Invention Disclosure form for Patent Search Report

Person Submitting Disclosure*
Prefix First Middle Last Suffix
Applicant Phone*
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Applicant Email*
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How did you hear about Inventions International Inc.?*
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Inventor's Notes
Invention Title
When did you first come up with the idea for your invention?
MM slash DD slash YYYY
Have you built a prototype or model?
- Yes
- No
File
Please attach a copy of your engineering drawings, photographs, or sketches of your invention.
Drop files here or

Max. file size: 100 MB.
Public Disclosure
The patentability of your invention may depend upon compliance with certain statutory time limits. Please be as accurate and complete in answering the following questions and attach additional sheets as needed.
Have you disclosed, made, used, sold, or offered to sell the invention to a third-party or commercialized the invention?
- Yes
- No
When was the date of disclosure?
MM slash DD slash YYYY
Has this invention been part of a "Provisional Patent Application" or a parent "Non-Provisional Patent Application"?
- Yes
- No
Please provide the requested information.
Type of Patent Application Date of Filing Patent Application Number Title of Patent Application

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Detailed Description of the Invention
Describe the general field of the invention:
Attach any sketches, graphs or pictures that will aid in understanding the invention.
Attach any sketches, graphs or pictures that will aid in understanding the invention.
Drop files here or

Accepted file types: jpg, png, pdg, jpeg, Max. file size: 32 MB, Max. files: 5.
What are the primary objectives of this invention?
How does the invention operate?
Describe the structural components of the invention.
Any alternate embodiments?
What problems or drawbacks served as motivation for the invention?
What is the closest existing technology to the invention?
How does the invention improve upon the technology noted above?
Name
This field is for validation purposes and should be left unchanged.

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Inventor's Notes

Type of Patent Application	Date of Filing	Patent Application Number	Title of Patent Application