1. Form１－A　　
　The 24th Annual Meeting of Japan Society of Gene and Cell Therapy 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