Verngo Global Board of Advisory Application Form

Personal Information

First name

Last name

Date of Birth

Day

Month

Year

Nationality

Contact Information

Phone

Mailing Address

Professional Background

Current Position/Title

Organization/Company

Years of Experience in Relevant Fields

LinkedIn Profile (or other professional portfolio)

Key Areas of Expertise (e.g., Marketing, Finance, Technology)

Advisory Board Contribution

How do you envision contributing to Verngo Global’s mission? (Please elaborate in 200-300 words)

Areas of Interest

Additional Information

Have you previously served on an advisory board? (Yes/No)

Yes

If yes, please provide details

What is your availability to participate in meetings or provide input?

Do you have any potential conflicts of interest to disclose?

Acknowledgment I confirm that the information provided above is accurate and complete. I understand that my role on the Verngo Global Advisory Board will be governed by specific terms and conditions outlined in the agreement.

Date

Day

Month

Year

Signature

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