SRM INSTITUTE OF SCIENCE AND TECHNOLOGY
KATTANKULATHUR – 603203
Application for patent filing
D D M M Y Y Y Y
Date
Name of the
Faculty
Department
Faculty ID Number
Official E-mail ID
Major area of
invention
Narrow focus area
of invention
Title of the
invention
Earlier status of
research
How different your
invention from
similar research /
others - Novelty?
Possible domain
for field
application
Possible sector for
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SRM INSTITUTE OF SCIENCE AND TECHNOLOGY
KATTANKULATHUR – 603203
commercialization
Faculty Signature with date :
HoD Remarks / Recommendation for :
filing patent
Application received by :
The Review committee on
Review committee remarks :
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SRM INSTITUTE OF SCIENCE AND TECHNOLOGY
KATTANKULATHUR – 603203
Invention Disclosure Form
To be filled by the inventors
Please provide highly relevant information for details asked below and use
consistent language while describing the specific feature or element in the
invention disclosure.
1. Title of invention (Please indicate a title for the invention and technology of the
invention)
2. Describe the invention. (Please describe specifically about the general purpose of
invention. Is the invention a new process, device of product, system, software or a
combination of these elements?)
3. Does the invention provide a new use of or improvement to an existing product
or process? (Highlight the use or improvements from the existing with recent and
relevant references)
4. State the Novelty of the invention and specify the claims in the invention
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SRM INSTITUTE OF SCIENCE AND TECHNOLOGY
KATTANKULATHUR – 603203
5. Describe the advantages of the present invention over the existing technologies
(please identity the advantages e.g. efficiency, cost benefits, simplicity etc.
6. Describe how the present invention overcomes the drawbacks of currently
available technology related to your invention. (please include the relevant
references)
7. Describe uses, applications and benefits of the invention.
8. Does the focus of the invention results in societal impact technology? (Please
describe how in detail, also specify the commercial applications, market need of
product/ service of invention and why?)
9. Characterize the disadvantages and limitations of the invention
10. Enclose the sketches, drawings, photographs and other materials that help in
better understating/ illustration of the novelty in the invention.
11. Current development status of the invention
12. Please list any of your publications (including abstracts, posters, news releases,
etc.) to emphasize the present invention background.
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SRM INSTITUTE OF SCIENCE AND TECHNOLOGY
KATTANKULATHUR – 603203
13. INVENTOR(S) AND/OR CONTRIBUTOR(S):
INVENTOR (1) INVENTOR (2)
Signature:
Name:
Address:
City and
State:
Citizenshi India India.
p
(Country):
14. ASSIGNMENT DETAILS: Assignee is the entity or individual who
holds the patent.
Signature: (To be signed by the
authorized signatory on behalf of the
assignee)
Name of the Authorized Signatory
and Designation
Address:
City and State:
Citizenship
(Country):
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