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Affiliate Registration

Affiliate Details

First Name is too long. First Name cannot have special symbols and numbers. First Name is required.
Last Name is too long. Last Name cannot have special symbols and numbers. Last Name is required.
Invalid Residency Country Format. Country is required.
Code is required. Invalid Mobile number Format. Mobile number is required.
A Username must be lower-case a-z
Username must be at least 6 characters
Username is required. The Username has been registered.
Please make sure that your password fulfils the security requirements. Password is required.
Invalid Email Format. Email is required.

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Confirm Your ID

Please submit proof of identification and proof of address so that we can proceed with verification of your details.

Drop files here or
Accepted file types: jpg, gif, bmp, jpeg, png, tiff, doc, pdf, Max. file size: 50 MB, Max. files: 3.

    Confirm ID (Choose one of the options below)

    Accepted file types: jpg, gif, bmp, jpeg, png, tiff, doc, pdf.Maximum Number of Files:3. Maximum File Size:50MB

    • Copy of Valid Passport/National ID Card
    • or
    • Copy of Valid Front and Back of Driver's License
    Drop files here or
    Accepted file types: jpg, gif, bmp, jpeg, png, tiff, doc, pdf, Max. file size: 50 MB, Max. files: 3.

      Confirm Address (Choose one of the options below)

      Accepted file types: jpg, gif, bmp, jpeg, png, tiff, doc, pdf.Maximum Number of Files:3. Maximum File Size:50MB

      • Copy of Utility Bill
      • or
      • Copy of a Bank Statement (no older than 3 months)
      Hidden
      This field is for validation purposes and should be left unchanged.

      Your consent to the terms of this agreement ("Agreement") with PU Prime is signified by clicking the box entitled "I have read and agreed to the Affiliate Program Agreement" in our partner application form.

      Note: Residents of the U.S. are not allowed to open an account with PU Prime