License Intent

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INSTANT ACCESS LICENCE (IAL)

Temporary license to university intellectual property to enable the applicant to verify feasibility of technology commercialisation for a specific term not exceeding 6 months. Non-commercial testing is free. Commercial testing requires a minimal commitment upfront fee of R1000 payable upon signature of the IAL

STATEMENT OF INTENT

NAME

EMAIL

COMPANY NAME

IDENTITY NUMBER/REGISTRATION NUMBER

INSTITUTION

COMMERCIAL USE INTENDED

Please answer the questions below in the spaces provided so as to enable the Institution to evaluate you application for an Instant Access Technology licence. Please answer all the questions as failure to do so may result in your application being refused.

Identify the market and explain how the Technology will be used/exploited.

Specify the proposed milestones to be reached during the term of the Instant Access Licence which are required for the successful commercialisation of the Technology.

Do you have resources (personnel and technical) with relevant technical experience that will assist in achieving the milestones identified above. Please provide detail.

Indicate wheather technical or any other support will be required from the Institution during the term of the Instant Access Licence.

Provide details of the relationship envisioned with the Institution after successful commercialisation of the Technology

Validation: What is: 48 + 97

Contact Details

Innovus, Stellenbosch University

15 De Beer Street Stellenbosch 7600 South Africa	PO Box 3135 Matieland 7602 South Africa
t +27 (0) 21 808 3826 e info@innovus.co.za e forms@sun.ac.za

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