Additional Authors/Inventors Supplemental
UC Irvine Author/Inventors
Name: / Position at UCI: / Date(s) of Employment at UCI:School or Division: / Dept. or ORU: / OTA use only: If hired pre 10/01/11 has inventor signed new patent amendment?
Yes No
Campus Address with Zot Code:
Irvine, CA 92697- / Home Address:
address
city,state,zip
Work Phone: / Mobile Phone (optional):
UCI Email: / Other Email:
By signing below and for good and valuable consideration, the undersigned do hereby ASSIGN AND TRANFER TO The Regents of the University of California the entire right, title and interest in and to the above referenced software and its documentation, if any.
Signature:______
Name: / Position at UCI: / Date(s) of Employment at UCI:
School or Division: / Dept. or ORU: / OTA use only: If hired pre 10/01/11 has inventor signed new patent amendment?
Yes No
Campus Address with Zot Code:
Irvine, CA 92697- / Home Address:
address
city,state,zip
Work Phone: / Mobile Phone (optional):
UCI Email: / Other Email:
By signing below and for good and valuable consideration, the undersigned do hereby ASSIGN AND TRANFER TO The Regents of the University of California the entire right, title and interest in and to the above referenced software and its documentation, if any.
Signature:______
Name: / Position at UCI: / Date(s) of Employment at UCI:
School or Division: / Dept. or ORU: / OTA use only: If hired pre 10/01/11 has inventor signed new patent amendment?
Yes No
Campus Address with Zot Code:
Irvine, CA 92697- / Home Address:
address
city,state,zip
Work Phone: / Mobile Phone (optional):
UCI Email: / Other Email:
By signing below and for good and valuable consideration, the undersigned do hereby ASSIGN AND TRANFER TO The Regents of the University of California the entire right, title and interest in and to the above referenced software and its documentation, if any.
Signature:______
Authors/Inventors Not Affiliated with UCI
Name: / Position/Title:Company/Organization: / Department/Unit (if applicable)
Address
street
city,state,zip / Home Address:
street
city,state,zip
Work Phone: / Mobile Phone (optional):
Work Email: / Other Email:
By signing below and for good and valuable consideration, the undersigned do hereby ASSIGN AND TRANFER TO The Regents of the University of California the entire right, title and interest in and to the above referenced software and its documentation, if any.
Signature:______
Name: / Position/Title:
Company/Organization: / Department/Unit (if applicable)
Address
street
city,state,zip / Home Address:
street
city,state,zip
Work Phone: / Mobile Phone (optional):
Work Email: / Other Email:
By signing below and for good and valuable consideration, the undersigned do hereby ASSIGN AND TRANFER TO The Regents of the University of California the entire right, title and interest in and to the above referenced software and its documentation, if any.
Signature:______
Name: / Position/Title:
Company/Organization: / Department/Unit (if applicable)
Address
street
city,state,zip / Home Address:
street
city,state,zip
Work Phone: / Mobile Phone (optional):
Work Email: / Other Email:
By signing below and for good and valuable consideration, the undersigned do hereby ASSIGN AND TRANFER TO The Regents of the University of California the entire right, title and interest in and to the above referenced software and its documentation, if any.
Signature:______