Invention Disclosure Form Page 2

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IP Office –NUST
a. Has the invention been reduced to practice?
b. Comments, if any, on conception of invention and/or first written description:
8. INVENTOR {1} or {2}:
Name:
Residence address
Citizenship
9. DATE OR PRODUCT TESTING AND RELEASE
Alpha testing:
Beta testing:
General release or sale:
Offers for sale:
COMMENTS on product testing and release:
10. DISCLOSURE OF INVENTION
Has there been any disclosure or use of the invention by the public?
When and to whom?
Under a non-disclosure agreement?
Please attach a copy of disclosure.
11. INTERNAL DISCLOSURE (s)
First internal disclosure date:
Name of first person to whom invention was disclosed:
COMMENTS about first internal disclosure:
12. ARTICLE (S)
Have any article been published?
Details about publication of articles (s)
Please attach a copy of the publication article.
13. ADVERTISEMENTS, PRESS RELEASES AND PRODUCT
ANNOUNCEMENTS
Any ads, press release or product announcements?
Details about publication of article(s)
Please attach a copy of the published article.
14. OUTSIDE DISCLOSURE (S)
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