ࡱ> VXU bjbj 8:rrJ $ 8H,tt\2pXnnn .  1111111$36*2 2nn2### dnn1# 1##.@1n`"*V!c061,20\20~6!6l161 # 22"^ \2 6 :  SOFTWARE SUPPLEMENTAL DISCLOSURE FORM Please complete this form and submit with the Invention Disclosure form to 鶹ý Innovations Commercialization (OIC) when a software is implemented in the invention disclosed. 1. Scope of Work [Is the work original? Is it created within the scope of your employment at 鶹ý? Please explain the circumstances of programs development] 2. Software Developers [Please list any developers of the software if different from invention] None  FORMCHECKBOX 3. Software Derivation [If software is a derivative of an existing work, please explain the original works source and the modification] None  FORMCHECKBOX 4. Third Party Content [Identify any third party content or other elements and their source included in the software] None  FORMCHECKBOX 5. Brief Software Description [Please characterize how robust and user friendly the work is.] 6. Is there any users manual associated with the software, whether printed or digital? [If Yes, please attach a separate Software Supplemental Disclosure Form applicable solely to the manual.]  FORMCHECKBOX  Yes  FORMCHECKBOX  No 7. Year of completion. [Please give the year this version of the computer program was completed.] 20___  8. If Published, the exact date of first publication. [Publication is the distribution of copies of the program to the public by sale or other transfer of ownership, or by rental, lease or lending. The offering to distribute copies to a group of persons for purposes of further distribution, public performance or public display constitutes publication. A public performance or display of a work does not itself constitute publication.] ____/____/20____  9. If published, give the nation of first publication. 10. Was the codes algorithm(s) publically disclosed? [Mention date and place of first disclosure, this includes presentations, publications, posting to websites, published theses, discussions with supplier, sponsor, etc.]  11. Will the algorithm be disclosed in the future? [Identify any disclosures, either written or oral, of the invention that you expect to make to others in the future] Expected date: Title of publication/presentation: Journal name or meeting:  12. Source Code Disclosure (a) Has the source code for the program been disclosed to anyone other than the named developers?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (b) If Yes, were all such disclosures made subject to a confidentiality agreement?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If Yes, attach copies of the fully-signed confidentiality agreement(s). If No, identify the persons who received the source code and the circumstances, terms and conditions of the disclosure. Please attach copies of all other applicable agreement(s).      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