INTEX-AERO PILOT DATA SHEET & AGREEMENT
ADDRESS LICENSE TYPE
AUTHORITY / COUNTRY
LICENSE NUMBER
LICENSE VALIDITY
MEDICAL CLASS 1 VALIDITY
RESTRICTIONS? WHICH? YES NO
TYPE RATED ON
LAST CHECK
CITY MCC / DATE YES NO
COUNTRY JET ORIENTATION COURSE / DATE YES NO
PHONE INSTRUCTOR RATING IFR SFI SFE TRI TRE
NATIONALITY ICAO ENGLISH LEVEL 4 5 6
PASSPORT NUMBER LANGUAGES
EN
G
GE
R
ITA
L
ES
P
FR
E
RU
S
VALID UNTIL TOTAL TIME (EXCL. SIM)
STATUS SINGLE MARRIED PIC AC TYPE PIC HOURS
CURRENT EMPLOYER 1. AC TYPE HOURS
LAST EMPLOYER 2. AC TYPE HOURS
HOW DID YOU FIND US, HEAR FROM US, WHO RECOMMENDED US?
REQUESTEDBUSINESS:PLEASE CHECKTHE BOXES!
TYPE RATING JOB PLACEMENT MCC B737 A320 REFRESHER
LINE TRAINING SFI / TRI TRAINING JOC B737 A320 SCREENING
PREP
COMMAND COURSE SFI / TRI / TRE JOB CRM COURSE FIT-4-FLIGHT
FURTHERINFORMATION
INTEX-AERO PILOT DATA SHEET & AGREEMENT REV.04 04/13
PICTURE
FIRSTNAME
LASTNAME
EMAIL
DATE OFBIRTH
NOTES:Please fill out each field inBOLD letters. Boxes to be
markedas applicable.
Please attach:passport size photocopy of passportLicense /
MedicalCV
All information supplied will betreated as confidential. Please
completeall data and return application by email
[email protected]
MALE
FEMALE
JOIN THE NETWORK
INTEX-AERO is a free registration and network service of SKY4U
Aviation Service UG and does not act as a direct employer or as any
kind of company offering direct employment. INTEX-AERO solely
represents agents, groups, companies or any other business
individual designated to provide employment or business
possibilities and only imparts knowledge, arbitrates between
parties, provides information, intercedes opportunities and acts as
a facilitator in dispute. All business matters remain confi dential
towards third parties, agreements and intentions shall remain
undisclosed unless otherwise agreed upon between the parties
affected. INTEX-AERO can not be held responsible for any action,
agreement, contract, bond or any other business connection beyond
the handling of data of any individuals or groups requesting
placement or business from INTEX-AERO if these ventures have been
taken without the preceding notice and with the lack of written
aproval of INTEX-AERO. Service of INTEX-AERO to registering pilots
is FREE OF CHARGE unless stated seperately and agreed upon by both
INTEX-AERO and the signing party.
--- AGREEMENT ---I HEREBY DECLARE THAT I AGREE WITH INTEX-AERO
TO STORE MY DATA, HANDLE MY DATA, SEEK FOR REQUESTED SERVICES ON MY
BEHALF AS CHOSEN ABOVE, PROVIDE APPROVED THIRD PARTIES WITH MY DATA
TO CREATE BUSINESS OR EMPLOYMENT OPPORTUNITIES. THE INFORMATION
GIVEN HEREIN IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND
I HAVE NOT WITHHELD ANY INFORMATION WHICH MIGHT REASONABLY BE
CONSIDERED TO ADVERSELY AFFECT MY SUITABILITY FOR EMPLOYMENT OR
BUSINESS.I WILL INFORM INTEX-AERO ABOUT ANY CHANGE IN MY DATA
AND
--- I WILL KEEP INTEX-AERO UPDATED ABOUT THE PROGRESS / SUCCESS
/ CANCELATION OF MEDIATED BUSINESS! ---
PLACE: DATE: SIGNATURE:
(I confi rm with my signature that I have not been involved in
any fl ight accident subject to record in Civil Aviation
Association.)
mailto:[email protected]
FIRST NAME: LAST NAME: DATE OF BIRTH: EMAIL: FEMALE: OffMALE:
OffRESTRICTIONS YES: OffRESTRICTIONS NO: OffMCC NO: OffMCC YES:
OffJOC YES: OffJOC NO: OffLICENSE TYPE: AUTHORITY: LICENSE NUMBER:
LICENSE VALIDITY: MEDICAL VALIDITY: RESTRICTIONS: TYPE RATED ON:
LAST CHECK: MCC DATE: JOC DATE: Textfeld 1: PIC AC TYPE: AC 1: AC
2: PIC HOURS: HOURS 1: HOURS 2: SFI: OffSFE: OffTRI: OffTRE: Off4:
Off5: Off6: OffGER: OffENG: OffITAL: OffESP: OffFRE: OffRUS:
OffIFR: OffADDRESS: CITY: COUNTRY: PHONE: NATIONALITY: PASSPORT
NUMBER: PASSPORT VALIDITY: CURRENT EMPLOYER: LAST EMPLOYER:
MARRIED: OffSINGLE: OffRECOMMENDED: TR: OffLT: OffCOM: OffJOB:
OffSFI TRAINING: OffSFI JOB: OffMCC REQ: OffJOC REQ: OffB737 MCC:
OffB737 JOC: OffA320 MCC: OffJOC A320: OffREFRESHER: OffSCREENING
PREP: OffSINGLE_2: OffF4F: OffFURTHER INFO: PLACE: DATE:
