Affiliate Application Form
First Name
Last Name
Email Address
Contact Number
Gender
Male
Female
Date of Birth
Occupation
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Individual
Shopkeeper
Businessman
Manufacturer
Your Business Details
Address Line-1
Address Line-2
Country
State
City
ZIP Postal Code
Upload Your Latest Photograph in .jpg or .jpeg or .png format
Upload Your Aadhaar Card both Front and Back side image in .pdf or .jpg or .jpeg or .png format
Upload Your PAN Card in .pdf or .jpg or .jpeg or .png format
Upload Your Profile/Brochure in .pdf format
Declaration
I hereby declare that the information presented here is correct to the best of my knowledge and belief.
Confirmation
I am 18+
Confirmation
I have fully read, understand and agree to the Terms of Use and Privacy Policy of the company and signing it electronically.
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Privacy Policy
Legal Disclaimer
Terms of Use
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