ACKNOWLEDGEMENT PERMISSION FORM  
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Manuscript No.____________

First Author_______________

Title of work______________________________________________

Acknowledgement Permission

Authors must provide written permission/approval from all individuals mentioned by name in the Acknowledgements section of a submitted manuscript. By signing this form, any and all acknowledged persons therefore state that they have read and approved the mention of their names in the Acknowledgement section of the aforementioned paper.

Printed name____________________

Signature_______________________

Date________________

Printed name____________________

Signature_______________________

Date________________

Printed name____________________

Signature_______________________

Date________________

Printed name____________________

Signature_______________________

Date________________

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