Section 10. Intellectual Property i. Does the staff member have any vested interest in Intellectual Property Rights YES NO (e.g. Patents, Registered Designs): If the answer is yes, please indicate: a. IPR title(s) and brief description: b. Which Business Development Manager in the Faculty is dealing with this? c. Have arrangements been made to transfer IPR to new institution? YES NO d. If the answer YES to transfer IPR to new institution, please indicate the name of the institution and contact(s): ii. Has the staff member invented any technologies and/or processes which have YES NO not yet been disclosed to the University and could potentially qualify for registered (patents, trademarks, registered designs) or unregistered (software, designs, checklists, protocols, questionnaires, toolkits, guidelines, database rights) IP? If YES, give details below: Section 11. Clinical Staff Does the staff member have any clinical commitments? YES NO If answer is YES, please confirm that you have notified the appropriate NHS organisation(s) YES NO Section 12. Authorisation We confirm that satisfactory arrangements are in place to cover all commitments as indicated above: SIGNED : __________________________________ DATE : ___________________ STAFF MEMBER
Section 10. Intellectual Property i. Does the staff member have any vested interest in Intellectual Property Rights (e.g. Patents, Registered Designs): YES NO If the answer is yes, please indicate: a. IPR title(s) and brief description: b. Which Business Development Manager in the Faculty is dealing with this? c. Have arrangements been made to transfer IPR to new institution? YES NO d. If the answer YES to transfer IPR to new institution, please indicate the name of the institution and contact(s): ii. Has the staff member invented any technologies and/or processes which have not yet been disclosed to the University and could potentially qualify for registered (patents, trademarks, registered designs) or unregistered (software, designs, checklists, protocols, questionnaires, toolkits, guidelines, database rights) IP? YES NO If YES, give details below: Section 11. Clinical Staff Does the staff member have any clinical commitments? YES NO If answer is YES, please confirm that you have notified the appropriate NHS organisation(s) YES NO Section 12. Authorisation We confirm that satisfactory arrangements are in place to cover all commitments as indicated above: SIGNED : __________________________________ STAFF MEMBER DATE : ___________________
academic-leaver-checklist-amended-may-2018.docx