Confidential Memorandum of Invention

CONFIDENTIAL MEMORANDUM OF INVENTION
When completed, return to: Broad Institute Business Development Office • Room 7CC-7047 • (617)714-8180
This is an important document requiring careful attention
ALL QUESTIONS SHOULD BE ANSWERED
(Attach additional pages as needed)
1. I
nventIon
t
Itle
:
2. P
roject
I
nformatIon
:
Broad Program/Platform
Principal Investigator
3. G
eneral
S
ubject
m
atter
(
check
all
that
aPPly
):
a)
Small molecule/compound Database Diagnostic
New use, existing drug Gene/protein sequence Research tool
Improvement of existing drug Biological Materials Algorithm/software
Method/process Other:
b) KEYWORDS c) COMPOUND IDENTIFIERS
4. f
undInG
S
ourceS
:
Please include all sources of funding to any contributor for the research that led to this invention.
US Govt Commercial/Private Broad Personal Other
Name of Sponsor Grant Number Broad Account Number Title
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