Industry Collaboration Research Output Disclosure Form
Researcher Information
Full Name
Position/Title
Department
Email
Project Details
Project Title
Industry Partner Name
Project Description
Disclosure of Research Output
Type of Output
Publication
Presentation
Patent
Report
Other
Description of Output
Is there an agreement regarding output disclosure?
Yes
No
Confidentiality/Intellectual Property
Are there confidentiality or IP considerations?
Yes
No
Details (if any):
Additional Comments