Please print out this form and then sign and return to: Dr Suhail A Islam Biomolecular Modelling Laboratory Imperial Cancer Research Fund 44 Lincolnšs Inn Fields P.O. Box 123 London W.C.2A 3PX England _________________________________________________________________________ IMPERIAL CANCER RESEARCH TECHNOLOGY COMPUTER PROGRAM RELEASE FORM FOR PREPI Imperial Cancer Research Technology (ICRT) acts for Imperial Cancer Research Fund (ICRF) on materials exchanges. ICRF is prepared to release its property for collaborative research, with academic institutes, subject to the following conditions:- 1. You will not supply the Program, accompanying documentation or the access password to a third party. 2. You will hold the contents of the Program and accompanying documentation in confidence and not disclose any part of it without prior written permission of ICRT. 3. You will acknowledge any contribution of ICRF in any reports or publications. 4. You agree not to merge the Program or any part of it with any other program. 5. You acknowledge that the ICRF retains ownership of and all rights to The Program. 6. You acknowledge that the Program is experimental in nature and accordingly ICRT makes no representation and gives no warranty or undertaking in relation to it. ICRT gives no warranty that it owns all necessary property and other rights in the Program or is otherwise entitled to use them, and that use of the program will not infringe any patent, copyright, trademark or any other right owned by any third party. ICRT makes no representation that the program is fit for any particular use, has been developed or provided with reasonable care or skill or that it is error free. 7. ICRT and ICRF shall have no liability to you, whether in contract, tort or otherwise, in relation to the use, keeping or transfer of the Program pursuant to this agreement, to the maximum extent permitted under applicable law. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I AGREE to the above SIGNATURE: ........................................................ DATE: ............................ NAME: .............................................................. (PLEASE PRINT OR TYPE) ON BEHALF OF: (INSTITUTION) ................................................ ................................................ ................................................ ADDRESS:..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... .....................................................................