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Journal of Experiential Psychotherapy Splaiul Independenței , nr

17, bl 101,sc 2, et 4, ap 29,


Romanian Society of Experiential Psychotherapy sector 5, Bucharest
- R.S.E.P. Institute – Tel/Fax 021 314 89 72
E-mail:sperpsi@gmail.com
SPER Cons Edit Publishing House

AFFIDAVIT

I, ..........................................., working

at ..................................................................................................... and currently residing
in** ......................................................................................................................................................,
e-mail address: .................................................., identified with IC series ......... no. ......................
issued by .......................... on ............................, am aware of the provisions mentioned in the article
292 of the Criminal Code*** regarding false statements and I hereby declare on my own
responsibility that the article forwarded to the Journal of Experiential Psychotherapy with the
title ......................................................................................................................................................
has never been published or sent to another national or international journal, in Romanian or in a
foreign language.
I acknowledge that the copyright for the article to be published belongs to SPER Cons Edit
Publishing House, under the aegis of the Romanian Society of Experiential Psychotherapy****.

I give this statement and sustain it.

Date Signature
..........................


To be written, apart from the institutional affiliation, also the address of that particular institution.

Full address.
***
Art. 292 - False statements: Inappropriate declaration of truth made to a state body or institution or to another unit of those referred
to in art. 145, in order to have a legal consequence for himself or for another, when, according to law or circumstances, the
declaration made serves to produce that consequence, is punished by imprisonment from 3 months to 2 years or by fine.
[Art. 145 - Public: The term 'public' is understood to mean everything regarding public authorities, public institutions, institutions
or other juridic persons of public interest, administration, use or exploitation of public property, services of public interest, and goods
of any kind which, by Law, are of public interest.]
****
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