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This form applies to manuscripts submitted for the possible publication

Title: ______________________________________________________________________________________

Manuscript ID: ________________________________     Date (M/D/Y): ________________________________

Manuscripts will not be processed until the Clinical Endoscopy Editorial Office has received this signed form. Fax/Send the completed form to the Clinical Endoscopy Editorial Office.

The copyright to this article is transferred to the Clinical Endoscopy (CE) effective if and when the article titled above is accepted for publication. If the article has more than two authors, each author must individually transfer his or her right in the article to the CE by signing this form. If the article is not published in the CE, this form is void and will not take effect. If it is signed and the article is published, the copyright transfer covers the exclusive right to reproduce and distribute the article, including reprints, translation, photographic reproduction, microfilm, electronic form (offline, online) or any other reproductions of similar feature.

An author or authors may store it in his or her archive an author-made version of his/her article on his/her own website and his/her affiliated institution’s depository library, including his/her final version; however he/she may not use the CE’s PDF version which is posted on its own website. Provided permission is given to the author/authors by CE, he/she may only post his/her version of the article and a link to the original source of publication is inserted to the published article on the CE’s website.

Each author guarantees that this contribution is original and that he/she has full responsibility to make this grant. The author signs for and accepts full responsibility for releasing this content. The author should declare that, to the best of his/her knowledge and belief, this manuscript does not infringe on the copyright or other proprietary rights of any third party. The author should understand that his/her submission of this manuscript does not guarantee publication in the CE. If there are multiple authors, names will appear in the CE in the order in which you listed them during the online submission and on this sheet. Therefore, please be sure to list names according the order you want to see in the final version. Each author should sign on the following, as appropriate.