UPD TM Semi-Commercial License Request

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for UP Diliman Unit, UP Diliman-Accredited Student Organization or UP Diliman-Affiliated Organization ONLY. For inquiries, please call the UP Diliman OVCRD IP & Technology Transfer Unit at 981-8500 loc. 8763 or 4045, or e-mail us at techtransfer.ovcrd@up.edu.ph.

Name of Organization/Unit *

Name of Director/President *

Name of Faculty Adviser *

Office Address/College where based *

Contact No. *

E-mail Address *

Title of the Event/Activity/Project *

Please provide details about the Event/Activity/Project where merchandise will be used.

Purpose of the Event/Activity/Project *

Fund-raising for the organization

Non-profit/use in official shirts of the organization/unit

Commercial

Other:

Start Date of Activity *

YYYY

End Date of Activity *

The Actual Sales Report and Royalties will be due 1 month after the end date of the activity. For Student Organizations, activity periods may not go beyond one semester. Please request for renewal if you wish to extend your activity.

YYYY

Name of Contact Person *

UP ID (Employee or Student) No. *

Contact No. *

E-mail Address: *

UP trademark/s to be used *

Please check all that apply

UP Seal, Name and/or derivatives

Oblation

UP Fighting Maroons

Other UP names

Other UP icons

Other:

Required

Merchandise where UP mark/s will be used *

Please check all that apply.

T-shirts, hoodies, and other apparel

Bags

Lanyards, bag tags, and other accessories

Notebooks and other stationeries

Uniform

Campaign materials

Other:

Required

Means of selling *

Please identify where you will be selling the merchandise (online, boutique, etc.). Provide the URL or store name if possible.

Supplier Details *

Please provide the business name, contact no., and address of the supplier who will print/produce the merchandise.

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