Form1 （Example : If there is NO state of conflict of interest requiring disclosure） 18th WCBIP/WCBE COI Disclosure 　 Name of Lead Presenter: __________________.

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Form1 （Example : If there is NO state of conflict of interest requiring disclosure） 18th WCBIP/WCBE COI Disclosure 　 Name of Lead Presenter: __________________ There are no companies, etc. in a relation of conflict of interest requiring disclosure in relation to the presentation.

18th WCBIP/WCBE COI Disclosure Name : __________________ Form2 (Example: If there is a state of conflict of interest requiring disclosure) 18th WCBIP/WCBE COI Disclosure Name : __________________ Companies, etc. in a relation of conflict of interest requiring disclosure in relation to the presentation: 1. Advisor: PPP Pharmaceutical Industries (*Indicate "None" if not applicable.) 2. Stock ownership/capital gain: QQQ Pharmaceuticals 3. Patent royalties: RRR Pharmaceutical Industries 4. Honoraria: SSS Pharmaceuticals, TTT Pharma 5. Writing fees: UUU Pharmaceutical Industries 6. Grants for commissioned/joint research: VVV Pharmaceuticals 7. Scholarship grants: XXX Pharmaceuticals 8. Endowed chair: YYY Pharmaceuticals 9. Gifts or other forms of compensation: ZZZ Pharmaceutical Industries