Ucd Invention Disclosure University College Dublin Page 4
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4Confidential
I/we declare that to the best of my/our knowledge that the information provided in this
form is correct and complete and I/we agree to assign the intellectual property to UCD in
accordance with UCD’s Patent Policy.
Inventor Name
Signature
Date
When completed,
the form should be sent by e-mail to Dr Ciaran O’Beirne at
ciaran.obeirne@ucd.ie
with a signed original to be sent to the address below:
Dr Ciaran O’Beirne
Manager, Technology Transfer
NovaUCD
Belfield Innovation Park
University College Dublin
Belfield
Dublin 4.
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Disclosure Form
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