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International Nursing Conference

" THE ASEAN ECONOMIC COMMUNITY: STEPS UP ACTION IN HEALTH AND


NURSING IN RELATION WITH EDUCATION, SERVICES, AND RESEARCH "

Faculty of Nursing, Universitas Indonesia

Declaration Form for Abstract

I/We (Dr/Mr/Ms).............................................................................................................
(Name)

(Designation)

(Institution)

............................................................................................hereby declare that the abstract


submitted titled ...........................................................................................................................
......................................................................................................................................................
...................................................................... is an original research study conducted by me/us
and is ethically approved.
The study is not presented nor published and free of plagiarism.

Date:

Signature:

Place:

Name:

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