Authorship Agreement Form

Guidelines
DATE

“Authorship credit should be based only on 1) substantial contributions to conception and design, or
acquisition of data, or analysis and interpretation of data; 2) drafting the article or revising it critically for
important intellectual content; and 3) final approval of the version to be published. Conditions 1, 2, and 3
must all be met. Acquisition of funding, the collection of data, or general supervision of the research group,
by themselves, do not justify authorship.”

Authorship contributions for the manuscript entitled, “[Insert Title Here]” are as follows:

Conception and design

Insert names under each section indicating responsibility
Acquisition of the data

Analysis and interpretation of the data

Drafting of the article

Critical revision of the article for important intellectual content

Final approval of the article

Provision of study materials or patients

Statistical expertise

Obtaining of funding

Administrative, technical, or logistic support

Collection and assembly of data

Therefore, the order of authorship is:

1. [First Author] _____________________________________________

2. [Second Author] _____________________________________________

3. [Third Author] _____________________________________________

4. [Fourth Author] _____________________________________________

5. [Fifth Author] _____________________________________________