1. 　Form1-A　There is no state of conflict of interest requiring disclosure
The ○○th Annual Congress of the Japan Society for Transplantation COI Disclosure 　 Name of Presenter: ___________________
The authors have no financial conflicts of interest to disclose concerning the presentation.

2. Form1-B　There is a state of conflict of interest requiring disclosure
The ○○th Annual Congress of the Japan Society for Transplantation COI Disclosure 　 Name of Presenter: ___________________
Companies, etc. in a relation of conflict of interest requiring disclosure in relation to the presentation:
①Trust research/joint research funds: ○○pharmaceutical company
　　②Scholarship fund:　○○pharmaceutical company
　　③Affiliation with Endowed Department:　　yes（○○pharmaceuticals）
↑If “yes”, leave the relevant item(s) and give the name(s) of company / organization concerned. (No need to disclose the amounts. )