<p>APPLICATION FORM All information you furnish is in confidence and will not be used without your permission. Ensure that your employment record is continuous. If the space allowed for any question is insufficient please use a separate sheet. Asian Academy of Aeronautics (Pvt) Ltd: Please print or write clearly. Hangar No.1, Gan International Airport, SURNAME Gan Island, Republic of Maldives FORENAME(S) e-mail: [email protected] web : www.aaa-fta.com DATE OF BIRTH (DD/MM/YY)</p><p>HEIGHT (Centimetres) WEIGHT (Kilograms) </p><p>POSITION CURRENTLY APPLYING FOR : FLYING INSTRUCTOR MAINTENANCE</p><p>GROUND INSTRUCTOR ADMINISTRATION 1. PASSPORT DETAILS PASSPORT NO 1 PASSPORT NO 2 COUNTRY COUNTRY DATE OF ISSUE DATE OF ISSUE DATE OF EXPIRY DATE OF EXPIRY</p><p>2. CONTACT DETAILS</p><p>PERMANENT ADDRESS TEMPORARY ADDRESS IF ANY</p><p>TELEPHONE TELEPHONE</p><p>FAX NO FAX NO MOBILE MOBILE E-MAIL E-MAIL</p><p>3. LICENCE (AIR CREW / INSTRUCTOR)</p><p>LICENCE 1 LICENCE 2 TYPE/NUMBER TYPE/NUMBER PIC PIC TOTAL TIME TOTAL TIME COUNTRY OF ISSUE COUNTRY OF ISSUE DATE OF ISSUE DATE OF ISSUE DATE OF EXPIRY DATE OF EXPIRY DATE OF LAST MEDICAL DATE OF LAST MEDICAL</p><p>DATE OF EXPIRY OF MEDICAL DATE OF EXPIRY OF MEDICAL 4. LICENCE (MAINTENANCE & ENGINEERING )</p><p>LICENCE 1 LICENCE 2 TYPE/NUMBER TYPE/NUMBER TYPE RATINGS TYPE RATINGS COUNTRY OF ISSUE COUNTRY OF ISSUE DATE OF ISSUE DATE OF ISSUE DATE OF EXPIRY DATE OF EXPIRY APPROVALS APPROVALS</p><p>ENDORSEMENTS ENDORSEMENTS</p><p>5. EMPLOYMENT HISTORY (present and previous only) </p><p>1. FROM(MM/YY) TO(MM/YY) ORGANIZATION `LAST POSITION HELD </p><p>PSITION / RANK DUTIES / TASKS IN BRIEF REASON FOR LEAVING a. b. c.</p><p>2. FROM(MM/YY) TO(MM/YY) ORGANIZATION LAST POSITION HELD</p><p>PSITION / RANK DUTIES / TASKS IN BRIEF REASON FOR LEAVING a. b. c.</p><p>6. INSTRUCTOR QUALIFICATIONS</p><p>AIRCRAFT TYPE INSTRUCTIONAL TIME ORGANIZATION</p><p>7. FLYING EXPERIENCE</p><p>TOTAL TIME INSTRUCTOR DATE OF LAST AIRCRAFT Command Co-Pilot TIME FLIGHT Time (P1) Time (P2)* (DD/MM/YY) 8. GROUND INSTRUCTOR</p><p>SUBJECTS LICENSE LEVEL SUBJECTS LICENSE LEVEL </p><p>ACCIDENTS / INCIDENTS / ATC VIOLATIONS Give details of any A/C accidents, incidents or ATC violations in which you have been involved</p><p>ACCIDENTS / INCIDENTS OF PUPIL PILOTS UNDER YOUR SUPERVISION Eg: Having signed the student on solo during consolidation period and an incident during landing.</p><p>HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENCE IN A COURT OF LAW? IF YES GIVE DETAILS</p><p>AVAILABILITY FOR EMPLOYMENT / EXPECTED SALARY Please answer available date (DD/MM/YYYY) or notice term. </p><p>Date Available Expected Salary: </p><p>DECLARATION I certify that this application is true and correct to the best of my knowledge and that if any falsification is found this will be ground for termination of application process or agreement with written notice having immediate effect.</p><p>SIGNED DATE</p><p>Note : Application duly completed to be sent via email to “[email protected]”, how ever the original set (3 pages) with the signature will be required to be sent by post to : M/s Asian Academy of Aeronautics (Pvt) Ltd; 24, Torington Ave; Colombo 7, Sri Lanka. </p>