Rudra Centre

Personal Details

First Name

Last Name

Phone Number

Phonecode

Username

Unique Shop URL

Shop Description

Address Line 1

Address Line 2

Landmark

City

State / Province / Region

Country

Select country

Pincode / Zipcode

Social Links

Platform

Survey

Tell us about the Content you Create and/or you are planning to sell the Products through our Affiliate Marketing Program?

How did you hear about us?

Select how did you hear about us?

Payment and Tax Information ( Can be filled later )

Tax Classification

Select your tax classification

Business Name ( if applicable )

Country Of Tax Residence

Select country of tax residence

Country Of Citizenship

Select country of citizenship

PAN Number

GST Number

Preferred Currency

Select preferred currency

Bank Location

Bank Account Holder Name

Bank Account Number

Confirm Bank Account Number

Bank Name

IFSC Code

Paypal Id ( Optional )

Join The Rudra Centre Affiliate Program