VIP Private Advisory Application

Name

Email Address

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Current role, business, or professional position *

What major decision or situation requires private advisory right now? *

What level of urgency does this situation have? *

Have you previously worked with a coach, consultant, or advisor? *If " Yes" please provide details in the section below.YesNo

Previous experience and collaborations

What outcome are you expecting from this collaboration? *

Client Acknowledgment & Confidentiality Agreement *I confirm that I am applying for a private, high-level advisory service provided by ZALAXMI – Wisdom. Coaching. Wealth. I understand that submission of this form does not guarantee acceptance into the advisory program. I acknowledge that all discussions, materials, strategic guidance, frameworks, documents, recordings, and professional insights shared within any advisory interaction are strictly confidential and remain the exclusive intellectual property of ZALAXMI. I agree not to copy, reproduce, distribute, teach, publish, sell, disclose, or commercially use any information received, in whole or in part, without prior written consent. I understand that this advisory service does not constitute medical, psychological, psychiatric, legal, or financial advice, and that all decisions and outcomes remain my sole responsibility. By submitting this application, I confirm that all information provided is accurate and that I agree to act in good faith, respecting the confidential and professional nature of the advisory relationship.I confirm that I am voluntarily applying for a private advisory service provided under the ZALAXMI – Wisdom. Coaching. Wealth. brand. I acknowledge that coaching and advisory services do not represent medical, psychological, legal, or financial treatment, and that all decisions, actions, and outcomes remain entirely my personal responsibility. I confirm that I have read and fully accepted the Terms and Conditions, Privacy Policy, Refund Policy, and Coaching Disclaimer & Client Responsibility Agreement available on this website. I also understand that all information, materials, strategies, and discussions shared within the advisory process are strictly confidential intellectual property and may not be copied, distributed, taught, recorded, or commercially used without prior written consent from ZALAXMI. I agree to respect the confidential and professional nature of this relationship and understand that any misuse, manipulation, or unauthorized disclosure may lead to immediate termination of services without refund and may give rise to legal action where permitted by applicable law.