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TRADER AFFILIATE PROGRAM REGISTRATIONFORM Business Information: EstablishmentName:_________________________________________________________ Address:___________________________________________________________________ City : ____________________ Ph.No.___________________ Fax: ___________________ Email:____________________________ WebsiteURL:_____________________________ List of Products/Services:
Additional Information :______________________________________________________
Operating Hours : ______________________________________________________
Payment Details: DD (No.)__________________ DD Date : ________________Amount :______________
Bank :______________________________ Branch _______________________________
The above details provided by me are correct and abide by the Terms & Conditions of the agreement.
Signature of the Merchant : Received by KIL _______________________________ Signature : ____________________
Name :____________________ Date :__________ Name :_______________________
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