Confidential Page 1 of 7 Software Disclosure for Software Developed by Employees of ETH Zurich Software Name Software Developers should use this Software Disclosure form to summarize the key data of their developed software at ETH Zurich for ETH transfer. This information will be treated confidentially and will be used to clarify the further exploitation of the software. Not every software that is developed at ETH Zurich needs to be disclosed to ETH transfer, but for every software that shall be licensed to third parties this form should be filled out. Please complete the form as fully as possible and send it to: ETH Zurich ETH transfer, HG E 43-49 Raemistr. 101 8092 Zurich Detailed instructions on completing the form are given in the Annex. Further information is also posted on www.transfer.ethz.ch/. Should you have any questions, please call us on 044 632 23 82 or write an e-mail to transfer@sl.ethz.ch. Your invention will automatically be reviewed for the “Spark Award“: ETH transfer will celebrate the most promising invention of the year based on a thorough evaluation of the originality, patent strength and commercial potential. The winner(s) will be presented with the Spark Award as a symbol of the inventive spirit and the innovative strength of ETH-Zurich’s scientists. Confidential Page 2 of 7 1. Developer(s) Please copy this page. It should then be completed in full by each person involved in the invention. Personal details Male Female Surname Forename Title Affiliation (responsible professor/Institute) Telephone Fax E-mail Private address: Street and Number Post code and City The software was developed within the scope of: PhD thesis Bachelor/Master project Academic research Other: The software was devised within the scope of the employment agreement with ETH Zurich, therefore ETH Zurich has the commercial exploitation rights Yes No By submitting this software disclosure I declare that I and, if applicable, the other developers mentioned in this Software Disclosure are the only developers of the Software. No other developers are known to me. No further dependencies are known to me except those outlined in Section 5. My contribution to the Software is as follows: All developers have contributed equally xx% (must add to 100% for all developers together) Developers of software that is commercialized are normally entitled to a share of one third of the net income. The individual share will be calculated according to the above contribution,. I am aware that my share will be paid to my salary account as long as I am employed by ETH Zurich. In order to guarantee payments, any changes of address have to be reported within 30 days, referenced by the ETH transfer case No., to: ETH transfer, Raemistrasse 101, CH-8092 Zurich Software may be published as Open Source or Freeware which would most likely impede or substantially limit any direct revenues for me. I agree to such free publication of the software: Yes No I am the contact person for any questions from ETH transfer (only one Developer) I hereby confirm that I have read the complete Software Disclosure and am in agreement with it. Place: Date: Signature: Please sign and date this form, then send it, together with documents describing the invention, to: ETH transfer, ETH Zurich, HG E 48.2, Rämistr. 101, 8092 Zurich; Tel.: +41 (0)1 632 23 82 Confidential Page 3 of 7 2. Details of the Software a) Software Name b) Short Description c) Value Proposition of the Software Explain why you believe that the software should be commercialized and why it differs from other software that is available on the market. d) Technical Background Which programming language(s) was/were used? Indicate the technical requirements to run the software (hardware, OS, special middleware or software licenses, such as Matlab etc.) 3. Development and Licensing Status a) Development status The software exists as: Concept, Code pieces Beta Test Research Tool for Academics Ready to License Product (off the shelf, contains GUI etc.) Other: Status of the project in connection with the software: Project completed Project will go on at ETH Project will continue together with an external partner b) What is the desired or most likely licensing scenario? Open Source License Non-exclusive License or License to Software Reseller Academic Use Exclusive License to Company Other c) Do you already have contacts with (a) potential licensee(s)? If yes, who? d) Could an exclusive license be given, or would this obstruct your research in the future? e) Do you wish to exploit the software yourself by founding a company? Please sign and date this form, then send it, together with documents describing the invention, to: ETH transfer, ETH Zurich, HG E 48.2, Rämistr. 101, 8092 Zurich; Tel.: +41 (0)1 632 23 82 Confidential Page 4 of 7 4. Publications Publications, especially publications of results that were achieved with the software can be a great means to advertise the software. However, filing a patent application based on the software is only possible BEFORE such publication, including oral presentations. Are parts of the software or its underlying ideas/results published or were they presented at a conference? Publications in conjunction with software No Yes Planned No yes Date submitted: Planned date of submission: Date placed online: Planned date of online placement: Date published in print: Planned date of publication print: Date oral disclosure: Date oral disclosure: Remarks, Referemces: Do you believe that the underlying ideas of the software should be patented? Yes No 5. Dependencies of the Software Could any rights to the software be held by third parties? a) Third Party Code and/or Research Collaborations Please detail persons, companies or organizations external to ETH that were involved in the research leading to the software, or any third party code that was used or included, for the development, modified or not. No research collaboration Person/organization/company Type of involvement Extent of involvement Remarks: b) Open Source Code Please detail any Open Source Code or Libraries that were included in the software, modified or not. No open source code used Copyright Holder Name/Extent of Code License type (GNU, BSD etc.) Remarks: Please sign and date this form, then send it, together with documents describing the invention, to: ETH transfer, ETH Zurich, HG E 48.2, Rämistr. 101, 8092 Zurich; Tel.: +41 (0)1 632 23 82 Confidential Page 5 of 7 c) Financial support Please specify all sources of funding external to ETH (Swiss National Fund, foundations, companies, other organizations) that have financially supported the research leading to the Software. No involvement of funding sources outside the ETH Organization Purpose of funding Extent of funding Remarks: General remarks/Comments Assessed by Professor Place: Date: Signature: 6. Enclosures The following documents have been appended to the Software disclosure: Separate description of the Software Developer’s own papers/publications in the domain of the Software Please sign and date this form, then send it, together with documents describing the invention, to: ETH transfer, ETH Zurich, HG E 48.2, Rämistr. 101, 8092 Zurich; Tel.: +41 (0)1 632 23 82 Annex Page 6 of 7 Explanations about the Software Disclosure Usage and exploitation rights of software developed by employees of ETH Zurich in the course of performing their professional duties are the property of ETH Zurich (Employee inventions, Art. 332 Civil Code in conjunction with Art. 6 para. 2 Swiss Federal Employee Law). Contractual agreements with third parties within the scope of cooperative research projects are not subject to this condition. If neither the Vice President for Research and Industrial Relations (VPFW) nor the professorships involved are interested in exploitation of the software, the VPFW may transfer the rights to the software to the developer(s) in writing. The guidelines for the exploitation of research results at ETH Zurich (exploitation guidelines) regulate the economic exploitation of research results at ETH Zurich, especially of inventions and computer programs, and are mandatory for all employees of ETH Zurich. Other intangible assets such as marks or designs are to be treated analogously. Completing the form “Software Disclosure for Software developed by employee’s of ETH Zurich”: This Software Disclosure form specifically asks for all necessary details of the software that shall be commercialized or exploited. Please try to answer all the questions as fully as possible, even if you have already found a licensee. Your answers will help ETH transfer in its initial assessment of the software and possible ways for its exploitation. However, the form cannot replace the subsequent individual discussion. 1. Developer(s) Developers are those persons who have made any contribution to the software. The individual percentages may reflect if this contribution was significant or not. Therefore, page 2 of the invention disclosure should be completed separately and signed by each developer, who shall also state his/her contribution to the software and whether he/she is employed by ETH and he/she shall confirm to have read the complete invention disclosure and agrees to it. 2. Details of the software ETH transfer shall use the documents that you have submitted to obtain a preliminary overview of the software. Please indicate the primary purpose of the software and how it is used. Indicate any special hard- or software environments that are necessary to use the software. 3. Development and Licensing Status To assess the commercial potential and the best way to license the software, please provide us with your estimation. If it is already more or less clear who will license the software, indicate this in this section, as well. In the case of exclusive licenses, but also in the case of open source licenses or similar, further activities of your research group with industrial partners may be affected. Therefore, please tell us what your personal future plans are for this software. 3. Commercial exploitation Not every software that is developed at ETH Zurich needs to be disclosed to ETH transfer, but any software that shall be licensed to third parties. 4. Publications Publications can be a way to advertise the software and the feedback you receive are good indicators as to how the software can be successfully exploited. Therefore, please indicate all publications and oral presentations of the software or of results that were achieved with the software. If the software solves a technical problem in a non-obvious manner, it may be patentable under certain circumstances. If this is successful, not only is the source code protected from being copied, but also the Please sign and date this form, then send it, together with documents describing the invention, to: ETH transfer, ETH Zurich, HG E 48.2, Rämistr. 101, 8092 Zurich; Tel.: +41 (0)1 632 23 82 Annex Page 7 of 7 underlying ideas. If you believe that this should be done, we will discuss it further. It is especially important, in this case, that you fill out this section carefully. 5. Dependencies of the Software In order to ensure that commercial exploitation is not impeded by third party rights, you should make clear if 1. You have included or used code of a third party, whether open source or not, whether due to research collaborations or not, whether from industry, academia or private individuals. Even, if you have modified the code before incorporating it. 2. You have used any code or parts of code published under open source licenses. Some open source licenses, especially GNU public licenses (GPL) or similar, have certain copyleft clauses that strongly affect the terms under which any derived software may be licensed. 3. You have been inspired by other third party software the source code of which you had access to. Please sign and date this form, then send it, together with documents describing the invention, to: ETH transfer, ETH Zurich, HG E 48.2, Rämistr. 101, 8092 Zurich; Tel.: +41 (0)1 632 23 82