CRICOS Provider No. 00103D | RTO Code 4909

In accordance with the University’s Policies and Procedures regarding Intellectual Property (IP), each staff member or student should advise the IP Officer of the existence of pre-existing IP that the person brings to the University within 30 days after employment, enrolment or engagement.

COMPLETE ONE FORM FOR EACH UNIT OF PRE-EXISTING IP (if advising of more than one)

Name
Title
School/Centre
Campus
Staff ID/Student ID
Commencement Date

Please provide details of the nature of the IP disclosed, including when, where, and under what circumstances the IP was created; the owner; and how you propose to use/develop it in your ongoing research as a FedUni Staff member or Student

Year(s) of creation of pre-existing IP
Capacity at time of creation of pre-existing IP (e.g. staff member/student at other University)

Acknowlegement

In order for FedUni to consider the existence of any Pre-existing IP, this form must be completed, signed, and submitted to the IP Officer within 30 days of employment or enrolment. Incomplete or unsigned forms will not be reviewed.

By signing this Pre-existing IP Form the FedUni staff member or student acknowledges and agrees that to the best of their knowledge the information provided in true and correct.

Signature of staff member or student	Date

Submit form to director.research@federation.edu.au