Laboratory Collaboration Conflict of Interest Statement
Collaborator Information
Full Name
Affiliation / Institution
Email Address
Project Details
Project Title / Name
Names of Collaborators
Conflict of Interest Disclosure
Please disclose any financial, professional, or personal relationships that may represent a conflict of interest regarding this collaboration:
Declaration
By submitting this statement, I declare that the information provided above is true and complete to the best of my knowledge.
Signature
Date