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Ref No.

: - AMZNJB/LOIN/6078

We are an Equal Please print or type. The


Opportunity Employer and application must be fully
Amazon Application For Employment committed to excellence completed to be
through diversity. considered. Please
complete each section,
even if you attach
all qualification certificate.

Personal Information
Name Father's Name

Present Address City State Zip

Phone number Permanent Address

Are you legally eligible to work in the US? Are you a veteran? Email address
Yes No Yes No

If selected for employment are you willing to submit to a background check?


Yes No

Position
Position you are applying for Available start date Job Location applying for

Employment desired
Full time Part time Work from home

Education
School /College name Location Years attended Degree received Major

Family Background Age Occupation

Amazon Development Centre India Private Limited


Corporate Office: Brigade Gateway, 8th floor, 26/1, Dr. Rajkumar Road, Malleshwaram (W), Bangalore-560055.
Recruitment Office: 184, Dr A.K. Paul Road. Behala, Near-Madhya Para Rickshaw Stand,Salt lake Sector 5, Kolkata – 700034.
Experience Previous Employment History
Employer (1) Job title Dates employed

Work phone Starting pay rate Ending pay rate

Address City State Zip

Employer (2) Job title Dates employed

Work phone Starting pay rate Ending pay rate

Address City State Zip

Employer (3) Job title Dates employed

Work phone Starting pay rate Ending pay rate

Address City State Zip

Computer Skills Hobbies & Interests Mother Tongue

Physical Disability, If any Other Languages

Other Skills Nationality Religion

Uniform Size Details Present Occupation Employee Id. Number

Shirt Size Aadhar No. Pan No.

T-Shirt Size Shoe Size Pant Size Marital status Date of birth

Signature Disclaimer
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my employment being terminated.

Name (please print) Candidate's Signature

Date Place

Please fill the form and send it to: info@jobsamazon.in


Amazon Development Centre India Private Limited
Corporate Office: Brigade Gateway, 8th floor, 26/1, Dr. Rajkumar Road, Malleshwaram(W), Bangalore-560055.
Recruitment Office: 184, Dr A.K. Paul Road. Behala,Near-Madhya Para Rickshaw Stand,Salt lake Sector 5,Kolkata – 700034.

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