National Institute of Technology Rourkela
Invention and Technology Disclosure Form
For Office use only
Proposal ID :____________________
NITR/IP/_____-___/___________ Date of receipt:________________
Acad yr Sl. No.
1. Detailed description of the invention
1.1 State of prior art
(a) Prevailing state of the art
(b) Literature search relating to this invention [Please include a copy of the resulting
documentation, and reprints of publications.]
(c) Prior art/patent search relating to this invention [Please include a copy of the resulting
documentation, and reprints of patent documents: if a computer database search has been resorted
to, please give the web site details and the Key Words used in the search.]
1.2 Description: (Describe the invention so that other expert who are knowledgeable in the field can evaluate its
technical and commercial merits.)
1.3 Novelty: (Highlight the features described above that make the invention novel.)
1.4 Inventiveness: (Are the novel features inventive based on 4.1(a) above; and, if so how?)
4.5 Advantages (over comparable inventions or practices):
4.6 Testing: (Has the invention been tested experimentally?)
4.7 If so, details of experimental data:
2. Funding and support
I. Was there significant use of Institute equipment and facilities? Yes/No
II. Was the invention supported by research grants/contract from external sources? Yes/No
If YES, please give details:
(a) Sponsor: _________________________________________
(b) Grant/contract no. : ____________________________________
(c) Period of grant/contract: _____________________________
(d) Principal investigator and co-investigator: ____________________
(even if they are not inventors within the purview of this document and will not share the credit
and royalties)
(e) Has the sponsor been informed of the invention? (state whether required under
grant/contract award conditions)
(f) Was the work done under any other agreement? Give details.
3. Information for protection of intellectual property rights: Conception and Disclosure
(Accurate data is required as prior disclosure may affect possibility of obtaining patent rights.)
Date References/comments
Date of conception of this invention.
Has this date been documented?
If so, where and how?
Has this invention been presented at
seminars/ discussions other than those which
form the requirement for the degree program
of the student?
Has the invention been reduced to practice?
4. Commercial potential
4.1 Possible uses or application areas or products that may embody some aspects
of the technology :
4.2 List of probable users of the technology (class of industries/organizations or
target companies):
4.3 List of probable organizations who may be interested in technology transfer
(target industries or companies or other oraganisation):
4.4 Potential marketability including commercial suggestions [viable size of industry,
equipment, raw material and manpower requirement under different skill levels,
import component, export potential, other relevant economic information]
5. Prior disclosure and possible intent:
5.1 Has the invention been disclosed to industry representatives or their parties?
5.2 Has any commercial organization shown interest in this invention? Give details.
6. Declaration:
I/We declare that all statements made herein are true to the best of my/our knowledge. I/We hereby agree
to hold the right of intellectual property of this invention jointly with National Institute of Technology,
Rourkela. National Institute of Technology, Rourkela will share any royalty income derived from the
invention with the inventor(s) according to the IP policy of the Institute in force. Intellectual Property of this
invention will be protected by National Institute of Technology, Rourkela from time to time based on its
merit and commercial viability.
Sl.No. Name Signature Date Place
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Note:
(1) A patent confers the right upon an inventor to commercially exploit an invention for a limited period
of time. Patent can be lost by disclosure of the details of an invention to the public before the filling
of a patent. Unlike copyright, patent is not an automatic right. To obtain a patent, the proposed
invention should be novel (not published elsewhere), inventive (not obvious to person familiar with
the state of art) and industrially applicable (should have utility). Once the patent is sealed, the
patentee can sue for damages anyone who attempts to exploit the patented invention without the
consent of the patentee.
(2) This document should be prepared with due care. The formal patent application will be
prepared only from the information provided herein.
(3) The completed disclosure form with annexures should be submitted to:
Chairperson, IPIC
National Institute of Technology Rourkela
