Disclosure Entry Form

Provisional title: *

Main Applicant (surname)

Main Applicant (name)

Applicant ID

Mail

Department

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? Yes No

Date of publication (made or expected)

Are there possible interested entities? Yes No

If yes, name the entities that would be interested

Other relevant information

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