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AUTHORS CERTIFICATION
(All authors must sign. Please specify one author for correspondence)
To
The Editor
Journal of Surgery Pakistan
Department of Paediatric Surgery
Rafiquee (HJ) Shaheed Road,
National Institute of Child Health
Karachi-75510
Tel No: +92-21-99201261-3/204, Fax: +92-21-99201270
E. Mail: jsurgpakistan@yahoo.com Website: www.jsp.org.pk
Dear Sir
Title of Article: _________________________________________________________________________
Article Type: ___________________________________________________________________________
Name of Authors: _______________________________________________________________________
1.
2.
3.
4.
5.
6.
7.
Yours sincerely
Details of Authors
Please complete the following personal domain of Co-Authors and send in print
Author-1
Name: ___________________________________________Signature: ____________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________
-----------------------------------------------------------------------------------------------------------Author-2
Name: ___________________________________________Signature: ____________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________
---------------------------------------------------------------------------------------------------------Author -3
Name: ___________________________________________Signature: ____________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________
Author -4
Name: ___________________________________________Signature: ____________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________
===============================================================
Author -5
Name: ___________________________________________Signature: ____________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________
===============================================================
Author -6
Name: ___________________________________________Signature: ____________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________