INVENTION DISCLOSURE FORM

Particulars of the Inventor:

Name  ACCOUNT_FIRST_NAMEACCOUNT_LAST_NAME
Address ACCOUNT_ADDRESS_SINGLE_LINE
Email Address ACCOUNT_EMAIL
Submission Date 01 May 2024
Phone Number ACCOUNT_PHONE_NO

1. Title

TITLE

2.  IDENTIFICATION OF INVENTOR(S)

Inventor Name Inventor Address Email Address
[Insert Inventor Name] [Insert Inventor Address] [Insert Inventor Email]
[Insert Inventor Name] [Insert Inventor Address] [Insert Inventor Email]
[Insert Inventor Name] [Insert Inventor Address] [Insert Inventor Email]

3. DESCRIPTION OF THE INVENTION

[Provide detailed description of the Invention (features & functions) and how it works?]

Features  Functions Description
[Insert Feature 1] [Insert Function 1] [Description]
[Insert Feature 2] [Insert Function 2] [Description]
[Insert Feature 3] [Insert Function 2] [Description]

4. PROBLEM ADDRESSED BY THE INVENTION

[Describe the problem that prompted the Invention]

5. PRIOR USE, SALE OR PUBLICATION.

[Identify any past use, sale, display or publication of the invention (include dates)]

6. FIELD OF THE INVENTION

[Specify the field or industry to which the invention pertains]

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