Vol. XVI (No. 1) | ISSN NO. 2322-0309 Page no. 96 HARYANA JOURNAL OF OPHTHALMOLOGY | JAN-APR 2024 Plagiarism Plagiarism is direct copying of text from a previously published source in any format, without permission or acknowledgment. All articles submitted to the HJO need to be checked for possible plagiarism. It is corresponding author’s responsibility to ensure that there is nothing that amounts to plagiarism in their manuscript. If duplicative text from published sources, whether from the authors’ previous work or not, is identified without proper citation or acknowledgment, the manuscript will not be considered for peer review and will be returned to the authors. Dr. Deependra Vikram Singh MD Editor journal, Haryana Ophthalmological Society Editorial office Eye-Q Superspecialty Eye Hospitals, Sheetla Hospital, New Railway Rd, near DSD Collage, Subhash Nagar, Gurugram, Haryana 122001 EmailEditor.hjo@haryanaophthalmologicalsociety.com, drdeependravsingh@gmail.com
Vol. XVI (No. 1) | ISSN NO. 2322-0309 Page no. 97 Corresponding Author (Full name with designation details): _______________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Complete Mailing Address: ______________________________________________________ _______________________________________________ ___________________________ Email ID: ___________________________________________________ _________________ Telephone/mobile number/Fax: ___________________________________________________ _________________________________ ,on behalf of all my co-authors of the manuscript entitled ___________________________________________________________________________ ___________________________________________________________________________ declare that the submitted work is original and does not infringe upon any copyright. I guarantee that this work does not contain any material that is libelous/contentious. The authors accept full responsiblity for the views expressed in the manuscript and hereby give consent for its publication in the Haryana Journal of Ophthalmology (both print and electronic media). The authors hereby also identify any financial interests, affiliations to institutions/organization/ companies relevant to the manuscript. Financial Disclosure/Conflict of lnterest: ______________________________________________ ______________________(Write None if there is no financial interest) Signature: ___________________________________________________________________ Date & Place: _________________________________________________________________ The corresponding author is required to sign the authorship responsibility, disclosures and copyright transfer form on behalf of all authors and send form (email) to the Chief Editor. HARYANA OPHTHALMOLOGY SOCIETY COPYRIGHT TRANSFER FORM Manuscript Type Guest Editorials Review articles Original Article Surgeon’s View point Innovation and Surgical Techniques Case Series Commentaries Image under Lens Research Methodology Peek into History
Vol. XVI (No. 1) | ISSN NO. 2322-0309 Page no. 98 HARYANA OPHTHALMOLOGY SOCIETY HOS LIFE MEMBERSHIP FORM Name__________________ Date of Birth______________ Address Clinic/Hospital_______________________________________ Phone__________________ Phone___________________ E-mail____________________________________________________ Qualification Year of Passing Institution of Passing MS/MD DOMS DNB Any Other AIOS Life Member NZOS Life Member Yes/No Life Membership No. Declaration by Candidate Yes/No Life Membership No. I declare that the above details are correct to best of my knowledge. I shall abide by the regulations of the HOS in force and any subsequent amendments made from time to time. I, Dr. __________________want to become member of Haryana Ophthalmological Society by depositing a sum of Rs. 1500 by Cash/ Paytm /cheque No. _________. Date ___________ Signature of Candidate Enclosed copy of MBBS PG degree /Diploma MCI /State Medical council registration Any Other Qualification/Fellowship Aadahr We Have seen the original certificates of the doctor being recommended for membership. They Seem to be Original. Proposed by Seconded By Name, Address ,HOS no Name, Address ,HOS no Completed application form can be sent to Prof. Dr. lnder Mohan Rustagi Hon. General Secretary, HOS, Triveni Hospitals Pvt Ltd, 207/13, Subhash Nagar, Old Railway Road, Gurugram, Haryana - 122001, E-mail : indermohan.rustagi@rediffmail.com
Vol. XVI (No. 1) | ISSN NO. 2322-0309 Page no. 99
Vol. XVI (No. 1) | ISSN NO. 2322-0309 Page no. 100