DECLARATION

I/We hereby declare that the work of (authors name and surname)…………………………….......
………………………………………………………………………………………………………...entitled………………………………………………………………………………………………..
………………………………………………………………………………………………………..

has never been published before (under the same or alternative title, it is not also a part of the other publication) and does not infringe copyright of other people. Simultaneously, the Author transfers to the publisher the exclusive right to publish and distribute this work in a form of a firm publication of a journal and the publication of the electronic form.

I declare, that the percentage share of individual persons in this publication is: ……………….……
……………………………………………………………………………………………...……………………………………………………………………………………………………………...…………………………………………………………………………………………………..……….… 

The information about sources of financing of the publication as well as contribution of research institutions and other entities:
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………..………… 

……………………………………								
(date and signature)

The electronic version of this signet declaration should be sent as a PDF file to the Editorial Office 
e-mail address: journalarchive@qpij.pl