Disclosure Entry Form

Provisional title: *

Main Applicant (surname)

Main Applicant (name)

Applicant ID



Research group

Technology keywords

Description of the result of R&D

Commercial application R&D result

Development stage (TRL)

Has it been published or is it planned to be published?

Date of publication (made or expected)

Are there possible interested entities?

If yes, name the entities that would be interested

Other relevant information

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