Amazon Easy Store Registration

What is your name?


What is your mobile number?
We will use this information to contact you regarding participation in this program.


What is your email address?
We will use this information to contact you regarding participation in this program.


What is your age (in years)?


What is your educational background?
Below XII XII Pass or equivalent Graduate Degree Holder Post Graduate Degree Holder

Please provide information about your work experience so far?
Example: Sales Background OR student OR own medical store


How did you get to know about us?
Newspaper Ad Internet Ad From friend or family Others

If you get an Amazon Easy store, who will run it?
Myself OtherFamilyMember HiredStaff Others

How often do you shop online?
Weekly once 2-3 times in a month Monthly once 2-3times a year Never

In which location do you want to set up an Amazon Easy Store?
State
City

Enter the pin code of the location you wish to set up a store


Please provide communication address (with nearest landmark)
Example: Narappa Stores, D.No.3-10-9/1, Bommakanti Vari Street, Nidadavole, West Godavari Dist, Andhra Pradesh, 534101. Landmark: Next to LIC Office


Do you have other businesses?
Yes No

Who refer you to this page(enter email id of referer), if any


Name

Father Name/Husband Name

Shop Name

Full Address of Shop

Contact No.

Mobile Number registered with Amazon

Bank Account Number

IFSC Code

Account Type

Branch

Pin Code

Pan no.

Aadhaar no.

GST NO.- (optional)

Date of birth

Email id - ( Registered with Amazon)

What is sum of 9 & 5?