Company Letterhead
{{company_name}} {{company_address}} Phone: {{phone}} Email: {{email}} Website: {{website}}
Certification Statement
This certifies that I, {{employee_name}}, an employee of {{company_name}}, hereby declare that the work described below is my original work, created independently or under the direction of {{supervisor_name}} in the course of my employment.
I confirm that this work has not been copied in whole or in part from any other source, and that all sources used in the creation of this work have been properly acknowledged, where applicable. I understand that any false declaration may result in disciplinary action.
Details of the Work
Title of Work: {{work_title}}
Description of Work: {{work_description}}
Date(s) of Creation: {{start_date}} - {{end_date}}
Associated Project/Department: {{project_name}}/{{department}}
Purpose of Certification
This certificate is issued to formally document the original authorship of the aforementioned work for intellectual property management, publication, or product development purposes, as required by {{company_name}}'s policies and relevant laws.
Intellectual Property Rights
I understand and agree that, in accordance with my employment contract and the intellectual property policies of {{company_name}}, all intellectual property rights, including copyrights and patents, for the work described herein, shall belong to {{company_name}}.
Employee Declaration
I have read and understood the contents of this Authorship Certificate and confirm its accuracy.
Signature
_____________________________
{{employee_name}}
Employee ID: {{employee_id}}
Date: {{signature_date}}
_____________________________
For and on behalf of {{company_name}}
Name: {{manager_name}}
Title: {{manager_title}}
Date: {{company_signature_date}}
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