Venture Builders Agreement Acceptance Form Δ
PlenipotentCo Venture Builders Agreement & Acceptance Form Confirmation of Participation in the Entrepreneurial Tour of Duty
Introduction Thank you for accepting admission into the PlenipotentCo Talent Development and Business Incubation Program.
By completing this form, you are confirming your participation in the programme and formally beginning your Entrepreneurial Tour of Duty within the PlenipotentCo ecosystem.
This form serves to:
i. Confirm your acceptance of the offer
ii. Document your agreement to the core principles of the programme.
iii. Collect information needed to support your onboarding and participation.
Please complete the form thoughtfully and accurately.
Participant Information Gender
- Select - Female Male
Civil Status
- Select - Single Married Divorced Prefer not to say
Employment Status
- Select - Student Unemployed Self-employed Contract staff Employed part-time Employed full-time
Have you ever been convicted?
- Select - Yes No
Residential Address
Country
Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo (Kinshasa) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo (Brazzaville) Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (Dutch part) Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) United States (US) Minor Outlying Islands United States (US) Virgin Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Bank Account Details
Bank Name
Account Number
Account Name
Confirmation of Participation Please confirm the following statements.
I confirm that I accept admission into the PlenipotentCo Talent Development & Business Incubation Programme.
- Select - Yes No
I understand that participation in the programme is structured as a two-year Entrepreneurial Tour of Duty.
- Select - Yes No
I understand that participants in the programme are not employees but entrepreneurial partners within a collaborative ecosystem.
- Select - Yes No
I understand that success in the programme depends largely on my initiative, commitment, and willingness to experiment and create value.
- Select - Yes No
Primary Area(s) of Interest
Consulting or advisory services Education and training Digital products Research and knowledge services Technology-enabled services Other entrepreneurial initiatives
Program Expectations Please confirm your understanding of the following expectations.
I understand that participants are expected to actively explore opportunities, develop ventures, and contribute to collaborative initiatives within the ecosystem.
- Select - Yes No
I understand that the programme provides a monthly stipend of ₦30,000 as minimal support during the early stages of participation.
- Select - Yes No
I understand that participants receive a minimum of 50% of the profit generated by ventures they create within the ecosystem, subject to collaboration arrangements where applicable.
- Select - Yes No
I understand that participation in the programme requires consistent engagement and initiative.
- Select - Yes No
Professional Conduct Please confirm your agreement with the following principles.
I commit to maintaining professionalism, integrity, and respect in all interactions within the PlenipotentCo ecosystem.
- Select - Yes No
I commit to collaborating constructively with other participants, mentors, and partners where appropriate.
- Select - Yes No
I commit to representing the PlenipotentCo ecosystem responsibly when interacting with clients, partners, and collaborators.
- Select - Yes No
Intellectual Property & Collaboration Please confirm your understanding of the following.
I understand that ventures created independently by participants may remain the property of the participants unless otherwise agreed in collaborative initiatives.
- Select - Yes No
I understand that collaborative ventures may involve shared ownership or profit-sharing arrangements depending on the contributions of the participants involved.
- Select - Yes No
Initial Reflection This section helps us better understand you.
What excites you most about beginning your Entrepreneurial Tour of Duty with PlenipotentCo?
What types of problems or opportunities are you currently most interested in exploring?
What capabilities or skills would you most like to develop during the next two years?
Final Confirmation Please confirm the following statement.
I confirm that the information provided in this form is accurate and that I agree to participate in the PlenipotentCo Talent Development & Business Incubation Programme in accordance with the principles and expectations described above.
- Select - Yes No
Privacy Notice Your information is collected solely for official, administrative, operational, and security purposes within The Plenipotent Company Network .
We only request information that is relevant and necessary for identity verification, communication, emergency contact, and responsible network management.
We will:
Store your information securely
Restrict access to authorised personnel only
Never share your information with external parties without your consent
Use your information only for legitimate business and operational needs
By submitting this form, you consent to the secure storage and responsible use of your information as described.
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