Form１－A　　 Japan Gastroenterological Endoscopy Society COI Disclosure 　 Lead presenter：　○○　○○ In connection with the presentation, we disclose COI with.

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Presentation transcript:

Form１－A　　 Japan Gastroenterological Endoscopy Society COI Disclosure 　 Lead presenter：　○○　○○ In connection with the presentation, we disclose COI with following companies. 　 ①Advisors :　　　　　　　　　　　EX): No or Yes(○○ Company) 　　②Shareholding / Profit :　　　 No 　　③Patent royalty :　　　　　　　　 No 　　④Speaking fee :　　　　　　　　　 No 　　⑤Manuscript fee :　　　　　　　　 No 　　⑥Funded research / Collaborative research :　 Yes　(○○Company) 　　⑦Donation towards scholarships : 　　　 Yes　(○○Company) 　　⑧Participation in endowed chair program : Yes (○○Company) 　　⑨Anything not directly related to research :　 No