Elsya : Journal of English Language Studies

ISSN: 2337-6740 (Print) ISSN: 2337-6880 (Electronic)

DOI: https://doi.org/10.31849
Vol. x, No. x, 201x, pp. xx-xx
Journal homepage: https://journal.unilak.ac.id/index.php/elsya

Author Bio Statement Form

Manuscript ID
Manuscript Title
Order of Authorship
(e.g. First, second, etc.)
Author’s Full Name (No
Degree)
Active email
(recommended to be
institutional email)
Author’s ORCID ID
Link
Affiliation
Affiliation’s Address
Author’s Short Bio
Signature
Example: elsya@unilak.ac.id is better than elsya@gmail.com or
elsya@yahoo.com
Example: http://orcid.org/0000-0002-7058-0587
Note: if you do not have an ORCID ID yet, you can create your new
account by registering in https://orcid.org/
[Department/Faculty], [University/Institute], [City of the
University/Institute], [Country of the University/Institute]
Example: Department of English Education, Universitas Lancang
Kuning, Pekanbaru, Indonesia
[Complete Address], [Postal Code], [Contact/Phone]
Example: Jalan Yos Sudarso Km. 8 Rumbai-Pekanbaru, 28266,
(0761)52658,
Note: minimum of 100 words, maximum of 150 words
Note: Insert a picture of your signature/electronic signature

*Notify your co-authors (second, third, etc.) for them to write their author biodata by copying this
table and fill it out appropriately in a new page. Ignore this instruction is you are the only author of
the manuscript.

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Elsya : Journal of English Language Studies
https://journal.unilak.ac.id/index.php/elsya

Conflict of Interest Form

Manuscript Title :
All authors :

All authors must disclose any possible conflicts of interest to prevent that research work is biased or
unduly influenced by personal or financial interests that would jeopardise the impartial nature of
scientific activity. A conflict of interest occurs when an individual becomes unreliable because of a
clash between personal (or self-serving) interests and professional duties or responsibilities, such as
when the person has a vested interest—in money, status, knowledge, relationships, or reputation—
which puts into question whether their decision-making can be unbiased.

Please check the following as appropriate:

o This manuscript has not been submitted to, nor is under review at, another journal or other
publishing venue besides Elsya : Journal of English Language Studies.
o All authors have participated in (a) conception and design, or analysis and interpretation of the
data; (b) drafting the article or revising it critically for important intellectual content; and (c)
approval of the final version.
o The authors have no affiliation with any organisation with a direct or indirect financial interest in
the subject matter discussed in the manuscript.
o The following authors have affiliations with organisations with direct or indirect financial interest
in the subject matter discussed in the manuscript:

The authors whose names are listed immediately below certify that they have NO affiliations with or
involvement in any third-party organisation or entity with any financial interest (such as honoraria;
educational grants; participation in speakers’ bureaus, membership, employment, consultancies, stock
ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-
financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in
the subject matter or materials discussed in this manuscript:

Author names :

The authors whose names are listed immediately below report the following details of affiliation or
involvement in an organisation or entity with a financial or non-financial interest in the subject matter
or materials discussed in this manuscript.

Please briefly describe the nature of the conflict.

Author names :

__________________________________________________________________________________
__________________________________________________________________________________
____________________________________________________

Conflict of Interest Form 2

Elsya : Journal of English Language Studies
https://journal.unilak.ac.id/index.php/elsya

This statement is signed by all the authors to indicate agreement that the above information is true and
correct. Copy the format for multiple authors in this document.

Author's name (typed) Author's signature Date

_____________________ _________________ ___________________

Conflict of Interest Form 3