UNIVERSITY OF PUERTO RICO, MAYAGÜEZ CAMPUS

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Coordinator of the Intellectual Property & Technology Transfer Office
The Intellectual Property and Technology Transfer Office
College of Engineering, Mayaguez, Puerto Rico, 00681-9000
www.engineering.uprm.edu/opitt
opitt@uprm.edu

PRELIMINARY INVENTION DISCLOSURE FORM

I. Inventors Information

Planning system

Name (Last Name, First Name, Initial) *

Street Adress *

Department

Phone number *

email *

Occupation

Faculty

Employee

Graduate student

Under graduate student

Independent inventor

II. Category

How far along are you in the development process of your invention?

Idea stage

Prototype

Lab test

Viable product

Conclusive results

Other:

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