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Flight Crew Form



Name
 Date of birth
e-Mail
 Phone
Passport Nº1    Passport Nº2  
Country   Country  
Expiration Expiration
Licence Nº1
Country of issue
Date of Issue
Expiration Date
Date of Last Medical Examination
Medical Examination Expiration Date
   
Licence Nº2
Country of issue
Date of Issue
Expiration Date
Date of Last Medical Examination
Medical Examination Expiration Date


EMPLOYMENT HISTORY
Company Beginning End Position


FLIGHT EXPERIENCE
Aircraftjets Total Flight time Date of last flight
 
Command
Time (P1)
Co-Pilot
Time (P2)
 
A 320/ 321/ 319/ 318
A 330/ 340/ 300
L1011/ DC8
B717/ 727/ 737/ 747/ 757/ 767/ 707


Aircrafturbo
Total Flight time
 Date of last flight
 
Command
Time (P1)
Co-Pilot
Time (P2)
 
       
Total Flight Time
(All aircraft) 		 


TOTAL FLYING IN THE LAST 6 MONTHS
Aircraft P1 P2
   
Date of last proficiency check
Aircraft type
   
Date of last instrument rating
Aircraft type


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