Invention Disclosure Form

Project title
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Lead Researcher Contact details

Name
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Employer
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Phone
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Email
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Co-researchers / Contributors Contact Details

Names, Employers & Contact Details
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Technology description (in lay terms)

What is the technology? Why is it unique or better than other available technology? What problems does it solve?

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What are the potential applications for this technology?

Where do you see this technology being used and by who? If possible, provide examples of products, industries and target companies that you consider relevant.

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Project history

What is the date you consider the technology to have been invented? Are there complete and witnessed data records that describe and detail invention of the technology, such as lab notebooks and the like? Has the technology been presented or published in any form such as abstracts, posters, articles, lectures, discussions with third parties? How has development of the technology been funded? (include any grants and awards received or pending) Please provide information about other parties you consider to have contributed to conception or development of the technology?

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Future work

Future project development plans? Are researchers still working on the project? Do you have continuing research funds to complete key experiments? Do you have applications for funds to support the research pending? What are the key activities and resources required?

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