Lifespan Application Form.







    Ethical Guidelines Affirmation:

    I hereby affirm that my work adheres to the strict ethical guidelines set forth by the Lifespan Certified Program. I commit to ensuring that my biohacking practices are responsible and safe, and that my innovations align with the program's commitment to ethical standards and the well-being of individuals and society.

    Scientific Publications and Research Papers:
    Please provide copies or links to any relevant scientific publications or research papers that support and validate your biohacking advancements. (You can attach or include links to your research papers below)

    Publication/Research Paper Title: (Multiple Attachments)

    Samples and Validations:

    Please provide detailed information on the samples used in your research and any validations or tests performed to verify the efficacy and safety of your innovations.



    Alternatively, you can provide a sample to the certification Team for testing and validation

    Additional Information:

    Please provide any other relevant information about your biohacking advancements, experience, or achievements that you believe would support your application.

    Declaration:

    I hereby declare that the information provided in this application is accurate and complete to the best of my knowledge. I understand that any misrepresentation may result in the rejection of my application or revocation of the Lifespan Certified Program status if already granted.

    Signature:

    Date (Date of application submission):

    *Note: All information provided in this application will be treated confidentially and used solely for the purpose of evaluating your eligibility for the Lifespan Certified Program.