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Section A: Personal Information
Full Name
*
Provide any one of the following:
Date Of Birth
*
NID Number
*
Phone Number
*
WhatsApp Number
Email Address
*
Present Address
*
Permanent Address
Profile Photo
*
Section B: Social & Promotion Information
Facebook Profile Link
*
Facebook Page Link
Website Link
Instagram ID
TikTok ID
YouTube Channel Link
Total Followers (Combined)
Promotion Methods (Select all that apply)
Facebook Post
Facebook Group
Paid Ads
WhatsApp Marketing
Direct Referral
Other Promotion Method
Section C: Payment Information
Preferred Payment Method
*
bKash
Nagad
Bank Transfer
Payment Account Number
*
Account Holder Name
*
Section D: Business Declaration
আগে Affiliate Marketing করেছেন? (Have you done Affiliate Marketing before?)
Yes
No
Expected Monthly Orders
Account Password
*
I agree to the Parcelo Mart Affiliate Terms & Conditions
*
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