1. Japan Society of Ningen Dock COI Disclosure First author: ○○ ○○
Form 1-B: When there is conflict of interest to declare in a presentation at an Annual Scientific Meeting
Japan Society of Ningen Dock COI Disclosure　 　 First author: ○○ ○○
In connection with the presentation, I disclose COI with the following companies/organizations: (i) Consultation fees: None (ii) Stock ownership/profit: None (iii) Patent fees: None (iv) Remuneration for lecture: ○○ Pharmaceuticals, Inc. (v) Manuscript fees: ○○ Pharmaceuticals, Inc. (vi) Trust research/joint research funds: None (vii) Scholarship fund: ○○ Pharmaceuticals, Inc. (viii) Affiliation with Endowed Department: None (ix) Other remunerations including gifts: None