Declaration of Originality Form

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DECLARATION OF

ORIGINALITY
I(we) hereby confirm that I am(we are) the sole author(s) of the written work here enclosed and that I(we) have
compiled it in my(our) own words.

TITLE OF WORK (in block letters):

AUTHORED BY (in block letters):


If more than one (1) author, names of all authors are required.
Name(s)/Last Name(s): First name(s):

With my (our) signature I (we) confirm that


 I(we) have committed none of any forms of plagiarism.
 I(we) have documented all methods, data and processes truthfully.
 I(we) have not manipulated any data.
 I(we) have cited all persons who were significant facilitators/contributors of the work.
 I am(We are) aware that the work may be screened electronically for plagiarism.
Signature(s)
Place, Date

For papers written by more than one (1) author, the


names of all authors are required. Their signatures
collectively guarantee the entire content of the written
paper.

AN INTIATIVE OF MANAGED BY SUPPORTED BY 6

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