Okay Airways Company Limited
B737EFIS/NG CAPTAIN
(please circle Aircraft EFIS or NG)
FLIGHT CREW DATA SUMMARY
Full Name
(Underline family name)
Nationality:
Date of Birth
(Day/Month/Year)
Religion：
Country of Passport:
Passport No:
Height(cm)
Weight(kg)
Phone number:
Email:
Skype
Current/Last Employer Airline:
Current/Last Aircraft type (eg
B737-NG):
Current/Last Position (eg: Captain
or FO etc):
Date of last flight as PIC on B737EFIS/NG:
Licence:
Issued by:
Instrument Rating Expiry Date:
Are you currently still
employed and flying for
the Airline:
YES/NO
Do you have international
flying experience:
Expire date:
YES/NO
Type Rating Expiry Date:
Medical class :
Expiry Date:
Flying hours, by type(if B737,please divide EFIS and NG hours):
Aircraft Type
Total Time
PIC Time
FO Time
Date of First
Flight
Date of Last
Flight
Date of Last
SIM Check
Total time
Work Experience:
From(Date)
To(Date)
Name of Company
Country
Aircraft Type
Position
Please clarify the reasons
when:
1. Your service with the
employer is less than 6
months
2. Gap between two jobs is
more than 1 year (inclusive)
REFERENCES 证明人
Name
姓名
Nationality
国籍
Earliest Date Available/Notice
required to attend
Screening/Selection in China:
Position
职位
Company
公司
Aircraft Type
机型
Phone No.
电话
Earliest Date Available/ Notice
required to Start Contract in China
(if successful at
Screening/Selection):
Highest Degree/Diploma received:
Please state your motivations for pursuing this position & reasons you would like to work with OK Airways:
Details for your previous answers
Monthly Salary in your current company:
(USD)
--------------------------------------------------------------------------------------------------------------------------------------------------------------How did you get this recruitment information?______________(Write the option here )
A. Job Roadshow
B. Smile Aviation Website (If not, other website:_________________________)
C. Facebook
D. Linkedin
E. Wechat
F. Newsletter
G. Referral (please write down this person’s details as below)
Name:____________________
Position:__________________
Company:_________________
Email:____________________
Phone:___________________
H. Other______________________
Why left your last job or want to leave your current job
Pls r
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Have
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Please rank the items which you care most when choosing jobs(line up in numeric order)
Commuting/ Base/ Salary/ Company environment/ other:_____________
1._________
2._________
3._________
4._________
5._________
Have you ever attended Chinese Airlines screenings in the past? Remark: If you did have screening experience with Chinese
airlines before, pls be candid to us in case any documents we need to access from your previous screening company to facilitate the
process with next airlines. Otherwise, any delay or cancellation of the process due to candidate’s deliberate concealing, the candidate
himself should cover the occurred expenses.
Yes. Which airline?___________ When?___________ What position?________
No.
What tests did you do for the screening in last Chinese airlines?
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ATPL?
Medical Check-up?
Airline Simulator Check?
CAAC Simulator Check?
Pass?/fail?_______, Score?_______.
(Send us scan copy of the transcript.)
Pass?/fail?_______.
State reason in case of failure or cease.
Pass?/fail?_______
Pass?/fail?_______
Why you stopped the screening process?
Medical Certificate:
Applicant’s general status （items 1-14 to be completed by applicant ）
Class of medical certificate Ⅰ Ⅱ□ Ⅲa□ Ⅲb□ Ⅳa□ Ⅳb□
Answer the following questions with a “√” under “Y” or “N”
Y N
Y N
Y
(1)Mental disorders
(14)Asthma or lung
(27)Vision disorders or
diseases
eye diseases
(2)Unconsciousness
(15)Digestive system
(28)Air or ground
for any reason
diseases
incapicitation
(3)Epilepsy or
(16)Diabetes
(29)Currently using
Hyperspasmia (tic or
medication
twitch )
(4)Dizziness or
(17)Allergy
(30)Infectious
fainting spells
diseases
(5)Frequent or severe
(18)Biliary calculus
(31)Admitted to
headaches
(gallstones)
hospital within
previous 2 years
(6)Brain injures
(19)Kidney stone or
(32)Family history
blood in
urine(hematuria)
(7)Sleep deprivation
(20)Operative history
A Cardiorvascular
diseases
(8)Illusion
(21)Body joint pain
B Diabetes
(9)Body sense
(22) Obstetric or
C Epilepsy
abnormal
Gynecological
disorders (if applicable)
(10)Flight accident or
(23)Hearing
D Psychosis
incident
deterioration or tinnitus
(ringing in the ear)
(11)Substances
(24)Bad ear pressure
(33)Others
dependence or abuse
(12)Heart or vascular
(25)Motion sickness
trouble
(13)High or low blood
(26)Vertigo
pressure
16 Declaration: All information provided by me in this questionnaire is complete and accurate and I
understand and acknowledge responsibility for any misrepresentation or falsification.
Applicant(sign): 10 December 2010
Description for all the items that marked “YES”:
N
If you have any kind of surgery (which leaves permanent scars or anything obvious in your body)before,
please state when was the surgery, what was the condition, what kind of surgery and the recovery and also
bring English/Chinese version of surgical report.
--I hereby declare the above filling statement is true. If not, I will take the responsibilities.（本人在此申明，以上所有信
息均真实属实，本人未保留任何可能影响此次应聘工作的不利信息）。
--I CONFIRM THAT I WILL BE REPRESENTED TO Okay Airways, EXCLUSIVELY BY SMILE AVIATION
INTERNATIONAL.
--I confirm the contents of the above information are true and correct. If I failed the CAAC medical check because of
concealing my medical history or ever failed in any part of screening with other Chinese airlines but conceal the result,
Okay Airways has the right to request the candidate to cover the occurred expenses.
-- Okay Airways undertakes no obligation to the pilot candidate suffered during the selection process period, of any
property, income or personal aspects of risk, loss, cost, damage, responsibility or any other claims, except due to Okay
Airways’ willful misconduct or gross negligence
Signature （签署）：
Date（日期）：
Okay Airways Company Limited
No.16 Tianzhu Road, Tianzhu Airport Industrial Zone A Shunyi District, Beijing, China PO Box 101312
Telephone: 0086 10 59237516 Facsimile: 0086 10 59237519
Web Page: www.okair.net