REGISTRATION FORM

Information about Nominating Authority (please put in N/A if not applicable)

University/HEI/Institution

Affiliation

Address

Tel: Fax:
Contact Details (please
include area code) E-mail Address:

Intellectual Property Information

Category  Collegiate Level

 Professional Level
Title of Intellectual Property
(IP):

Patent Number or
application number:
Researcher(s)/Inventor(s):
(First name Surname)
e.g Juan Dela Cruz

Adviser(s) (if applicable):

Commercial Applicability   Food &  ICT  Transport
Agribusiness beverage
 Mining  Energy  Manufacturing  Others
Description of Intellectual Summary of the Invention/Innovation:
Property (Technical solution it provides & advantages or features separating it from its prior-arts)
*Kindly attach picture or drawing of invention, if available.
Use separate sheet if necessary.
Also submit a patent search
report or a registrability report for
a Utility Model.

Invention/Innovation claims:
(specific claim of the main invention/innovation in question, basis for comparison with
other prior-arts, key novel elements)

Commercial Viability:
(cost of product; selling price; ROI; why would someone buy your product/service
Also, please include what development stage the invention is at)
Disclosure:
All information disclosed for registration to the AMY IP Awards will remain confidential and will only be used for
screening and judging purposes and shall not prejudice any future patent application.

Submitted by:

Signature: ____________________________
Printed Name:
Contact Number:
Email Address:
Date submitted