in any way they choose, without acquiring permission from the Oftalmologia. Any reuse must give attribution to the author, usually by including a reference. Commercial users will require permission from Oftalmologia for any reuse. Authors have copyright but license exclusive rights in their article to Oftalmologia (this includes the right for the publisher to make and authorize commercial use).

Date __________________________________

Signature of the authors: Note: If the software allows the use of a digital signature, it may be used.

Name: _____________________________________________________________________________________________________________