CONFIDENTIAL Intellectual Property Review Form Background information on IP Management and Commercialisation may be found on the IP Commmercialisation area of the BEIS website. If you believe commercially valuable intellectual property (IP) has arisen from your research or wish to secure an IP position before approaching an industrial sponsor, please contact the University’s IP Management and Commercialisation team or the Licensing Executive responsible for your Faculty if in the UK. It may be useful to fill out the following IP Disclosure form as far as you are able to allow the IP team to evaluate the IP. Inteum No: To be completed by IP team Title of Disclosure: Choose a title that you feel is appropriate Date of Disclosure to IP team: This is the date you will submit the form to us IP Project Manager: To be completed by IP team Inventor(s) & School/Division: Please provide details of all University staff who have assisted in the development of the technology Other Inventor(s): Please provide details of anybody not employed by the University who has assisted in the development of the technology University/Sponsor/Jointly Owned: Who has rights to the IP Details of Project Sponsor or current Funding (including European funding): Who provided the funding for the research Nature of IP/Patent/Know-How: Please identify the nature of the IP Has the Invention already been disclosed outside the University?: This would include scientific publications, presentations or information provided on the internet Date of Intended Disclosure/Publication, if any: Please provided details of the nature and scope of the proposed external disclosure Agreements in Place: Please provide details of any existing legal agreements which may have an impact on the ownership and exploitation of the IP Please provide a paragraph highlighting the key details and advantages of your technology Summary of Technology: Please forward completed forms to: The IP Commercialisation Office, The Sir Colin Campbell Building, University of Nottingham Innovation Park, Triumph Road, Nottingham NG7 2TU or via e-mail: tto@nottingham.ac.uk CONFIDENTIAL Disclosure Details: Please provide a detailed description of your technology Please provide responses to the questions below: How did the invention arise? What is the problem it solves or the need it addresses? What are the key features and the main advantages over existing technologies? What is the current stage of development of the technology? Please forward completed forms to: The IP Commercialisation Office, The Sir Colin Campbell Building, University of Nottingham Innovation Park, Triumph Road, Nottingham NG7 2TU or via e-mail: tto@nottingham.ac.uk CONFIDENTIAL What potential sources of funding are you aware of to take the technology to the next stage? Do you know of any companies which might be interested in the technology? Prior Art Please provide a summary of any prior art documents (patents, publications etc.) you have identified and indicate how relevant they are. Please request assistance from the IP team if you require any help in performing a prior art search. Please forward completed forms to: The IP Commercialisation Office, The Sir Colin Campbell Building, University of Nottingham Innovation Park, Triumph Road, Nottingham NG7 2TU or via e-mail: tto@nottingham.ac.uk