Author / co-author details

For each submitted abstract for the SSA 26th ASM, all authors (including all co-authors) are required to complete their own Declaration of Interest by Friday 16 January 2015. Papers missing a Declaration of Interest from all author or co-author will be withdrawn from the program.

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* 1. Abstract ID number?

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* 2. I have submitted this abstract and am the presenting author.

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* 3. Please enter your FIRST name (as it appears on the abstract).

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* 4. Please enter your FAMILY name (as it appears on the abstract).

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* 5. Position?

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* 6. Professional discipline?

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* 7. Organisation or affiliation?

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* 8. Email address?

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* 9. Please indicate below if you have any declaration of interest?

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