FLYING EXPERIENCE
Applicant Name:
AIRCRAFT
TYPE
DATE OF
LAST
FLOWN
JAR/FAR25
AIRCRAFT
YES/NO
Civil Registered
A/C for multi
crew
operations
AIRCRAFT
WEIGHT(Kg)
PIC (P1)
HRS
P1U/S
HRS
FO (P2)
HRS TOTAL HRS
Total Flight Hours:
A-300b4 No 300
300
No Yes 5000
200
A-310/300-600 No 600-****-****
A-340 No Yes 50
200 200
A-320 No Yes 70
200 200
BE-33
2014
2019
157000
157000
386000
77000
Yes
Yes
Seyed mohammad rasoul mirshafiei langari
2007 189
2009
2014
4000
Employment Application Form
Position Applied:
o Captain (>3,000 PIC hrs)
o Captain (<3,000 PIC hrs)
o First Officer (>3,000 Jet hrs)
o First Officer (>1,500 Jet hrs)
o First Officer (<1,500 Jet hrs)
* Please ticks
Personal Details
Title: *Mr./ Ms. / Mrs.
Surname: Given Name: Email Address:
Contact Number:
Date of Birth:
Age:
Place of Birth:
Nationality:
Marital Status:
*
HK Permanent Resident:
Residential Address:
Country:
No. of Children:
Mohamad.mirshafiei@gmail.com
1983
36
Tehran,Iran
Iran
Married
Nil
Nil
Iran
1
Highest Level of Education
School Name:
Level:
Flight Crew License 1 (Initial License)
Type: ATPL / CPL
Country of Issue:
License Number:
Multi – engine instrument rating valid until:
First Class Medical Certificate Valid Until:
Current English ICAO Result:
Current English ICAO Valid Until:
Night Cross Country Hours:
Date of last flown:
Type of aircraft on last flown:
Date of last flown on A320/A321:
University of Applied Science and
Technology
Bachelor degree
Cpl
2678
A-310
2012
Flight Crew License 2 (Current License)
Type: ATPL / CPL
Country of Issue:
License Number:
Multi – engine instrument rating valid until:
First Class Medical Certificate Valid Until:
Current English ICAO Result:
Current English ICAO Valid Until:
Night Cross Country Hours:
Date of last flown:
Type of aircraft on last flown:
Date of last flown on A320/A321:
ATPL
345378
Level 4
1800
1/7/2020
22/8/2020
07/10/2019
A-320
07/10/2019
28/2/2020
Employer 1 (Current / Latest)
Period (Date):
Company Name:
Position:
Working Location:
Reasons for Leaving:
Aircraft Type:
Flight hours: PIC:
P2:
Employer 2
Period (Date):
Company Name:
Position:
Working Location:
Reasons for Leaving:
Aircraft Type:
Flight hours: PIC:
P2:
4 month
Meraj air
First officer
Tehran,iran
Request commander upgrade
A-320
80hrs picus
200
3 years
Tehran air
First officer
Tehran,iran
Company dissolve
A-320
0
0
Employer 3
Period (Date):
Company Name:
Position:
Working Location:
Reasons for Leaving:
Aircraft Type:
Flight hours: PIC:
P2:
Mahan air
7 years
First officer
Tehran,iran
Better type offer in tehran air A-320
A-300
A-310
A-340
600
3800
Have you ever been found guilty of an offence in a court of law/traffic offence? Do you have any previous record(s) of disciplinary offence whilst in employment with the previous employers?
Do you have any previous record(s) of Flying Accidents / Incidents? Please outline any interests, hobbies or activates you like to pursue during your leisure time No
No
No
Study,swimming
Signature: Mirshafiei langari