Affiliate Registration

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• Referral ID *
  Enter Referral Id
• Name *
  Enter Full Name
• Date of Birth *
  Select DOB
• Gender
  --Select-- Male Female Other
• Mobile No. *
  Enter Mobile No. Please Enter Correct Mobile No.
• Email Id *
  Enter Email Id. Ex.:abc@xyz.com
• PAN Card
  Enter Valid PAN Card No
• Aadhar No *
  Enter Aadhar No. Invalid Aadhar No
• Pin Code*
  Enter Pin Code.
• Local Address*
  Enter Local Address.
• Permanent Address*
  Enter Permanent Address.
• Nominee Name*
  Enter Nominee Name.
• Relation*
  Father Husband Wife Mother Brother Sister Cousin Uncle Aunt Son Daughter Father-in-law Mother-in-law Brother-in-law Sister-in-law Partner Proprietor Enter Nominee Name.
• Nominee Mobile No*
  Enter Nominee Mobile No. Enter Correct Nominee Mobile No.
•  Accept all terms and conditions
• Cancel Already registered Sign In.