Include Inventors from institutions note their affiliation in Department & Group/Unit field. Please add – additional tables if necessary. Ensure your FULL names are included here, e.g. your middle name, FULL names [as per ID as they appear on your ID document / birth certificate. Delete this text document] when this field is completed. [Mr/Ms/Prof/Dr] Gender Race Department & Unit/Group Faculty Staff or Student Number Position (e.g. lecturer, HOD, postdoc, etc.) Tel no. Cell no. Email address Residential Address Postal address & code if external, or UCT internal mail delivery address. Nationality Ensure your FULL names are included here, e.g. your middle name, FULL names [as per ID as they appear on your ID document / birth certificate. Delete this text document] when this field is completed. Title [Mr/Ms/Prof/Dr] Gender Race Department & Unit/Group Faculty Staff or Student Number Position (e.g. lecturer, HOD, postdoc, etc.) Tel no. Cell no. Email address Residential Address
Include Inventors from institutions – note their affiliation in Department & Group/Unit field. Please add additional tables if necessary. FULL names [as per ID document] Ensure your FULL names are included here, e.g. your middle name, as they appear on your ID document / birth certificate. Delete this text when this field is completed. [Mr/Ms/Prof/Dr] Gender Race Department & Unit/Group Faculty Staff or Student Number Position (e.g. lecturer, HOD, postdoc, etc.) Tel no. Cell no. Email address Residential Address Postal address & code if external, or UCT internal mail delivery address. Nationality FULL names [as per ID document] Ensure your FULL names are included here, e.g. your middle name, as they appear on your ID document / birth certificate. Delete this text when this field is completed. Title [Mr/Ms/Prof/Dr] Gender Race Department & Unit/Group Faculty Staff or Student Number Position (e.g. lecturer, HOD, postdoc, etc.) Tel no. Cell no. Email address Residential Address
UCT%20Invention%20Disclosure%20Form%202018.docx