Become an Affiliate | LA'REALEZA International

Section A: Personal Information

First Name *

Last Name *

Date of Birth

Gender

Male

Female

Other

Email Address *

Phone Number *

Password * Minimum 8 characters

Confirm Password *

Residential Address

State of Residence

Nationality

Section B: Professional Background

Current Occupation

Educational Qualification

Do you have previous marketing or sales experience?

Yes

No

If yes, please describe briefly

Are you currently affiliated with any other real estate company?

Yes

No

If yes, please specify

Section C: Social Media & Network Reach

Which platforms do you actively use for marketing?

Facebook

Instagram

TikTok

YouTube

Other Platforms

Average number of followers or contacts per platform

Do you have experience generating leads or closing sales online?

Yes

No

Section D: Motivation and Goals

Why do you want to become an affiliate marketer for LA'REALEZA International Limited?

How much time can you dedicate weekly to marketing activities?

What are your monthly income expectations from this program?

Section E: Bank Account Details

Account Name *

Bank Name *

Account Number * 10-digit account number

Section F: Referral Code (Optional)

Referral Code If someone referred you, enter their code here

Section G: Agreement

By submitting this form, I acknowledge that:

I understand that I will act as an independent affiliate marketer, not an employee of LA'REALEZA International Limited.
I agree to comply with the company's marketing ethics, brand standards, and commission policies.
I confirm that all information provided above is true and accurate to the best of my knowledge.
I understand the commission structure: 10% for direct sales and 2.5% per upline level (max 3 levels).

Signature (Type Full Name) *

Date *