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FLIGHT

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:

Current/Recentemp ployer: CurrrentA/CTyppe


&Vaariation:

NoticePe eriod: PrevviousA/CTyype:


Datelasttflown: Trai ningExperieence:

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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