Form1-B There is a state of conflict of interest requiring disclosure The 53rd Annual Congress of the Japan Society for Transplantation COI Disclosure Name of Presenter: ___________________ Companies, etc. in a relation of conflict of interest requiring disclosure in relation to the presentation: ①Trust research/joint research funds: ○○pharmaceutical company ②Scholarship fund: ○○pharmaceutical company ③Affiliation with Endowed Department: yes(○○pharmaceuticals) ↑If “yes”, leave the relevant item(s) and give the name(s) of company / organization concerned. (No need to disclose the amounts. )