Reason For Authorship Change Form

Paper No. : _______________________
Title :____________________________________________________________________________________

Reason for Authorship Change :
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

All authors agree with this and sign as shown below;

* Authors’ signature before change

Name	: ___________________	Signature	: ___________________	Date	: __________________
Name	: ___________________	Signature	: ___________________	Date	: __________________
Name	: ___________________	Signature	: ___________________	Date	: __________________
Name	: ___________________	Signature	: ___________________	Date	: __________________

* Authors’ signature after change

Name	: ___________________	Signature	: ___________________	Date	: __________________
Name	: ___________________	Signature	: ___________________	Date	: __________________
Name	: ___________________	Signature	: ___________________	Date	: __________________
Name	: ___________________	Signature	: ___________________	Date	: __________________

Corresponding Author’s Name : ___________________
Signature : ___________________