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Authorship Responsibility:

First author: ______________________________________________________________________

Manuscript title:___________________________________________________________________

Manuscript Number:________________________________________________________________

Co-author(s) identification (in the order that they should appear in the manuscript):____________

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1. Author Statement of Responsibility: - By this statement I guarantee, that in case of multiple authors, they read and agreed with the terms of this statement, granting me, through their written authorization, the right to sign this statement on their behalf; - Certify that it is an original and unpublished work, that neither, partially or totally, any other work with substantially similar content, of my authorship, was published or is being considered for publication elsewhere, electronically or printed; - Certify that, if requested, I will provide or cooperate in obtaining the information data on which the article was based, for examination by the editors; - Certify that all authors have participated sufficiently in this work, holding also the public responsibility for their content. In case of articles with more than six authors, the statement must specify the type(s) of participation(s) of each author, as specified below: - It is certify that In this work, (1) I, significantly contributed to the design, planning, collection and/or analysis and interpretation of data; (2) significantly contributed to the manuscript draft and/or in the critical revision of the content, (3) Participated effectively in the approval of the final version of the manuscript.

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Signature (on behalf of all authors):

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Date:____________________________________________________________________________

Copyright Transfer:

It is stated that, in case of recommendation for publication (acceptance) of the manuscript, I agree that its copyrights shall become the exclusive property of the journal Polis e Psique, implying the prohibition of any form of reproduction, totally or partially, in any other part or means of divulgation, printed or electronic, without the request of a prior authorization that, if obtained, I will provide the proper acknowledgment to the Polis e Psique Journal from Universidade Federal do Rio Grande do Sul.

Signature (on behalf of all authors):

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