Affiliate Application — IMDI Health Care

Full Name / Company Name

Unique Username Your referral link: ?ref=username

Email Address

Phone / WhatsApp Number

Password

Confirm Password

Country of Residence

Payouts for affiliates in India are processed in INR (₹) via UPI or Direct Bank Transfer.

Website / Social Media Handles / Promotional Strategy

Affiliate Referral / Sponsor (Optional)

If an existing IMDI affiliate invited you to join the Partner Program, enter their Username or Referral Code below.

Sponsor Username (Optional)

Sponsor Referral Code (Optional)

Join IMDI Affiliate Program