Employee invention assignment and disclosure form

EMPLOYEE INVENTION AND WORK ASSIGNMENT

[Name of the Company] · [CIN]

Employee: [Employee's name] · Employee code: [code] · Designation: [Employee's designation] · Department: [department] · Date of joining: [Employee's date of joining]

Part A — prior inventions excluded

I list below every invention, work, design, mark or other intellectual property made, authored or acquired by me before my employment with the Company which I claim as my own and which is excluded from the assignment in Part B. If I list nothing, I confirm that there is none.