Example The Japanese Society of Pediatric Hematology and Oncology COI Disclosure Information Name of the Speaker I have the following financial relationships to disclose. Leadership position/advisory role for: XXXX, Inc. Stockholder in: YYY Corporation, ZZZ Corporation Patents and royalties from: YYY Corporation Honoraria(lecture fee) from: None Honoraria(manuscript fee) from: None Grant/Research funding from: YYY Corporation Other remuneration from: WWW Corporation Employee of: ZZZ Corporation Example The Japanese Society of Pediatric Hematology and Oncology COI Disclosure Information Name of the Speaker I have no financial relationships to disclose.
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