VIRTUAL KNOWLEDGE & RESOURCE CENTER
National AIDS Research Institute, Pune
Plot no. 73 'G'-Block M.I.D.C. Bhosari, Pune 4110 26 India

   
REAGENT DONATION FORM


Note:- (Please complete a separate Form for each reagent donated.)
Name:
  
Title:
  
Institution:
  
Department:
  
Address:
  
Telephone:
  
Fax No.:
  
Email ID:
  
 
Complete the answere to the questions listed below for each reagent and return to the Virtual Resource Center for regents protocols and technology in context with research in HIV /AIDS in India. Also, provide any appropriate reprints describing the reagent.
Reagent Name:
  
Reagent Description:
  
Has the Reagent been described in a reviewed publication?
    
What are the applications of the Reagent?
    
 
Is the demand high or low for the Reagent?
Yes Or No
 
Is there a protocol available for the use of the Reagent?
    
What types of quality contorl testing have been performed on the Reagent?
    
What quantity of the Reagent can the donor provide ?
    
 
Will the donor be willing to provide repeat requests for Reagent donation?
Yes Or No
 
Will the donor be willing to perform QC testing on our expansions?(for donated cell line)
Yes Or No
 
Donor Name:
  
 
Date:
  
   (Enter date in yyyy-mm-dd format.)
 
Contact information:
    

Each reagent made available through the AIDS Reagent Program must be assigned a category related to commercialization rights (see Table 1 below). Therefore, donors and their institutional officials responsible for technology transfer are asked to chose one of the five categories listed in Table 1.

To promote commercialization for public health, donors are encouraged to select Category A, which sets no restrictions. When protection of intellectual property is desired, donors are encouraged to select Category D, which offers flexibility to recipients. For example, recipients from small biotechnology companies and non-profit institutions may prefer condition B, which allows them to use a reagent without a fee and requires that they negotiate an agreement with donors only if the reagent proves commercially valuable. Recipients from larger companies may prefer condition C, which could guarantee them access to the reagent at a known cost before investing large amounts in research and development

Commercialization Rights
Donor Category
Conditions
A
Reagent may be used for commercial purposes without an agreement with the donor.
B
Recipient agrees to negotiate in good faith to share with the donor's institution the income arising from commercialization using the reagent.
C
Recipient must sign an agreement with donor's instiution for commercial use prior to receiving the reagent.
D
Recipient must select either Condition B or C prior to receiving the reagent.
E
Recipient must not use or incororate the reagent for commercial purposes.
Reagent Name
   
Category Choices ( Check only one choice )
A B C D E