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AMAZON INDIA CANDIDATE INFORMATION www.india.amazon.com Please provide all information requested.

A partially filled application will not be accepted for review. Amazon Development Centre (India) Private Limited (Amazon India) is an equal opportunity employer, and does not discriminate on the basis of race, religion, caste, creed, color, national origin, citizenship, marital status, sex, age, sexual orientation, veteran status, political ideology, ancestry, the presence of any physical, sensory or mental disabilities, or other legally protected status. Information provided on this application will not be used for any discriminatory purposes. Amazon.com complies with all applicable nondiscrimination laws and regulations.

SECTION I
PERSONAL Name: DETAILS (Middle Name) Place of Birth Nationality Passport No. Office Phone Mobile Marital Status: (Last Name)

(First Name)

Date of Birth (dd/mm/yy) Gender Fathers Name Home Phone Email ID: RESIDENTIAL ADDRESS Permanent Address

City Pin Residing Since( Mandatory) Current Address Phone No.

State Land Mark: Nature Of Location: Rented/Owned/Others

City Pin Residing Since(Mandatory) Have You ever been known by another name? If yes, kindly specify: Phone No.

State Land Mark: Nature of Location Rented/Owned/Others

Yes

No

EMPLOYMENT RECORD (Not applicable for Interns and Fresh graduates)

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Please list your three most recent employers, including your present employer if applicable, starting with most recent one first. Use additional pages if necessary. Are you currently employed? No

Yes No; if yes, may we contact your current employer? Yes No


Employee ID From (dd/mm/yy) Phone Number: State Country Reason of Leaving: Postal Code

Yes

May we contact your previous employers? Employer 1 (Current Employer) Name of the company: Address City Designation: Duties Performed:
Wage Information Starting Base Salary ___________ Overtime ___________ Bonus ___________ Shift Pay ___________ Stock Options ___________ Similar Consideration ___________ Ending

To (dd/mm/yy)

Gross Salary (Annual): HR Manager Name & Contact number:


___________ ___________ ___________ ___________ ___________ ___________

Supervisor Name & Title: Supervisor s Phone Number:

Employer 2 Name of the company: Address City Designation: Duties Performed: Gross Salary (Annual): HR Manager Name & Contact number: Employer 3 Name of the company: Address City Designation: Duties Performed: Gross Salary (Annual): HR Manager Name & Contact number: State State

Employee ID

From (dd/mm/yy) Phone Number:

To (dd/mm/yy)

Country Reason of Leaving:

Postal Code

Supervisor Name & Title: Supervisor s Phone Number: Employee ID From (dd/mm/yy) Phone Number: Country Reason of Leaving: Postal Code To (dd/mm/yy)

Supervisor Name & Title: Supervisor s Phone Number:

EDUCATIONAL DETAILS AND SKILLS (Start with the latest/ highest qualification; please attach photocopies of the latest Degree mark sheets)

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Name & Address of School/College/ Institute (Mandatory)

Name & Address of University its affiliated (Mandatory)

Type of Degree/ Diploma obtaine d

Year Attended From - To

Roll Number/ Registration Number/Exa m Seat number

(Post Graduation)

(Graduation/Diploma)

(Intermediate/PUC)

(High School)

Special Studies/ Trainings:

SECTION II EMPLOYMENT DESIRED (If position is unknown, please enter Associate)

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Position Desired

Location

Wage Desired

Expected Joining Date

Are you able to perform the essential functions of the job with or without reasonable accommodation? No Are you able to travel if necessary?

Yes

Yes

No

If you are applying for an hourly position, please keep in mind that the availability of hours and days may vary. REFERENCES: If not submitted separately, please give below the names of five references whom you have known for at least one year. Professional references are preferred. 1. Name: Contact Number: E-Mail Address: Employer Name and Location: How do you know this person? Years acquainted?

2. Name:

Contact Number: E-Mail Address:

How do you know this person? Years acquainted?

Employer Name and Location:

3. Name:

Contact Number: E-Mail Address:

How do you know this person? Years acquainted?

Employer Name and Location:

4. Name:

Contact Number: E-Mail Address:

How do you know this person? Years acquainted?

Employer Name and Location:

5. Name:

Contact Number: E-Mail Address:

How do you know this person? Years acquainted?

Employer Name and Location:

Are you legally authorized to work in the India?

Yes

No Yes No

If yes: Will you now or in the future require sponsorship for employment visa status? If you answered yes again, what is the basis of your employment authorization? ________________________________________

Are you subject to a non-competition agreement or other agreement, which would preclude or restrict your employment at Amazon India?

Yes

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Amazon India HR Document

If yes, please describe: __________________________________________

How were you referred to Amazon India?

Walk In
paper or ad code)

Internet/Web

Agency: (Please indicate)

Ad: (Please indicate

Conference/Job Fair: (Please indicate specific conference or job fair attended) Amazon Employee Referral: (Name of the employee)

others: (please specify)

Have you applied previously to any Amazon.com company?

Yes

No No

If yes, please give date(s):________________________

Have you been employed previously by any Amazon.com company?

Yes

If yes, please give dates of employment: ____________

I hereby authorize Amazon India to verify and investigate my employment, history and to inquire of my current and former employers and references information concerning my work history, character and ability, as Amazon India deems necessary. I hereby release Amazon India and its representatives in seeking such information and all other persons, corporations or organizations for furnishing such information. In this regard, I agree to sign as a condition of my employment any and all releases not specified here, but which may be required under law, to implement this background check. If I become employed, I release Amazon India from any and all liability that may arise as a result of any future references it may provide concerning my employment with the company. I further agree to hold harmless and indemnify Amazon India and its employees and agents from and against any and all liability arising out of such background investigations. The above information is true and correct to the best of my knowledge. I understand that false statements or material omissions of any kind during the hiring process may result in denial of employment or discharge. I understand that I will be required to sign a confidentiality and non-compete agreement. I understand and agree that if I am employed, I shall be employed on an at-will basis. As an at-will employee, I understand and agree that Amazon India can terminate our employment relationship, at any time for any reason, with or without advance notice and with or without cause. I further understand that nothing contained in this employment application or in interview process is intended to create an employment contract between Amazon India and me. I acknowledge that no representation or promise regarding the duration or the termination of employment with Amazon India is authorized or binding unless contained in a written document signed by an officer of Amazon India. If employed, I further agree and consent that any wages or other monies which may be due me may be applied against any indebtedness I may have incurred to Amazon India.

Signature of Applicant

Date___________________________

AMAZON INDIA IS AN EQUAL OPPORTUNITY EMPLOYER

KPMG Information Release Form

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To Whom It May Concern:

I______________________________________________________________________________________________ (Middle Name) (Last name) I hereby authorize KPMG or their representatives to verify information presented on application/resume and to procure an investigative report or consumer report for that purpose. I hereby grant authority for the bearer of this letter to access or be provided with full details

(First name)

my

employment

of my previous employment record held by any company or business for whom I previously worked. This information should include the dates of employment; the nature of the position held, [details of my salary upon departure] and an appraisal of my performance, capabilities and character. In addition, please provide any other pertinent information requested by the individual presenting this authority. I hereby release from liability all persons or entities requesting or supplying such information. of my qualification/degree (copy of my certificates attached) Information in respect to my character from the records maintained by local authorities

___________________________________ Signature:

______________________ Date: dd / mm / yyyy

Checklist

Address Proofs for Current and Permanent address (Drivers License/ Passport/Telephone bill/Ration card) 2 Photographs Latest Degree Mark Sheets Employment Relieving Letters Latest Pay Slip

Please note that your background verification process will be initiated only upon the acceptance of offer extended.

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