Please print, complete, sign & post 

Confidential Disclosure Undertaking & Evaluation Request:
The IoI undertakes to treat as confidential  all Potential Proprietary Invention Disclosures
and not reveal same without Inventor’s consent.

To the President
The Institute of Inventors – 19/21/23 Fosse Way – Ealing, London W13 0BZ, UK

Please evaluate my invention for merit –
Novelty – Is it New? Functionality – Can it Work? & Commercial Viability – Is it profitable?

Invention title…………………………………………………………….…………

Inventor………………………………..………Signed……………………………….. Date:…….…

Address…………………………………..……………………………

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Tel: home: ……………… work: …………..…Mob: ………………..…Email: ……………….…
Membership No. ……………………………………..

N.B. 1st evaluation request per year free. (additional requests are £40 each).
World Patent & Product Search: If idea is not available in the UK,
we may advise an IoI world patent & product search cost £140 – click here for WPPSearch.

Patents: *| No Patent | Patent Applied for | Patent Granted | Patent Lapsed |
Models: | No models | Mock Model | Working Prototype | Production models |
Drawings available
:* | Drawings | Free hand sketches | photos |
*circle and attach relevant documents with form.

Who would buy invention: ……………………………………………………………………………
Uses: ………………………………………………………………………………………….…….…
Benefits: ………………………………………………………………………………………..……
Brief Description: ……………………………………………………………..…………….…. ………………………………………………………………………………………..…………………
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N.B. Please answer all questions even if given on other documents. 

 

IoI are not invention brokers and do not accept shares of members’ inventions.
Gifts of saisfaction for briliant IoI services are accepted  & welcome.

Institute of Inventors is a voluntary, non profit instition, established 1964,
S
ubsidised by Professional Inventor – Michael V Rodrigues - Founder President

19-21-23 Fosse Way, Ealing, London W13 0BZ 
Tel: #44 (0)20 8998 6372, 6372, #44 (0)20 8998 4372 email: mikinvent@aol.com 
Phone any day, anytime, weekends & evenings up to 8 p.m.
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