Conflict of Interest Disclosure Form

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Title of Project
Relationship □ I (research director)    □ immediate family
□ co-author    □ person in charge
□ Other Study    Related People( )

□ Check the box
  I received 10 million won worth of expenses in the form of research funds, educational subsidies, research equipment, advice, or an honorarium for unlimited use from the supporting institution.

Total Amount :
I have been provided with rights to economic benefits, such as equity profits or stock options of the supporting organization.

Total Amount :Type :
I was provided with other equity profits or interests worth 10 million won or more than 5 percent.

Total Amount :
Type :
I have an official/informal title to the supporting body. (e.g., presidents, advisors, advisers, etc.)

Affiliation :
Position :
I have intellectual property rights to research subjects. (e.g., patents, gift certificates, licensing, royalties, etc.)

Type :
The company to which my or my spouse's immediate family belongs has the same relationship as that described above.

Kinship :

The research manager reports conflicts of interests as above.

Submission Date:

Submitted by: (Sign)

Journal of English
Teaching through
Movies and Media

Online ISSN: 2765-7078

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