TT/PO/ROI/20170502RECORD OF INVENTION (MONTH DD, YYYY)

IIT CASETITLE

TITLE OF THE INVENTION

INVENTORSHIP1The first person listed will be considered the “lead inventor”Please add One Table for each inventor as appropriate

Name, SURNAME2 PhD StudentEmailResearch Line3 | PI3

Program3

Inventor Address(Street, City, ZIP Code, Country)Place of Birth | Date of BirthNationalityAssignee4 | Assignment date5

Name, SURNAME PhD StudentEmailResearch Line | PIProgramInventor Address(Street, City, ZIP Code, Country)Place of Birth | Date of BirthNationalityAssignee | Assignment date

OWNERSHIPPlease add One Line for each Assignee as appropriateASSIGNEE OWNERSHIP %Fondazione Istituto Italiano di Tecnologia

NOTA PER LO STUDIO ITALIANO DI CONSULENZA BREVETTUALERAGIONE SOCIALE DEL TITOLARE:

FONDAZIONE ISTITUTO ITALIANO DI TECNOLOGIA VIA MOREGO, 30 I-16163 GENOVA

LO STATUTO DELLA FONDAZIONE ISTITUTO ITALIANO DI TECNOLOGIA (PUBBLICAMENTE DISPONIBILE ALL'INDIRIZZO HTTPS://WWW.IIT.IT/IT/STATUTO ) ALL’ART. 1 “DISCIPLINA E SEDE” RECITA:

LA FONDAZIONE ISTITUTO ITALIANO DI TECNOLOGIA - IIT, ISTITUITA CON L’ART. 4 DEL DECRETO LEGGE 30 SETTEMBRE 2003, N. 269, CONVERTITO CON LEGGE 24 NOVEMBRE 2003, N. 326, È UNA FONDAZIONE PRIVATA DISCIPLINATA DAGLI ARTICOLI 14 E SEGUENTI DEL CODICE CIVILE. LA FONDAZIONE HA SEDE IN GENOVA E PUÒ ISTITUIRE SEDI SECONDARIE, RAPPRESENTANZE, DELEGAZIONI E UFFICI IN ITALIA E ALL’ESTERO.

DUNQUE LA FONDAZIONE ISTITUTO ITALIANO DI TECNOLOGIA DEVE ESSERE CONSIDERATA COME PERSONA GIURIDICA PRIVATA E, IN CASO DI DEPOSITO DI UNA DOMANDA ITALIANA DI BREVETTO, NON PUÒ AVVALERSI DELL’ESENZIONE DAL PAGAMENTO DI DIRITTI E TASSE DI CUI AL DM 02/04/2007, ART. 2.

CONNECTED PROJECTSList any EU Project and or Commercial Project originating the IP, if applicableList any agreement between Assignees regarding IP, if applicablePlease add One Line for each project and agreement as appropriateProject

Project’s Partners Disclosure6 YES NO

1 Please pay particular attention (http://en.wikipedia.org/wiki/Inventor_(patent)).

2 Name and SURNAME must exactly match your ID.

3 Only for IIT researchers. Please indicate your IIT Research Line, Principal Investigator and Research Program. Please refer to the following Intranet link https://intranet.iit.it/research-organisation-office/doc_download/7998-research-lines-matrix.html (if the link doesn’t work, please copy and paste the address in your browser).4 Usually the employer institution or company (e. g. Fondazione Istituto Italiano di Tecnologia).

5 For the Fondazione Istituto Italiano di Tecnologia, please indicate your first contract start date.

6 Are the partners of the project informed about this disclosure of the invention?

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TT/PO/ROI/20170502RECORD OF INVENTION (MONTH DD, YYYY)

IIT CASETITLE

GENERAL SUBJECT MATTERPlease check all applicable checkbox

Product or Device Process or Method

IIT RELATED PATENT APPLICATIONSList all the Patent Applications related to this Record Of InventionPlease add One Line for each Patent Application as appropriatePatent Application Number Filing Date (optional)

PUBLIC DISCLOSUREList all the public disclosures of this Invention (oral, in writing, by actual use, demonstration or posters) and any deadline for future disclosures

BACKGROUND OF THE INVENTIONDefine the scope of the invention and the problem solved by the invention; describe all known solutions, including related IIT work, which bears on the invention

PRIOR ARTProvide at least one document as the Closest Prior Art and identify the technical problems unresolved by the Prior ArtPlease add One Table for each reference as appropriate (Maximum 4 documents)Every cited document must be attached to this Record Of InventionReference 1 Attached

Related Technical Problems (bullets)

ABSTRACT (BRIEF DESCRIPTION OF THE INVENTION)Short description of the invention and main technical characteristics

KEYWORDSIdentify possible keywords and synonyms.

DESCRIPTION OF THE INVENTIONDetailed description of the invention.

TECHNICAL FEATURESIdentify the distinctive features of the Invention.

TECHNICAL ADVANTAGESIdentify the advantages and problems solved by distinctive features above.

PROOF OF CONCEPTDo you have a prototype, lab tests and simulations? Please provide technical details.

Further DevelopmentsDescribe (possible) further developments. Please allow reasonable speculations.

Market analysis & Applications

State Of The Art and ReferencesList only the most relevant documents.

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TT/PO/ROI/20170502RECORD OF INVENTION (MONTH DD, YYYY)

IIT CASETITLE

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