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PILOT APPLICATION
飞行员应聘表
CONFIDENTIAL
保密

PLEASE READ THESE INSTRUCTIONS CAREFULLY.


填表前请详细阅读以下说明。

1. This is to be completed and returned to the Head of Pilots Recruitment Office, Xiamen Airlines, 22 Dailiao Road, Xiamen, Fujian, P. R. China, 361006
E-mail: expatpilotrecruiting@xiamenair.com 本 表 填 妥 后 请 寄 至 厦 门 航 空 有 限 公 司 招 飞 办 公 室 , 地 址 : 中 国 福 建 厦 门 埭 辽 路 22 号 , 电 子 邮 箱 :
expatpilotrecruiting@xiamenair.com.
2. Do not leave any item blank. If it is not applicable to you, indicate 'N.A.'. 请逐项填写表格内容,没有请填“无”
3. Attachment 1 is to be completed by applicants with flying experience. 有飞行经历的人员还需填写附件一表格
4. For those items accompanied by an *, please circle the appropriate item. 带“*”标记的项目,请勾选相应的内容
5. False particulars or wilful suppression of material facts will render you liable to disqualification, or, if appointed, to dismissal and/or appropriate legal proceedings.
6. Xiamen Airlines does not enter into correspondence with regard to the reasons for non-selection of candidates.

POST APPLIED FOR How did you come to know about this vacancy?
(Give medium and date)

FULL NAME (In block letters, underline surname) 全名 Name Prefer to be Called : "
Mr./ Ms. Mr.

Postal Address (if different from residential address):通信地址:


Residential Address(Include apartment Number, street, city, state or province, postal

code, and country) :家庭住址:


E-Mail Address:

Home Tel: 家庭电话 Mobile Tel 移动电话 Fax No:传真

Age:年龄 Country of Birth: 出 生 国 家 State of Birth: 出 生 省 份 City of Birth: 出 生 城 市 Height (Metres):身高 Weight
(Kgs): 体 重

Date of Birth ID Info:身份信息


(DD/MM/YY):出生日期

Passport/Identity Card No*:


护照号
Religion:宗教信仰

Country of Issue:
发照国家

Nationality:国籍 Issued Date: Expiry Date:


签发日期 到期日

1
FOREIGN EXPERT CERTIFICATE/ ALIEN EMPOYMENT PERMIT (For Non Citizens Employed in China mainland)外国专家证或就业证
Foreign Expert Certificate/ Alien Employment Permit Date of Issue: Expiry Date:
* No.

MARTIAL STATUS 婚姻状况 Never Married/Married/Divorced/Widowed * 未婚/已婚/离异/寡居

If married, please fill in your Marriage Certificate Number: _____________

PARTICULARS OF SPOUSE Relationship:与申请人关系


OR NEXT OF KIN 家属信息

Name:姓名 Passport No.护照号 Date of Birth:出生日期 (DD/MM/YY)

Home Telephone: 家 庭 电 话 Country of Issue : Religion:宗教信仰


Nationality:国籍
发照国

Home Address:家庭住址

PARTICULARS OF YOUR CHILDREN (Whether By Birth or Adoption and Below 18 Years of Age)子女信息

Name 姓名 Date of Place of Sex Citizenship/Birth Martial


Age
Birth Birth 性别 Certificate Number Status
年龄
国籍 婚姻状况
Male
Male
Male
Female
PARTICULARS OF YOUR PARENTS/BROTHERS/SISTERS 其他家属信息(父母/兄弟姐妹)

Name 姓名 Relationship To Applicant Citizenship Martial Status


Age
与申请人关系 国籍 婚姻状况
年龄

EDUCATIONAL QUALIFICATIONS

Education Information (Starts from High School) Location of School 地址

Name of School/College/University 校名 Major 专业 Degree 学历 Date of Start Date of End


(YYYY/MM/DD) (YYYY/MM/DD)

2
Name:
CHARACTER REFEREES 联络人
Give particulars of 2 referees (other than Address: Telephone No:
relatives). They should be responsible
persons who know you well and at least
one should be well acquainted with you Occupation & Organisation: Period Known:
in your private life. Names of distinguished
persons must not be given unless they
know you well and have agreed to be your Name:
referees. Testimonials from these referees
should not be sent. Xiamen Airlines will write Address: Telephone No:
to them if necessary.

Occupation & Organisation: Period Known:

EXTRA CURRICULAR ACTIVITIES 业余爱好


State your ECA in school/college/university/community/workplace/other civic organisations, giving level of participation/office held
(use separate sheet if space is insufficient)

LANGUAGES (fluent, good, satisfactory, poor)语言能力

Level of Proficiency Level of Proficiency


Language Language
Written Spoken Written Spoken

English

CURRENT EMPLOYER 现在单位 Position Held Date From Present Salary Annual Bonus/ Reasons for
Name and Address Fringe Benefits Wanting to Leave
职务 雇佣日期

PREVIOUS EMPLOYMENT HISTORY 工作经历 (Including temporary jobs: Use separate sheet of paper if space is insufficient)

Period
Name of Previous Employer(s) Position held
From(YYYY/MM/DD) To(YYYY/MM/DD)

Do you object to reference being made by Xiamen Airlines to your present or previous employers? Notice Period Required
YES/NO (Delete appropriately) If YES, please state reason(s) By Your Employer

3
FLIGHT TIME / EXPERIENCE

Hours Hours

1. Total time 7. Actual / Simulated Instruments

2. Multi-engine time 8. Simulator

3. Single-engine time 9. Night

4. Jet time 10. Cross country

5. Turboprop time 11. Instructor/Others ______________

PILOT-IN-COMMAND (List PIC for each aircraft type and model flown. For SECOND-IN-COMMAND (List SIC for each aircraft type and model flown)
B737 type, please use separate column to indicate hours flown on B737-200,
B737EFIS and B737NG; indicate position on B787/B777 as Leader
Capt./Cruising Capt separately if applicable )

Aircraft Type and Model Hours Period (MM/YYYY); Last Aircraft Type and Model Hours Period (MM/YYYY); Last
flown flown

Total PIC time Total SIC time

Date achieved Command on B787/B777: Date last flown on B787/B777:

TYPE OF LICENCE / RATINGS AND MEDICAL STATUS

License/ Ratings Status (Current/Last recurrent) License/ Ratings Status (Current/Last recurrent)

Medical Class (circle one): I/II ATPL Number/Issuing Country:


ICAO English Language Proficiency Level:
Country: Level 4 Level 5 Level 6

Do you have any Criminal Record Yes No If Yes, Please state:

Do you have any Accidents/Incidents Record Yes No If Yes, Please state:

The statements and information supplied by me in this application form are true and accurate to the best of my knowledge. I understand that Xiamen Airlines reserves
the right of selection and employment based on the information supplied with this application.

Applicant’s Signature Date

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