CONFIDENTIAL INVENTION DISCLOSURE NOTIFICATION FORM Office use (filled out by Innovation Services) Receiving date / /20 Request to complete, date / /20 Received with sufficient information, date / /20 Record entry Dno /03.03.03/ This invention disclosure notification form is intended for notifying of inventions, software (when applicable) and innovation ideas created at the University of Eastern Finland. Further information on how to fill out this form can be obtained from Innovation Manager or Business Development Advisors at Entrepreneurship and Innovation Services, and inventors are requested to contact them already before filling out the form to ensure that the invention disclosure notification form will contain sufficient information. 1. Title of the invention and key words 2. Names and dates of birth of the inventors, their shares of the invention, their view of the type of research in which the invention was created, and their roles in the creation of the invention Name Date of birth (dd.mm.yyyy) Share (%) Type of research (O, C, U, E) Role of the inventor in the creation of the invention and in the project; participation and invention-related contribution at different stages of the invention 1. 2. 3. 4. 5. Types of research O = Open research C = Collaborative research U = Under other circumstances E = External inventor 3. Brief description of the invention Short description of the invention (max. 5 lines). To which problem is the invention a solution to, what does it relate to and what are its advantages? UNIVERSITY OF EASTERN FINLAND CONFIDENTIAL 4. Detailed description of the invention (on a separate appendix) A more detailed description of the invention is given on a free format appendix, which should contain sufficient information in order for the university to evaluate the invention. The following questions should be answered in the detailed description: To which problem the invention provides a solution? How has the invention been implemented and what is its current development stage? Principle of the invention, e.g., how does the described method and/or device work? The appendix should include all the available invention-related figures, drawings, data, test results, etc. Describe any known/published solutions to the problem, i.e. what is the prior art in the field of the invention, and what benefits/problems the invention has in comparison to previous solutions/prior art? What are the economical, technical or commercial benefits of the invention? What is the added value of the invention and its commercial potential? What other applications the invention has? Identify the primary and most important one. 5. Invention-related agreements E.g. agreements pertaining to research, confidentiality, transfer of materials; enclose when necessary. Agreement / name of the project Parties Record entry (Dno) 6. Invention creation date and how this can be verified 7. Planned invention-related publications, manuscripts and theses with timetables, need for publishing No invention-related information or material may be published during the processing of the invention disclosure notification without a written consent of the university (Entrepreneurship and Innovation Services). 8. Inventors’ view of the type of invention, its novelty and development stage Type/ nature of the invention Apparatus/product Method/process Method and apparatus Software-implemented invention Technological novelty of the invention The invention improves/enhances the use of current technology The invention enables a new application of current technology The invention represents new technology or is a completely novel UNIVERSITY OF EASTERN FINLAND Development stage of the invention The invention is at the idea stage, preliminary results/data, or test results The invention has been verified in laboratory A functioning/ ready prototype/ demo of the invention has been built CONFIDENTIAL Computer software Other, which? solution Other, which? Other, which? Do the inventors think that the invention is patentable in Finland? Yes No, e.g. computer software, scientific discovery or theory, mathematical methods, etc. Research groups and/or publications of prior art in the field of the invention which are known to the inventors: 9. Estimation of the commercial exploitability of the invention and the necessary measures (preliminary exploitation plan) The inventors’ estimation of the current commercial development stage of the invention and of the required development measures or other measures needed for the commercialisation of the invention. Which companies/sectors might be interested in the invention? Estimation of the market and customers of the invention, and of its potential applications and fields of application. 10. Contact information and signatures of the inventors By signing this information disclosure notification form, the inventors authorise the University of Eastern Finland to engage in invention-related confidential negotiations and to obtain expert statements, if the University of Eastern Finland does not already have this right by the Act on Inventions at HEI or by agreements relating to the invention. The university shall ensure that the parties and experts are obliged to observe confidentiality. The inventors also commit to delivering and signing all the necessary documents and helping the university to the best of their ability during a possible protection process. All inventors of the University of Eastern Finland shall sign the invention disclosure notification. The inventors assure that the information pertaining to the invention and inventors given in this invention disclosure notification is correct and complete. We hereby authorise inventor_____________________________ to represent us and act as a contact person, and engage in invention-related negotiations with the University of Eastern Finland. Name Unit 1. 2. 3. 4. UNIVERSITY OF EASTERN FINLAND Home address Telephone and email Date Signature CONFIDENTIAL 5. Please return this form in a closed envelope to Innovation Manager or Business Development Advisor. Kuopio campus: Joensuu campus: Innovation Manager Jari Luostarinen [email protected] 040 547 5882 Business Development Advisor Matti Höytö [email protected] 040 354 5916 Business Development Advisor Irina Lavikainen [email protected] 050 400 1539 UNIVERSITY OF EASTERN FINLAND
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