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CONFLICTOFINTEREST DISCLOSURE STATEMENT (interim form) Name in full: (First, middle initial, last): BRUCE P APPEAR Current occupation, if employed; or, retired: PROFESSOR AND EPIDEMIOLOGIST If currently
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Start by writing your first name in the designated field. This is the name given to you at birth or the name you generally go by.
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Move on to the middle initial field. If you have a middle name, write the initial of your middle name in this section. If you don't have a middle name, leave this field blank.
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Finally, enter your last name in the appropriate field. This is usually your family name or surname.

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