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PART I: DISCLOSURE OF THE INVENTION

1.

Title of the invention.
EASi Alarm System

2.

Type of the invention. Please choose more than one (If necessary) to best describe
your invention. (Attach additional sheets with brief description of the invention and
related descriptive materials e.g. sketches, drawings and other materials that help
illustrate the description if necessary)
New Use

X

Process
3.

Product

X

Others ………………………

Is the invention funded by internal/external grant? (If yes, please specify the fund type
and cost-center)
Fund Type
Cost-Center

:
:

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Strictly Private and Confidential

Advantages of the disclosed invention over existing technology. The EASi Alarm is aimed at rural communities. 5. the EASi Alarm also alerts the people nearby by a siren and flashing lights attached on the outside of the house. The EASi Alarm also differs from the existing personal security alarms as the EASi Alarm is installed on a house. The EASi Alarm allows the people nearby to know that an emergency is happening inside the house. When an emergency occurs. as it alerts people nearby that an emergency is happening. 6.my 2 Of 9 Strictly Private and Confidential . 2. there is no guarantee that the user will have the ability to get help. The EASi Alarm is similar to the everyday car alarm as it has a remote control that can trigger the alarm from a distance away. such as the sick or pregnant women. Problem(s)/Solution(s) your invention is solving. The EASi Alarm has the same function like personal alarms. a) Problem: Please submit completed form to ip. car alarms and personal alarms.INVENTION DISCLOSURE FORM (IPC 001) 4. 2.management@petronas. allowing the users to alert the public whenever there is an emergency happening inside the house. therefore with the EASi Alarm comes with a remote wristband that allows the user to trigger the alarm by just a press of the button. especially the elderly and the people in need of extra care. The difference of the EASi Alarm with an existing home security system is that it has a remote control (designed like a wristband) that can activate the alarm remotely. 1. How does the invention differ from the existing technology? Describe briefly the similarities (If any) and differences between the disclosed invention and closest known technology.com. 1. and allows them to help the user as quickly as possible. 3. Similarities (if any) The EASi Alarm is a closely related between home security alarms. Comparing with a home security system. Differences / Uniqueness 1. 2. 3.

2. Has the invention been disclosed orally in a meeting.com. The EASi alarm is a home alarm system that comes with a remote wristband. it is hard to alert someone nearby for help. By pressing the button on the wristband. 7. however their houses are located far apart and when a senior faces an emergency. In our modern day houses. all the user needs to do is to trigger the alarm by pressing the button on the wristband.? Yes Date: (i) ______________________________ (ii) _____________________________ (iii) ____________________________ No Please submit completed form to ip. especially when it is an emergency that requires immediate help. therefore it is best for the people nearby to help give some temporary care to the user in case of emergency. email correspondence etc. Technical details of the invention (Include as attachment if necessary).INVENTION DISCLOSURE FORM (IPC 001) 1. it is hard for them to alert the neighbors and call for help. b) Solution: 1. conference. In rural areas also it takes time for the medical team to arrive to the scene. 4. exhibition. PART II: GENERAL QUESTIONS 1.my 3 Of 9 Strictly Private and Confidential . A siren and light will be triggered and thus alerting the public about the emergency inside the house. most of the community members are seniors. 3. the alarm circuit should be triggered together with the siren and the lights. sometimes the people involved are immobile and could not reach a phone to call for help.management@petronas. In rural areas. like with our car alarms. When an emergency occurs. 2. 3. The user needs to wear the wristband all the time and in case of an emergency. The EASi Alarm uses the simple concept of Remote Control.

presentation. please provide a copy of any document to substantiate this date e.my 4 Of 9 Strictly Private and Confidential . Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ Please submit completed form to ip. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ iii. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ ii. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ iii.com.INVENTION DISCLOSURE FORM (IPC 001) If yes.g. publication. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ ii. exhibition or conference? Yes No If yes. minutes of meeting. record books. a) Publication: i. etc.management@petronas. 2. please provide the details and attach a copy of each document. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ b) Presentation: i. Has the invention been disclosed in writing in a publication.

Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ iii. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ 3. Have you ever conducted any patent search? Please submit completed form to ip.g. When did you first do any actual experimental work towards developing the invention? (If applicable) 4. and b) Broadly state which part of the invention desired for protection.com. brochures. a) What is the possible claims for the invention.my 5 Of 9 Strictly Private and Confidential . Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ d) Others e. pamphlets. posters: i. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ ii. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ ii.management@petronas.INVENTION DISCLOSURE FORM (IPC 001) c) Exhibition/Conference: i. Claims Which Part (Product/Process/New Use) Patent _____Product______________________________ _______________________________________ 5. Title : ______________________________________________________ Where : ______________________________________________________ Date : ______________________________________________________ iii.

Provide the following information for each researcher/inventor. 20 Malaysia Lai Ke Xin Blk K-206.com. SD Apartment II. 52200 Kuala Lumpur 20 Malaysia Muhammad Anwar Ibrahim bin Seeni Mohamed 46. Jalan Kenanga SD9/7. 7.my __Sharon Cheng Wyei Yee 6 Of 9 Strictly Private and Confidential . taman seri dermawan 31400 Ipoh. Bandar Sri Damansara. I shall agree to provide all the information to help in the process of securing a patent rights pertaining to the above: Name of Inventor: Please submit completed form to ip.INVENTION DISCLOSURE FORM (IPC 001) Yes Date Search Reference (If any) Database used No X : ______________________________________________ : ______________________________________________ : _____________ (Google Patent/MyIPO/USpto/Espacenet) Please print the search evidence and attach on this form 6. Persiaran Meranti. Bandar Sri Damansara. lorong tasek timur 6. 52200 Kuala Lumpur 20 Malaysia Tan Wan Chi 20 Malaysia Nurul Amirah binti Mohd Shahidi 20 Malaysia By signing this form.management@petronas. Inventor(s) Name Address Contribution (%) Citizen of Sharon Cheng Wyei Yee No 1.

management@petronas.com__________________ ___________________________________________ 31.com.3.INVENTION DISCLOSURE FORM (IPC 001) IC or Passport No: Email: Signature: Date: __940903146546_____________________________ __cwy_sharon94@hotmail.my 7 Of 9 Strictly Private and Confidential .com ___________________________________________ __31.3.2015__________________________________ Name of Inventor: IC or Passport No: Email: Signature: Date: ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Name of Inventor: IC or Passport No: Email: Signature: Date: __Lai Ke Xin __940420145258_____________________________ __ lkxkexin@gmail.2015__________________________ Name of Inventor: IC or Passport No: Email: Signature: Date: ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Name of Inventor: IC or Passport No: Email: Signature: Date: ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Endorsed by MOR Director/ HOD: Name Designation: Signature: Date: _____________________________________________ _____________________________________________ __________________________________________ PART III: GUIDELINES Please submit completed form to ip.

Question 3 A comparison between the disclosed inventions against the present/existing technology known in the field. Question 5 List down the problem(s) that the inventor(s) has identified and the solution the invention provides to solve that problem(s). Question 4 List down the advantage/s of the invention as a whole compared to existing technology. Question 6 Provide the full detail of the invention such as the working of the invention. Differences/Uniqueness means any parts of the invention which is different from the present/existing technology hence giving the invention some newness or uniqueness character. PART II (General Questions) Question 1 Any formal or informal discussion (orally) of the invention is made within or outside of the organization. whether it is a new use of a known technology/product.management@petronas. a product or a process. This allows the inventor(s) to give correct and precise answers. PART I Question 1 Title of the invention to declare in the form.com. Solutions refer to ways (and) how the invention solves the problems. Please submit completed form to ip. Question 2 Choose the type that best describe the invention. The present/existing technology refers to the technology that is in the same category as the invention. the structure/components/features of the invention.INVENTION DISCLOSURE FORM (IPC 001) This section should enable the inventors to have clear understanding of the questions asked.my 8 Of 9 Strictly Private and Confidential . Similarity means any parts of the invention which is similar to present/existing technology.

IC or passport no. Question 7 All inventor(s) need to sign this form as an agreement to give full support in the process of Intellectual Property Rights protection. Question 4 More than one claim is allowed for an invention to be protected. g. The signing of the form must be endorsed by the respective MOR Director /HOD and approved by DVC Research& Innovation or the Chairman of the Innovation Committee.com..INVENTION DISCLOSURE FORM (IPC 001) Question 2 Any written disclosure of the invention made available to the public. Question 5 Patent search that has been conducted by the inventor(s). For each claim. Question 3 This is an optional question. please state which part to protect. full name. Question 6 Give full details of the inventor(s)e.my 9 Of 9 Strictly Private and Confidential . Please submit completed form to ip. Please indicate the date of the first actual experimental work in developing the invention. home or office address. percentage of contribution to the project/invention and the citizenship.management@petronas.