352x Filetype DOCX File size 0.07 MB Source: web.cut.ac.cy
Version 03/2015
Form E/4
To be submitted to the following address upon completion:
INTENT
Address
Tel:
For INTENT use only
Responsible Date Reference
Cyprus University of Technology
Software and Copyright Disclosure Form
Office of INnovation and TEchNology Transfer (INTENT)
See the instructions on the back of this form.
For invention or technology disclosure, use the invention and technology disclosure form
1. TITLE OF SOFTWARE/WORK
2. DESCRIPTION OF SOFTWARE/WORK
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Version 03/2015
Form E/4
To be submitted to the following address upon completion:
INTENT
Address
Tel:
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Version 03/2015
Form E/4
To be submitted to the following address upon completion:
INTENT
Address
Tel:
3. AUTHORS
3.1. List the names of all persons who have contributed intellectually to this software/work
Full Name (given name(s) and last Inventive Contribution (%) Affiliation (if not employed by
name) the University)
Total 100%
3.2. Employment status during the software/project development period
Full Name Department Employment Status Funding Source Date Date
(given name(s) (or other entity (e.g. employee, for Employment (From) (Until)
and last name) if not affiliated student, professor)
with the
University)
4. FUNDING SOURCES FOR THE SOFTWARE/PROJECT
4.1. Sources of funding
Sponsor(s) Principal Researcher Project ID and Name Completion Date
4.2. Other corporate relationships pertaining to this work
4.3. Use of university resources
If there is no contract or research agreement, has there been significant use of university resources as defined
in the "Policy of the Cyprus University of Technology on the Ownership, Transfer and Commercial Exploitation
of Intellectual Property"? ☐ Yes ☐ No
5. PUBLICATIONS, DESCRIPTION OF EVENTS AND RIGHTS PROTECTION
5.1. Events
Event Date Reference/Written Record/
Comments
1. Year(s) of first completion of the code/work
2. Year(s) of first publication of the code/work
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Version 03/2015
Form E/4
To be submitted to the following address upon completion:
INTENT
Address
Tel:
3. Demonstration within the University. Please
indicate the target audience/department.
4. Demonstration outside the University. Please
indicate the target audience/organisation.
5. Who has a copy of the code/work?
Provide name/department/organisation.
If no one has a copy, please note it.
6. Is the code part of a publication? Give the first
publication (include theses, and submission
dates)
7. Other disclosures e.g. submission to any
database, poster etc.
5.2. Does your work include a copyright protection notice? ☐ Yes ☐ No
If yes, reproduce it below.
5.3. Does your work include a sponsorship acknowledgement? ☐ Yes ☐ No
If yes, reproduce it below.
5.4. Does your work include creator(s) acknowledgement? ☐ Yes ☐ No
If yes, reproduce it below.
5.5. Does your work contain work(s) of third parties? ☐ Yes ☐ No
If yes, explain below.
5.6. Is your software/work a modification or an improvement of an existing software/work?
☐ Yes ☐ No
If yes, please indicate the existing software/project and its author(s).
5.7. Do the creators wish to distribute their software via an open source license?
☐ Yes ☐ No
If yes, indicate the desired license (e.g. GNU GPL) or describe the desired terms and conditions below.
6. COMMERCIAL ISSUES
6.1. Describe the audience/users for whom the software/work was developed
6.2. Companies that may be interested in your project
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