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Version 5.3.0, 2014-04-12
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The Patent Disclosure and Licensing Declaration Template for Generic IPR Disclosures

This document is an IETF IPR Patent Disclosure and Licensing Declaration Template and is submitted to inform the IETF of a) patent or patent application information that is not related to a specific IETF document or contribution, and b) an IPR Holder's intention with respect to the licensing of its necessary patent claims. No actual license is implied by submission of this template.

Note: According to Section 6.4.3 of RFC 3979, "Intellectual Property Rights in IETF Technology," you are still required to file specific disclosures on IPR unless your generic disclosure satisfies certain conditions. Please see the RFC for details.

If you wish to submit your IPR disclosure by e-mail, then please send it to ietf-ipr@ietf.org. Submissions made by e-mail that do not comply with the formal requirements of Section 6, "IPR Disclosures," of RFC 3979, "Intellectual Property Rights in IETF Technology", will be posted, but will be marked as "non-compliant".

Fields marked with "*" are required.

I. Patent Holder/Applicant ("Patent Holder")
Legal Name: *
II. Patent Holder's Contact for License Application
Name: *
Title:
Department:
Address1:
Address2:
Telephone:
Fax:
Email: *
III. Disclosure of Patent Information (i.e., patents or patent applications required to be disclosed by Section 6 of RFC3979)
A. For granted patents or published pending patent applications, please provide the following information:
Patent, Serial, Publication, Registration, or Application/File number(s): *
Date(s) granted or applied for: *
Country: *
Additional Notes:
B. Does your disclosure relate to an unpublished pending patent application?:
C. Does this disclosure apply to all IPR owned by the submitter?:
IV. Licensing Declaration
The Patent Holder states that its position with respect to licensing any patent claims contained in the patent(s) or patent application(s) disclosed above that would necessarily be infringed by implementation of a technology required by a relevant IETF specification ("Necessary Patent Claims"), for the purpose of implementing such specification, is as follows (select one licensing declaration option only):
Above licensing declaration is limited solely to standards-track IETF documents.
Licensing information, comments, notes, or URL for further information:

The individual submitting this template represents and warrants that all terms and conditions that must be satisfied for implementers of any covered IETF specification to obtain a license have been disclosed in this IPR disclosure statement.

Note: According to RFC 3979, Section 6.4.3, unless you check the box above, and choose either option a) or b), you must still file specific IPR disclosures as appropriate.

Note: The individual submitting this template represents and warrants that he or she is authorized by the Patent Holder to agree to the above-selected licensing declaration.
V. Contact Information of Submitter of this Form (if different from the Contact Information above)
Same as in Section II above:
Name: *
Title:
Department:
Address1:
Address2:
Telephone:
Fax:
Email: *
VI. Other Notes: