DDB09 – Notice of intention to submit PhD thesis Complete and return this form to: Doctoral Degrees Board Office Masingene Building Middle Campus, Room 5.04 University of Cape Town Rondebosch, 7700 Contact: Janine Isaacs Tel: (021) 650 2202 Fax : (021) 650 4913 E-mail: janine.isaacs@uct.ac.za Contact details (during examination/ graduation period) Name Address Telephone number Fax number E-mail address I hereby declare that I intend to submit my thesis for the June / December graduation ceremony. (Please delete that which is not applicable). Student number Department Supervisor/s name Supervisor/s e-mail address Thesis title Should I not be able to meet the deadlines for submission as set out in Rule GP5.3 of the General Rules and Policies Handbook, I undertake to inform the Doctoral Degrees Board Officer immediately. Note: If you submit your thesis for examination at a time other than the specified submission dates of 17 February 2014 (before 12h00) or 15 August, there may be a considerable delay before you receive the result. While every effort will be made to process the work for examination as soon as possible, the University does not however undertake to reach a decision on the award of the degree by any specific date. Please also note Rule GP5.3 of the General Rules and Policies Handbook on re-registration that stipulates that if you do not submit by 12h00 on the first day of the new academic year, you will be required to re-register. Candidate’s Signature Date Supervisor’s Signature (I support / I do not support submission of this thesis for examination) Date DDB09 14 August 2013 PhD IP Assessment Form Prior to Thesis Submission To be completed by PhD students registered in Engineering and Built Environment, Health Sciences and Science. In terms of the UCT Intellectual Property Policy and the Intellectual Property Rights from Publicly Financed R&D Act (No. 51 of 2008), it is a requirement to screen research outputs prior to public disclosure to ensure that any relevant intellectual property has been adequately protected prior to disclosure. Additional information on the Act, the IP Policy and patentability can be obtained from www.rcips.uct.ac.za. Once completed, this form will be reviewed by Research Contracts and Intellectual Property Services (RCIPS), who fulfil the role of the technology transfer office mandated by the Act. Take note of thesis copyright issues on the RCIPS website (IP for Postgrads, under Intellectual Property tab). Where necessary, it is possible for students to apply to the Doctoral Degrees Board for confidentiality of a thesis to be maintained temporarily – without affecting your graduation. This is typically associated with a need for patent protection. More details are available from RCIPS or the RCIPS website. As examiners need to be placed under non disclosure agreement this needs to be done well in advance of thesis submission. Name Date Email address Phone number Department and Faculty Thesis Title Target hand-in date Supervisor/s Abstract (may be copied from thesis) DDB09 14 August 2013 Funder Who funded the project? Ignore any bursaries or scholarships received. Patenting opportunities. Describe any IP that you feel may be worth protecting. Public Disclosure Has there already been any presentation or publication of the work? Research Materials Are there any research materials (cultures, software, etc – see IP Policy for full description) that have been developed? If so broadly describe them and indicate who will become the custodian of them if not your supervisor. RCIPS Assessment Protectable IP present? Public disclosure status Follow-up actions IP already protected? Funder issues? DDB09 14 August 2013