Affiliate Registration

Username *

First Name *

Last Name *

Phone Number *

Email *

Password *

Password Confirmation *

Tell us about your traffic (Please provide links to the Website / App / Page where you will promote - provide all information) *

Provide detailed description

PAN No. *

Attach PAN (Image)

Maximum file size: 100 MB

Name of Bank *

Bank Account Number *

Beneficiary Account Name *

Do you agree to the terms and conditions to become Backseat Gaming Affiliate? [Yes or no] *

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