Professional Documents
Culture Documents
CIGIF2012 Entry Form
CIGIF2012 Entry Form
Instructions: - Complete 1 Application Entry Form + 1 Invention Disclosure Form for each invention - Please return the form(s) to the organizer by email no later than October 30th, 2012
SECTION A: Applicant Information <Application Period: January 1st October 30th>
Name of Inventor (Last, First) Country Association / School / Company Application Classification Applicants Full Address (in capital letters) Contact Information
[ ] STUDENT
[ ] INDIVIDUAL )
[ ] COMPANY
Title of Invention (in capital letters) Awarded History (any records of awards & recognitions of the invention)
[ ] Patented Country : Patent No. : [ ] Patent Application Pending Country : Patent Application No : [ ] No Patent Applied
Patent Application
[ ] via Representative
[ ] Bank Transfer
[ ] Confirmation
(A summary of invention to be included into CIGIF 2012 Catalogue, Max. 120 words)
Brief Description
Our company / individual hereby applies to the 3rd Cyber International Genius Inventor Fair 2012 with the agreement of respecting the Participation Regulations (Refer to Section E in Brochure). Date of Registration : dd / mm /2012 (Applicant Authorized Signature)
INVENTION TITLE
Others
* SECTION D: Visual Documents * Please attach inventions visuals (any pictures, image screenshot, diagram, blueprint, layouts, design, etc) on the space provided below. Visuals are highly recommended for CIGIF judgment and evaluation, thus provide ample good-quality visuals:
2|Page
3|Page