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1. Personal Information Full Name *

Nationality *

National IC or ID Number | Passport No : *

Address, Street, City, State, Country, zip code *

Email address *

Phone number *

Whatsapp Number *

Referral ID *

Parent ID

Professional Background: If any

What is your preferred method of communication? *

What is your expected timeline for joining in? *

How did you hear about us? *

Pay Out Method

Digital Nomad Status & Work Information | Do you have a valid Digital Nomad Visa?

Please select at least one option.

Yes

Current Country of Residence

Type of work you do as a digital nomad:

Please select at least one option.

Freelancer

Remote Employee

Online Business Owner

Affiliate Marketer

Other (Specify)

Other Please Specify

Your primary skills/services:

Countries you have worked from in the past 12 months:

2. Business Information (If Applicable) | Company Name:

Website (if applicable):

Social Media Handles (LinkedIn, Facebook, etc.):

Industry Focus:

3. Experience and Motivation : Why you want to be part of the program and how you believe you can add value to the business.

How did you hear about the KnW Technology Consulting Startup Factory Program?

Do you have any prior experience in affiliate marketing or sales? *

If yes, please provide details: *

What motivates you to become an agent/affiliate for this program? *

How do you plan to promote the Startup Factory Program to potential clients? *

4. Target Audience | Who do you believe would benefit most from the Startup Factory Program? *

Do you have a network of startups, entrepreneurs, or business owners in your target audience? *

If yes, please describe your network: *

5. Marketing and Promotion Strategy | What marketing channels do you plan to use to promote the program? *

Please select at least one option.

Social Media

Email Marketing

Networking Events

Webinars/Podcasts

Others:

Do you have previous experience with marketing tools (e.g., social media ads, email campaigns, landing pages)? *

If yes, please describe: *

6. Agreement Terms | By submitting this form, you agree to comply with the terms and conditions outlined in the KnW Technology Consulting Startup Factory Program Agent / Affiliate Agreement. *

7. Additional Information (Optional) | Please provide any additional information you believe is relevant to your application: *

8. Submit Your Application Once you’ve completed the application form, please click submit below to our team for review. Our team will carefully evaluate your submission and get in touch with you shortly to provide further instructions on the next steps. We look forward to reviewing your application and welcoming you to the KnW Technology Consulting Startup Factory Program! Affiliate.

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