Register As An Associate
Personal Details
Your name
*
Your DOB
*
dd-mm-yyyy
Gender
*
Male
Female
Transgender
Contact Number
*
Your email
*
Identification Details
Aadhar Number
*
Upload Photo ID (Max 5MB)
*
Upload Address Proof (Max 5MB)
*
Bank Details (for commission payments):
Bank Name
*
Account Number
*
IFSC Code
*
Upload Cancelled Cheque/Bank Passbook (JPEG/PDF) (Max 5MB)
*
Sponsor Details
Do you know an existing Origin108 Associate? (Yes/No)
*
Yes
No
If Yes, provide Sponsor ID/Name
If No, Origin108 will assign a sponsor based on your location
I have read and agree to the
Terms & Conditions
to Register as an Associate in Origin108.
*
I'm not a robot
*
REGISTER AS AN ASSOCIATE
