Surname:

khammassi
First Name:Mohammed Ali

Address: Home Tel:

_____________________________________________________-__________ 0021671372382

152 street iboukrate

ibn sina el ourdhia Fax No: ----

Tunis, Tunisia Mobile:

________________________________________________________________ 0021650675490

E-Mail Address: Nearest International Airport :

alikhammassi25@gmail.com Tunis carthage airport

Alternative E-mail address:

alikhammassi96@gmail.com
Gender:

Male
Previous Employer(s): Period Worked: 2 years Position: Sales associate

la femme d aujourdhui

References & Company: Tel. / Fax / e-mail:

La femme daujourdhui 0021698600946

1 English 2: Arabic

3: French 4: ……………………………………………………………………….

If your application is successful you will be required to provide, at your own expense, a Criminal Records Document to be obtained from your local

law enforcement authority. You may also be required to provide a 5yr verifiable work history.

Successful applicants must be able to swim minimum of 25 meters unaided and pass a Water Survival Training.

SECTION 1: GENERAL

SECTION 2A:To be completed by Flight Crew Applicants ONLY

 Total Hours in
Total Hours Total Hours Total Hou
Aircraft type Rating expiry date Date of Last Sim Check Date of Last Flight the last 12
PIC Co-pilot Type F/
months

Type of Licence: JAA/FAA/ICAO Licence valid until: Nationality of Licence:

Licence No: JAA Medical. Date of medical expiry:

Yes / No:

Hours PIC on multi-pilot A/C Hours Co-pilot multi-pilot A/C

Total Hours Pilot Total Flight Engineer Hours

SECTION 2B: please complete your cumulative duty hours and block hours for the last 12 months below;
Total
Cumulative Duty
Hours 1350

Block Time 0

Month 1 Month 2 Month 3 Month 4 Month 5 Month 6

Cumulative
Duty Hours 90 102 96 96 96 96

Block Time 0 0 0 0 0 0

Month 7 Month 8 Month 9 Month 10 Month 11 Month 12

Cumulative
Duty Hours 24 96 96 96 96 96
Block Time 72 0 0 0 0 0

SECTION 3: To be completed by Maintenance/Engineering Applicants ONLY

First Date on Last date on Date of Last Work type
Aircraft Type Engine type JAR/ FAA/ICAO Licence TYPE
type type Recurrent training B1 / B2 etc.
 Full CRS YES/NO Line or Hanger

SECTION 4: To be completed by Cabin Crew/Loadmasters

Experience Aircraft Type Date of Last Recurrent Training Qualifications

SECTION 5: ADDITIONAL INFORMATION To be completed by ALL applicants

Aircraft Experience:

Training Qualifications:

COMMENTS TO SUPPORT YOUR APPLICATION: Continue on a separate sheet of paper, if necessary.

Date Of Availability Position applied for:

02/01/2019 Cabin Crew

Date of application: Signature:

ali khammassi

01/23/2019
Office Use Only: