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INTEX-AERO PILOT DATA SHEET & AGREEMENT

MALE

FIRST
NAME

NOTES:
Please fill out each field in
BOLD letters. Boxes to be marked
as applicable.

FEMALE

LAST
NAME

Please attach:
passport size photo
copy of passport
License / Medical
CV

PICTURE
DATE OF
BIRTH

All information supplied will be

treated as confidential. Please complete
all data and return application by email to
info@intex-aero.de

EMAIL

ADDRESS

LICENSE TYPE
AUTHORITY / COUNTRY
LICENSE NUMBER
LICENSE VALIDITY
MEDICAL CLASS 1 VALIDITY
RESTRICTIONS? WHICH?

YES

NO

TYPE RATED ON
LAST CHECK
YES

NO

COUNTRY

JET ORIENTATION COURSE / DATE

YES

NO

PHONE

INSTRUCTOR RATING

IFR

SFI

NATIONALITY

ICAO ENGLISH LEVEL

PASSPORT NUMBER

LANGUAGES

VALID UNTIL

TOTAL TIME (EXCL. SIM)

STATUS

SINGLE

MARRIED

SFE

TRI

PIC AC TYPE

PIC HOURS

CURRENT EMPLOYER

1. AC TYPE

HOURS

LAST EMPLOYER

2. AC TYPE

HOURS

6
FRE

ESP

ITAL

GER

TRE

RUS

MCC / DATE

ENG

CITY

HOW DID YOU FIND US, HEAR FROM US, WHO RECOMMENDED US?
REQUESTED
BUSINESS:
PLEASE CHECK
THE 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

FURTHER
INFORMATION
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.)

INTEX-AERO PILOT DATA SHEET & AGREEMENT

REV.04 04/13