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Journal of Surgery Pakistan

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: _______________________________________________________________________

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I/We enclose of the above manuscript for possible publication in JSP.


I/We agree to its peer review.
Editorial changes may be made as necessary in editors discretion.
I/We certify that it is a new manuscript. Subject matter of this paper has not been published,
wholly or in part, nor has it been and neither will be submitted for publication elsewhere
while it is under consideration of JSP.
I/We hereby transfer the ownership and copyright of this article to JSP.
I/We shall abide by the policy and regulation of JSP.
I/We shall intimate changes of address promptly.

Yours sincerely

Signature of correspondence authors

Please complete the following personal domain and send in print


Name: ________________________________________________________________________________
Designation & Qualification: ______________________________________________________________
Address (Res.): _________________________________________________________________________
(Hosp): ________________________________________________________________________
Tel: No. (Hosp)_________________________________________ Mobile: _________________________
Res. _________________________ E. Mail address: ___________________________________

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: ___________________________________

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