Notice: All mentioned inventors have to sign the Report of Invention (see page 3)!!!

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Calvin Winkler
vor 8 Jahren
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1 REPORT OF INVENTION Please send a copy to An die Abteilung Technologietransfer der Universität/Hochschule An die Technologie-Lizenz-Büro (TLB) der Baden-Württembergischen Hochschulen GmbH Ettlinger Straße Karlsruhe P L E A S E M A I L I N A S E A L E D E N V E L O P E! PLEASE DO NOT FILL IN! Eingegangen am: Mitteilung über Unvollständigkeit am: Vollständiger Eingang am: 1. Title of the Invention: 2. Persons who have contributed to the Invention as inventors: Notice: All mentioned inventors have to sign the Report of Invention (see page 3)!!! Inventor 1 Inventor 2 Inventor 3 Inventor 4 Name Occupation Title/ academic degree Institute/Lehrstuhl : (Office, adress) Phone (Inst./Lehrstuhl) 1

Eingegangen am: Mitteilung über Unvollständigkeit am: Vollständiger Eingang am: 1. Title of the Invention: 2.

2 Home: (adress, phone) Nationality Percentage contribution to the invention (%) If there are more than four inventors, please attach the required information on an additional sheet!!! 3. Description of the Invention: Please give a short description of your invention (including all relevant citations) on an additional sheet (1-2 pages) which covers the following issues: 3.1. Which technical problem should be solved by your invention? 3.2. What are the previous attempts to solve this problem? What is the prior art as known to you? 3.3. What are the technical problems and/or disadvantages encountered with such prior art? 3.4. What is the purpose of your invention? 3.5. How does your invention accomplish this purpose? 3.6. What are the essentially new features of your invention? What is the basic message of your invention? 3.7. What essential and/or additional advantages does your invention have over the prior art? 3.8. What are the keywords describing your invention (German and English)? 4. Development of the invention: 4.1. Did the invention arise within the scope of your regular working field or did it arise within a different area? (Please answer this question for each inventor separately.) 4.2. Did the invention develop in connection with a diploma thesis, a doctoral thesis or a research project? (Please answer this question for each inventor separately.) 2

2 pages) which covers the following issues: 3.1. Which technical problem should be solved by your invention? 3.2. What are the previous attempts to solve this problem?

3 4.3. Did you already publish anything in connection with the invention? (Please attach copies of relevant documents.) Do you intend to do any publications, presentations or other releases any time soon? (If so, when, where and what about?) 4.4. Has the invention or parts of the invention been made known to the public in any form (in written or oral form, lectures, lab visits, fairs, exhibitions)? If so, when and where? 4.5 Date of completion of the invention? (Please answer this question for each inventor separately) 5. Development status: 5.1. Has the invention been tested or has it been used? (Tests, samples, prototypes) 5.2. Are there contacts with the industry in connection with your invention? If so, please list the companies. I (we) declare that the information which I (we) have provided in this form is, to the best of my (our) knowledge and belief, correct and complete, that I (we) have developed the invention, and that no other person(s) than the person(s) listed in section 2 has/have contributed to the invention as inventor(s)...., date......, date... 3

4. Has the invention or parts of the invention been made known to the public in any form (in written or oral form, lectures, lab visits, fairs, exhibitions)? If so, when and where? 4.

4 ..., date , date... 4

5 Erklärung des Institutsleiters (Declaration of the Principal) Für die Bewertung der rechtlichen und vertraglichen Rahmenbedingungen der vorliegenden Erfindung wird um die Beantwortung der folgenden Fragen gebeten: 1. Entstand die Erfindung im Rahmen eines drittmittelgeförderten Projekts? (z. B. DFG, BMBF, EU, Industriekooperationen, Forschungsaufträge) Wenn ja, geben Sie bitte die genaue Bezeichnung der zugrundeliegenden Verträge an! Bitte legen Sie Kopien der entsprechenden Verträge bei! 2. Welche besonderen Mittel wurden für die Entwicklung der Erfindung aufgewendet? 3. Die Angaben in der Erfindungsmeldung wurden überprüft und erschienen einwandfrei...., den Unterschrift des Institutsleiters Institutsstempel 5

DFG, BMBF, EU, Industriekooperationen, Forschungsaufträge) Wenn ja, geben Sie bitte die genaue Bezeichnung der zugrundeliegenden Verträge an!

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