creation submission form – patent

Centro Brasileiro de Pesquisas Físicas - CBPF
Rua Dr. Xavier Sigaud, 150 - Urca
Edifício Min. J. A. Lins de Barros / Sala 300
Rio de Janeiro – RJ – Brasil – CEP: 22290-180
Tel: +55 (21) 2141-7277
www.nitrio.org.br
CREATION SUBMISSION FORM – PATENT
1.
DESCRIPTION OF PATENT OF INVENTION
1.1 – Title of Invention:
1.2 – Keywords:
1.3 Stage of development
[ ] – Idea (preliminary research)
[ ] – Laboratory (experimental tests)
[ ] – prototypes
[ ] – Market (is there any interaction with businesses
already?)
1.4 - Describe your invention briefly. What is the problem it purports to solve? What is the
solution provided by the invention? (maximum of 4000 characters)
1.5 - Were any searches for
previous registrations
conducted?
[ ] - Yes
[ ] - No
1.5.1 – If item 1.5 is positive, then briefly describe technologies similar to this invention.
(maximum of 4000 characters)
1.5.2 - Indicate other patents that are related to your invention. (maximum of 4000
characters)
Centro Brasileiro de Pesquisas Físicas - CBPF
Rua Dr. Xavier Sigaud, 150 - Urca
Edifício Min. J. A. Lins de Barros / Sala 300
Rio de Janeiro – RJ – Brasil – CEP: 22290-180
Tel: +55 (21) 2141-7277
www.nitrio.org.br
1.5.3 - Point the new features or enhancements that your invention has, if compared to
existing similar technologies. (maximum 4,000 characters)
Note: Feel free to send any material such as theses, articles, diagrams, graphs, drawings or
photographs related to this invention to NIT-Rio.
2. INVENTORS
Obs: The information below is necessary to fill the Patent Application Deposit Form at the
National Institute of Industrial Property (INPI).
INVENTOR - 1
Name:
Telephone:
E-mail:
Education / Qualification:
Passport Number:
Institution:
Position:
Department:
Address (Business or
Home)
ZIP CODE:
INVENTOR - 2
Centro Brasileiro de Pesquisas Físicas - CBPF
Rua Dr. Xavier Sigaud, 150 - Urca
Edifício Min. J. A. Lins de Barros / Sala 300
Rio de Janeiro – RJ – Brasil – CEP: 22290-180
Tel: +55 (21) 2141-7277
www.nitrio.org.br
Name:
Telephone:
E-mail:
Education level /
Qualification:
Passport Number:
Institution:
Position:
Department:
Address (Business or
Home)
ZIP CODE:
NOTE: Repeat the INVENTOR table above and include the information requested for all
inventors related to this patent request.
3. PATENT OWNERSHIP
3.1 - Were the R & D activities financed by
development agencies??
[ ] - Yes
[ ] - No
3.1.1 – If item 3.1 is positive, indicate the agencies who funded R & D activities.
3.2 – Which educational / research institutions or companies are involved in R & D
activities of this invention?
4. DISCLOSURE
Centro Brasileiro de Pesquisas Físicas - CBPF
Rua Dr. Xavier Sigaud, 150 - Urca
Edifício Min. J. A. Lins de Barros / Sala 300
Rio de Janeiro – RJ – Brasil – CEP: 22290-180
Tel: +55 (21) 2141-7277
www.nitrio.org.br
4.1 - Has this invention already been disclosed to the
general public containing sufficient description to enable
a person skilled in this field to understand, reproduce or
use the invention??
[ ] - Yes
[ ] - No
4.1.2 – If answer to item 4.1 is positive, indicate how many times the invention has been
disclosed, the location and date of disclosure.
Note: you should send documents with the content of disclosure (articles, abstracts of
articles, theses, oral presentation, etc.) to NIT-Rio, if you find it necessary.