Daniel VanderHelm's General License Statement
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I. Patent Holder/Applicant ("Patent Holder")
|Holder legal name||Daniel VanderHelm|
II. Patent Holder's Contact for Licence Application
|Holder contact name||Daniel VanderHelm|
|Holder contact firstname.lastname@example.org|
|Holder contact info||
III. Disclosure of Patent Information i.e., patents or patent applications required to be disclosed by RFC 3979 as updated by RFC 4879
A. For granted patents or published pending patent applications, please provide the following information:
|Patent, Serial, Publication, Registration, or Application/File number(s)||
B. Does this disclosure relate to an unpublished pending patent application?:
|Has patent pending||No|
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V. Contact Information of Submitter of this Form
|Submitter name||Daniel VanderHelm|
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