Non-Confidential Application Form

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Important: Non-Confidential is defined as not disclosing any details that are specific and unique to your product/invention. These details will only be requested under a formal non disclosure agreement at the next step of the process.

Please complete Sections One and Two of this form before submitting:

Section One: Application Details

Please note: fields marked * are required.
Name of Investee: *
Name of Contact: *
Contact Phone: *
Email: *
Mailing Address: *
Date *

Section Two: Opportunity Disclosure Form

Please note: fields marked * are required ("Not-Applicable" is an acceptable response in this section)

Title of opportunity or invention:
*
Original inventor of opportunity or invention:
*
Other key people involved with the opportunity or invention:
*
info A short non-confidential description of the opportunity or invention:
*
info Briefly define area of activity or market sectors:
*
info Briefly define market opportunity:
*

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Briefly describe in non-confidential terms the features that make this invention or opportunity different from what is already in the market place.

Non-Confidential is defined as not disclosing any details that are specific and unique to your product/invention. These details will only be requested under a formal non disclosure agreement at the next step of the process.

Describe what area of business this opportunity or invention can be used in e.g. software technology to be used in measuring customer spending in retail.

Describe in non-confidential terms where the opportunity or invention can be used that is different to products that are already in the market.

Non-Confidential is defined as not disclosing any details that are specific and unique to your product/invention. These details will only be requested under a formal non disclosure agreement at the next step of the process.