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F T DECK CREW
C RECRUI
R ITMENT
T CHECK
KLIST
Personal
Name(assperpasspo
ort)
PassportNo: PassportExxpiry:
DateofBBirth: Age:
MaritalSStatus: No.ofChilddren:
Nationaliity:
EmailAdd:
Docu
umentatioon
LicenceN
Number: Holdderof:
LicenceTType: ATPL
A IRExxpiry:
CPL
MCChold der: Ye
es DateeoflastLPC:
No
N
Licenceddateissued: Licencecouuntryofissuee:
6
Licenced
dateexpiry: EnglishLangguageProficciency:5
4
Medicale
expiry: EnglishLanguagePProficiencyExpiry:
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Profile
Currentlyyemployed:Yes Bon dedbytrainningbond: Yes
No No
Current/Recentrankk: Posiitionapplied
dfor:
P1onCurrentType: InciddentsorAcccidents:YYes
No
P2onCurrentType: TotaalHours:
Notes:
I declarre this to bee a truthfu ul record off my flying experiencee & person nal informaation
Date: Signnaturefield:
Informa
ation verifiied by Fligght Crew A
Assessor
Date: Signnaturefield:
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