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PILOT RECRUITMENT TEAM

MALAYSIA AIRLINES BERHAD

Candidate Profile & Qualification Form


Family Name Given Name Gender

Nationality Date of Birth (DD/MM/YYYY) Country of Birth

Cell Phone No. Home Tel. No.

Email Skype

Proficiency (Please state level) ICAO Level


Language
(if applicable)
Proficiency

Speak Read Write


Language

Issue Date Expiry Date


Licence Type Country of Issue Type Ratings
Licences

(dd/mm/yyy) (dd/mm/yyyy)
Flying

Date of Last Check Date of Expiry Restrictions


Class
Certificates

Medical

(dd/mm/yyy) (dd/mm/yyy)

Total Flying Hours In Your Career: P1:______________ P2:___________

Aircraft Command Co-Pilot Time Date of Date Last


Total Time Instructor Time
Type Time (P1)* (P1u/s & P2)* Last Flight Sim Check

*Simulator time should not be included in Command or Co-Pilot time.


*
Command time must NOT include P1 u/s or P2 time

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FO/EmploymentVerification/April 2018
PILOT RECRUITMENT TEAM
MALAYSIA AIRLINES BERHAD

TOTAL FLYING LAST 6 MONTHS

Aircraft Command Time Co-Pilot Time

Training Qualifications

Training Type
Company Name Aircraft Types Approval Authority (JAA; FAA etc)
(TRE,TRI,LTC)

Employment History

Company From To Position Aircraft Type

References
Please provide details of persons that may be willing to provide a reference for you. We will not contact your current employer

without your written permission.

Name Company Position Email Contact Details

Safety/ Disciplinary Performance

Any disciplinary action taken.

If YES, please explain

Any involvement in any aircraft

incident/accident.

If YES, please explain

OTHER INFORMATION DEEMED RELEVANT

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FO/EmploymentVerification/April 2018
PILOT RECRUITMENT TEAM
MALAYSIA AIRLINES BERHAD

Authorisation for Background and Reference Check

I hereby authorise Malaysia Airlines Berhad to contact my previous/current employer(s) for information relating

to my past/present employment.

Information required may include:

i. Work performance

ii. Salary

iii. SAFETY performance/issues

iv. INCIDENT/ACCIDENT information

I agree that all information collected can be used by Malaysia Aviation Group and its subsidiaries for the purpose

relating to my employment application with Malaysia Aviation Group and its subsidiaries.

I understand that the information collected will be treated as confidential.

SIGNATURE

FULL NAME

PASSPORT / IC NO.

DATE

Note : Please return this completed form to Pilot Recruitment Team, Malaysia Airlines Berhad at
mazlina.matdesa@malaysiaairlines.com

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FO/EmploymentVerification/April 2018

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