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Permanent Account Number (PAN)*

Enter Pan Number

NOTE : In case you UPDATE your PAN number in future, it is mandatory to email us the scanned copy of your PAN card for verification.You can send us the scanned copy at affiliateteam@shopclues.com. If PAN is not mentioned,the referral fees would be subject to 20% TDS

Company URL*

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Affiliate Type *

Network
Publisher

Website Types*

Coupon/Deal
Price Comparison
Cashback
Recharge
Blog
Other

Monthly Visits*

Less than 1,000
1,000 - 5,000
5,000 - 50,000
5,000 - 50,000
More than 2,00,000

Company Information*

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Address 1 *

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Address 2*

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City*

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State*

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Pincode*

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Country*

Contact Information

First name*

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Last name*

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Work phone*

Phone number

Mobile*

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Email*

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Password*

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Confirm Password*

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Affiliate Payment Information

Payee Name/Company Name*

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Bank name*

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Bank Account Number*

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