Form for Disclosure of Potential Conflicts of Interest
The Journal requires corresponding or first or submitting Author to file a Competing Interest (CI) statement with their submission. The journal will send a confirmation e-mail to the Corresponding or the First Author to make sure that all the information provided are authentic. The Corresponding or the First Author who has filled the form for disclosure of CI must reply to us for confirmation.
Section-1
Identifying Information
Full Name
*
Prof.
Dr.
Mr.
Mrs.
Miss
Prefix
First Name/Surname
Middle Name
Last Name
SSIRN Membership I.D.
*
If you do not have a SSIRN Membership I.D. please visit: https://www.ssirn.net/members-access
E-mail
*
Confirmation Email
ORCID iD
*
Please enter ORCID iD in URL form. Example:https://orcid.org/0000-0002-3343-abcd. If you do not have an ORCID iD get it for free from : https://orcid.org/register
Are you the corresponding author?
*
Yes
No
Corresponding Authors Full Name
Mr.
Mrs.
Dr.
Prof.
Prof. Dr
Prefix
First Name/Surname
Middle Name
Last Name
Corresponding Authors Email
Confirmation Email
example@example.com
Corresponding Authors ORCID iD
Please enter ORCID iD in URL form. Example:https://orcid.org/0000-0002-3343-abcd. If you do not have an ORCID iD get it for free from : https://orcid.org/register
Manuscript Title
*
Manuscript title should be in sentence case
Section-2
The Work Under Consideration for Publication
Did you or your institution at any time receive payment or services from a third party (government, commercial, private foundation, etc.) for any aspect of the submitted work (including but not limited to grants, data monitoring board, study design, manuscript preparation,statistical analysis, etc.)? Are there any relevant conflicts of interest?
*
Yes
No
Name of Institution/Company
Grant
A grant from an entity, generally (but not always) paid to your organization.
Personal Fees
Money paid to you for rendered services, honorarium, royalties, for lectures etc.
Non-Financial Support
Travelling expenses, Equipment, Writing support, Administrative support etc.
Other
Any thing that is not covered in previous three boxes.
Detailed information(if any)
Section - 3
Relevant financial activities outside the submitted work.
Place a check in the appropriate boxes in the table to indicate whether you have financial relationships (regardless of amount of compensation) with entities as described in the instructions. You should report relationships that were present during the 36 months prior to publication. Intellectual Property. Are there any relevant conflicts of interest?
*
Yes
No
Name of Institution/Company
Grant
A grant from an entity, generally (but not always) paid to your organization.
Personal Fees
Money paid to you for rendered services, honorarium, royalties, for lectures etc.
Non-Financial Support
Traveling expenses, Equipment, Writing support, Administrative support etc.
Other
Any thing that is not covered in previous three boxes.
Detailed information(if any)
Section - 4
Intellectual Property -- Patents & Copyrights
Do you have any patents, whether planned, pending or issued, broadly relevant to the work?
*
Yes
No
Please Explain:
Section - 5
Relationships not covered above
Are there other relationships or activities that readers could perceive to have influenced, or that give the appearance of potentially influencing, what you wrote in the submitted work?
*
Yes, the following relationships/conditions/circumstances are present (explain below):
No, No other relationships/conditions/circumstances that present a potential conflict of interest
Please Explain:
Section - 6
At the time of manuscript acceptance, SOCRATES journal will ask authors to confirm and, if necessary, update their disclosure statements. Based on the above disclosures, the form will automatically generate a disclosure statement, which you will receive via e-mail. Please save your statement.
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