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APPLICATION FORM (Stage I) APPLICATION FORM (Stage II)

Instructions

  • Please make your answers complete, clear and accurate.
  • Please do not divulge any sensitive or proprietary information.
  • To fill in Stage II form, click the Stage II link above
  • Click on "Example" to help structure your answer.

Brief Name of Innovation
(Example)
Contact Information
Name of the Inventor
Company/Insitution/Laboratory
Role in Company/Institution/Laboratory
Email address
Telephone Numbers
Mobile Telephone
Fax
Mailing address
City
Name of Alternate Contact (if applicable)
Title or role in technology development

Company
Email address
Telephone
Mobile Telephone
Fax
Mailing Address
Technology Description
 
1) What is the technology? (i.e.: device, vehicle, process, chemical, biological, drug, treatment, material, software, algorithm, database, electronic circuit, communication protocol, sub-component, etc.)
(Example)
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2) What does the technology do? (Explain what your technology does in non-expert language--as if you were speaking to an elementary school class. Do NOT describe how it works.)
(Example)
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3) What applications and industries is this technology designed to be used in?
(Example)
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4) Explain the specific problem(s) or situation(s) this technology was created to address or solve?
(Example)
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5) Why is it better? How much better is it? (What specific improvements or benefits does this innovation provide over the present state-of-the-art or most common solutions. Please quantify the improvement when possible.)
(Example)
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6) Why do you think it was important to create this technology?
(Example)
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Intellectual Property Status
7) Have you filed for Intellectual Property (IP) protection?
yes If "no" do you plan to? when?
no
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8) What countries do you have IP protection?
India
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US
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List other countries, if any, & patent status:
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Development Status
9) What is the development stage of this innovation?
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If Other (Please explain):
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To what extent has it been tested?
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10) Number of months you estimate before innovation is completely developed and ready for intended end-user?
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Additional Information
11) Is there anything else you would like us to know regarding this technology?
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