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Submission Statement

Please fill the form completely. Incomplete forms will lead to delays and result in manuscript being returned.
This form has to be signed by ALL authors. Electronic signatures will not be accepted; authors must sign by hand.
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Multiple form pages can be used if necessary.
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Manuscript Title:

Article Type (Please Select): Original

Corresponding Authors Name:

Authors Contributions
Please insert below the detailed contributions made by each author. Examples may include literature search, study
design and concept, questionnaire design, data collection, data analysis, data interpretation, drafting, etc.

The current ICMJE authorship criteria, of which all four criteria must be met for authorship, are as follows:
1. Substantial contributions to the conception or design of the work; or the acquisition, analysis, or
interpretation of data for the work; AND
2. Drafting the work or revising it critically for important intellectual content; AND
3. Final approval of the version to be published; AND
4. Agreement to be accountable for all aspects of the work in ensuring that questions related to the
accuracy or integrity of any part of the work are appropriately investigated and resolved

Disclaimer
Please declare below if the abstract has been previously presented or published in a conference, or other relevant
information. Ensure that this statement is also present in the manuscript at the end of the text and before the
references.

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Conflict of Interest
Please declare below whether there are any financial, personal, or professional interests that could be construed
to have influenced the work. Ensure that this statement is also present in the manuscript at the end of the text and
before the references.

Are there any conflicts of interest to disclose? Yes No

If yes, please give details in the box below.

Funding Disclosure
Please disclose funding sources and their roles below, if any, regardless of the amount of compensation.
Authors must also describe what role their financial sponsors played in the design, execution, analysis and
interpretation of data, or writing of the study. If they played no role the authors should state this.
Ensure that this statement is also present in the manuscript at the end of the text and before the references.

Do you have any funding sources to disclose? Yes No

If yes, please give details in the box below.

Copyright Statement

We agree that upon acceptance by Journal of the Pakistan Medical Association, all copyright ownership for the
article is transferred to the Journal of the Pakistan Medical Association.

Undertaking

The undersigned stipulate that the material submitted to Journal of the Pakistan Medical Association is new,
original and has not been submitted to another publication for concurrent consideration.

The editors of Journal of the Pakistan Medical Association have the right to suggest changes, hold or reject from
publication at any stage. The editor also holds the right to retract any article on account of ethical misconduct after
the printing of any article, according to the guidelines of Committee of Publication Ethics (COPE).

We attest that any human and /or animal studies undertaken as part of the research from which this manuscript
was derived are in compliance with regulation of our institution(s) and with generally accepted guidelines
governing such work.

We further attest that we have herein disclosed any and all financial or other relationships which could be
construed as a conflict of interest and that all sources of financial support for this study have been disclosed and
added in the manuscript.

We certify that we have viewed the publication charges, and would pay the required publishing fee in case our
manuscript is accepted.

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Author Details and Signatures*

1. Full Name: Highest Degree/Year of Study if Undergraduate:


Current Affiliation:

Email Address: Phone Number:


Signature: Date:

2. Full Name: Highest Degree/Year of Study if Undergraduate:


Current Affiliation:

Email Address: Phone Number:


Signature: Date:

3. Full Name: Highest Degree/Year of Study if Undergraduate:


Current Affiliation:

Email Address: Phone Number:


Signature: Date:

4. Full Name: Highest Degree/Year of Study if Undergraduate:


Current Affiliation:

Email Address: Phone Number:


Signature: Date:

5. Full Name: Highest Degree/Year of Study if Undergraduate:


Current Affiliation:

Email Address: Phone Number:


Signature: Date:

6. Full Name: Highest Degree/Year of Study if Undergraduate:


Current Affiliation:

Email Address: Phone Number:


Signature: Date:

*(Use extra pages if required; Please notify the journal in case of any changes in the contact details)

Corresponding Author Declaration


[signature]
I, .., the corresponding author of this manuscript, certify that all the
information given above is correct and approved by all co-authors.

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