FOLIA MEDICA INDONESIANA No. Reg.

Artikel : F0
p-ISSN 2355-8393

PERMOHONAN PEMUATAN NASKAH

Kepada yth.
Ketua Redaksi
Folia Medica Indonesiana
Gramik, Fakultas Kedokteran
Universitas Airlangga

Dengan hormat,

Bersama ini kami mengajukan naskah dengan judul :

untuk mendapatkan pertimbangan dimuat pada jurnal Folia Medica Indonesiana.

Pernyataan orisinalitas dan penyerahan copyright atas naskah dengan judul tersebut
kami sertakan terlampir.
Demikian atas perhatian Redaksi kami sampaikan terima kasih.

__________, __________________ 20 __

Corresponding author,

( _________________________ )
FOLIA MEDICA INDONESIANA No. Reg. Artikel : F3
p-ISSN 2355-8393

DISCLAIMER
We hereby, authors of paper submitted to Folia Medica Indonesiana entitled :

Truthfully declaring that :

1. Paper with above title does not contain fabricated and/or falsified data. All
data in the paper are true.
2. Paper with above title does not contain plagiarized content. The paper will be
subjected to any system that allow the scrutiny of the originality of the paper
to rule out possibility of plagiarism. Any indication of plagiarism may lead to
the rejection of the paper.
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ethical committee regarding their research reported in above paper.
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peer review that will take certain time before the paper being declared as
eligible to publish and the acceptance letter of the paper is issued.
9. All consequences caused by unrighteousness of this disclaimer are all on
authors’ responsibility.

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