Author Statement Form:
Manuscript Originality and Copyright Transfer Agreement Mutiara Medika: Jurnal Kedokteran dan Kesehatan (MMJKK)
ISSN: 2614-0101 (online) & 1411-8033 (print) https://journal.umy.ac.id/index.php/mm/index

Name of Principal/Corresponding Author*

Nita Damayanti 
Address of Principal/Corresponding Author*
Department of Dermatology and Venereology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Gedung Radiopoetro lantai 3, Jl. Farmako Sekip Utara, Senolowo, Sinduadi, Kec. Mlati, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55281, Indonesia
Telephone*
082332919995
E-mail*
nitadamayanti91@gmail.com
Fax*
-
All author(s) name*
Nita Damayanti
Niken Indrastuti
Date of submitted*
10 Juli 2021
Manuscript title*

Cutaneous manifestations of breast cancer patients in combination capecitabine and lapatinib chemotherapy

(1) Declare that the article above is original. my own thoughts not translated, and has not been published elsewhere or currently not in the process of other journal publications. I am willing to be responsible if there are parties who feel disadvantaged privately and/or based on a lawsuit in the future by the publication of this article.
(2) I also declare that any and all rights in and to the article including, without limitation, all copyrights are transferred to Mutiara Medika: Jurnal Kedokteran dan Kesehatan (MMJKK). Therefore, the copyright transfer hands it the power and authority to edit, reproduce, distribute copies, and to publish the article partly or fully.

Corresponding Author’s Name & Signature Date   10 July 2021




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