1

PILOTAPP001

ISS 01 REV 00 01 JULY 2018

Thank you for your interest to join Flight Deck position in Manta Air. We are looking forward to receiving your complete application.

Position applied for: Captain First Officer

Current Position: Current Aircraft Type:

Current Employer: Notice Period:

Inclusive of your notice period, how long would it take you to join Manta Air?

Present Postal Address:

Permeant Address:

Office Tel:

Mobile Tel:

E-Mail:

Date of Birth (DD/ MM/YY):

City of Birth:

Country of Birth:

(Present) Nationality:

Do you hold Dual Nationality: Yes No

If yes, please specify:

NIC/Passport Number: Place of Issue:

Date of Issue: Date of Expiry:

Name:

Title First Middle Last

Personal Details

2

PILOTAPP001

Marital Status:

Single Married Divorced Separated Widowed

Please state your ICAO English Proficiency Level:

Please note the following when entering your Flying Hours; 1. For aircraft type, include variants. For example, if you have flown the ATR 72-500, ATR 72-600 & ATR 42-500

show them as separate entries. A single entry showing total hours on all three types is not acceptable 2. Hours should be rounded to the nearest hour 3. Command hours should only include time when operating as the nominated Pilot-in-Command (PIC) 4. Please do not include simulator hours

Aircraft Type

Hours Flown as

Airline Commander Copilot

P1 Date of Last Flight

P1 U/S P2 Second Officer

Date of Last Flight

(Cruise Capt)

Total

Total Flying Hours =

Flying Experience

3

PILOTAPP001

When & Where did you receive your professional flying training and Type Rating?

Do you have an outstanding bond with your current employer: Yes No If yes, please specify the amount in US$: Reasons for leaving last position:

Has your license ever been revoked or suspended? Yes No If yes, please specify:

Have you ever been involved in any aircraft accidents or incidents? Yes No If yes, please specify:

Have you ever been employed in an appointment / training capacity? Yes No If yes please specify:

Type of flying

license

Issuing

authority

License

number

Date of

1st issue

Date of

expiry

Limitations

Medical class Date of Last Medical Date of Expiry Issuing Authority

Flight Deck Information

4

PILOTAPP001

Please Indicate your last 5 employers

Name and city of employer

Dates

Position Held

Reason for Leaving

Gross Annual Salary

Package From To

MM YY MM YY

Qualifications achieved / Degree

received

Dates

From To

MM YY MM YY

Secondary

education

University /Tertiary

Education

Business /

Professional

Other

Please indicate your competency in different languages [B = basic; I = intermediate; F = fluent; M = mother tongue]

Language

Read

Write

Speak

Language

Read

Write

Speak

Employment & Educational Background

5

PILOTAPP001

Please give at least 3 Professional Reference from Previous Airlines (please mentioned airlines e-mail address only – personal e-mail address is not accepted)

1 Name

Address

Position / title

Telephone

E-Mail address

2 Name

Address

Position / title

Telephone

E-Mail address

3 Name

Address

Position / title

Telephone

E-Mail address

Please provide us with the details of your Chief Pilot (current Employer)

Name

Telephone

E-Mail address

Please provide us with the details of your HR Manager (current Employer)

Name

Telephone

E-Mail address

References

6

PILOTAPP001

Have you ever been convicted of criminal offence? Yes No

If yes, please provide details:

Have you ever required medical treatment or

Counseling for drug or alcohol abuses? Yes No

If yes, please provide details:

Do you have any relatives employed by

Manta Air or any of its subsidiaries? Yes No

If yes, please provide details:

Do you have any relatives employed by

Manta Air or any of its subsidiaries? Yes No

If yes, please provide details:

Please state why you wish to join Manta Air?

Please tell us how you imagine your potentials life in Manta Air, one year from now!

Please mention any specific qualities or further details that you feel may assist us in placing you in employment!

Miscellaneous

7

PILOTAPP001

Please fill out the medical section of this questionnaire. These questions are additional to the medical and do not replace it. As with the general application form, providing false details or intentionally suppressing required information will render you liable to disqualification, or, if appointed, result in automatic termination and / or appropriate legal proceedings.

General Questions

Height [in cm]: Weight [in kg]:

Do you have any pre-existing medical condition / illness? Yes No

If yes, please provide details:

Have you been grounded for medical reasons or has the renewal of your license ever

been deferred on medical grounds? Yes No

If yes, please specify:

Do you wear a) Glasses Yes No

b) Contact lenses Yes No

If yes, please provide details Specify

Do you suffer from colour blindness? Yes No

Do you smoke? Yes No

If yes, please tell us how much you smoke:

Do you drink alcohol? Yes No

If yes, how much do you drink per week?

“I hereby confirmed that all data mentioned above is valid and correct. All false and untruth information that identified in the future would have a consequence on my application or my employment. Meanwhile, any outstanding documents and qualifications requirement, would be completed accordingly.

(…………………………………….)

Name and Signature

Medical Section

8

PILOTAPP001

a. Please attach the application form along with the following mandatory copy documents:

Passport, showing all relevant details and still valid for min 2 years

CV with mentioning reference from 2 previous airlines

Flying license(s) (ATPL / CPL + IR, with valid rating endorsed)

Medical Certificate

Last two simulator checks

The last three pages of the logbook (Must be stamped by last employer)

Proof of English proficiency

A recent formal passport photo

License Verification Letter

Training Certificates (e.g. CRM, Dangerous Goods, Fire Fighting, etc)

Reference Letter from previous employers

b. Email all application to:

Manta Air

Human Resource Department

(careers@mantaair.mv)

Required Documents to be Attached with this Form