Ethiopian Students Photo

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Personal History Form

1. Personal History
1.1. Given Name______________ Middle Name _______________Surname_____________

1.2 Gender:- Male Female

1.3 Nationality ______________________ 1.5 Religion ________________

1.4.Ethnicity_________________________

1.6 Place of birth:-__________________________ ______________________________

1.7 Passport 1.7.1. Passport ID No_____________ 1.7.3. Validity Date____________

1.7.2 Date of Birth ____/____/____ 1.7.4. Expiry Date_______________

1.7.5 Residence Permit

a)valid Date____/____/____ b) Expire date____/____/____

1.8 Address

1.8.1. Current Residence Address

Region _________Sub city _____________ Woreda ________House No ____________

Phone No. Home___________ Office___________ Mobile __________Email_______________

1.8.2. Previous Address ( where you lived) _________________________________________
________________________________________________________________________

Phone No. Home___________ Office___________ Mobile___________ Email______________

1.8.3. Current living Address ID no. ___________

1.9. Marital Status

Single Married Divorced Widowed No. of Children
1.9.1 If married Name of Wife __________________________ Wifes job_______________

Wifes work address___________________________________

1.9.2 Childrens Name ___________________________________________________________

__________________________________________________________________________________________________________

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1.10 Have you been working in Military institute? Yes No

If yes, please state the situation(location, position and time)____________

___________________________________________________________________________

2. School you want to join at Ethiopian Aviation Academy

2.1 Cabin Crew 2.2 Aircraft Maintenance Technician

2.3 Commercial & Ground Services 2.4 Pilot Training

3. Education and Training

3.1 Educational background. Please specify starting from recent:-

No Name of school Period Outcome School Address

From mm/yr To mm/yr

3.2 Training

No Name of school Period Outcome School Address

From to

3.3. Additional Talent if any? _____________________________________________________

4. Work Experience

Period
No Field of Experience Institute From to Reason to leave

4.1 If there is time you havent mentioned above, please specify where and how you
spent the time? _________________________________________________________________
_____________________________________________________________________________________

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 5. Additional Inquiries

5.1 Have you been sued for any crime Yes No

If yes please specify the reason _________________________________________________

_____________________________________________________________________________

5.2 Have you ever been using drugs? Yes No. If yes please specify:-
_____________________________________________________________________________________
_____________________________________________________________________________________
5.3 Have you ever lived elsewhere other than your native country? Yes No
If yes, please list all places:-___________________________________________________
_____________________________________________________________________________________

5.4 Is it the first time you apply to join Ethiopian Aviation Academy? Yes No
If yes please specify the time and for which School:-
_____________________________________________________________________________________
_____________________________________________________________________________________

5.5 Do you know any person who works in Ethiopian Airlines? Yes NO

If yes, please specify the name of the person and your relationship
_____________________________________________________________________________________
_____________________________________________________________________________________

6. References
6.1 Please list three references who can tell us about your background.(do not write
your families)

Your Full Address

No Name Relation

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 7. Verification

7.1 I hereby verify and declare that the details furnished in this document are true
and correct. In case any of the above information is found to be false or untrue
or misleading or misrepresenting, I am aware that I may be held liable and be
ready to accept the Companys action any time.

________________________ __________________ ____________________

Applicants Name Date Signature

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