gaca_gov_sa · form · processed · 1 chunks
GACA ال necesita للطيران المدني General Authority of Civil Aviation [Non-Text] AERODROME MANAGEMENT PERSONNEL (POST HOLDER) ASSESSMENT FORM <table><tr><td colspan="10">(For use of the ASIs and CPM)</td></tr><tr><td colspan="2">Name of Applicant</td><td colspan="2"></td><td colspan="3">Name of Position</td><td colspan="3"></td></tr><tr><td colspan="2">Name of Airport</td><td colspan="2"></td><td colspan="3">Date of Assessment</td><td colspan="3"></td></tr><tr><td colspan="10">COMPETENCY ASSESSMENT RESULTS</td></tr><tr><td>No.</td><td colspan="5">Competency Assessment Component</td><td colspan="2">Possible Marks</td><td colspan="2">Marks Obtained</td></tr><tr><td rowspan="2">1</td><td rowspan="2" colspan="5">Qualification</td><td rowspan="2">Mandatory</td><td colspan="3">Check (X) one box</td></tr><tr><td>Yes</td><td colspan="2">No</td></tr><tr><td>2</td><td colspan="5">Experience</td><td>10</td><td></td><td>☐</td><td>☐</td></tr><tr><td>3</td><td colspan="5">Training</td><td>10</td><td></td><td>☐</td><td>☐</td></tr><tr><td>4</td><td colspan="5">Written Test</td><td>50</td><td></td><td>☐</td><td>☐</td></tr><tr><td>5</td><td colspan="5">Personal Interview</td><td>30</td><td></td><td>☐</td><td>☐</td></tr><tr><td colspan="6">Total</td><td>100</td><td colspan="3"></td></tr><tr><td rowspan="4" colspan="2">Assessment Committee (Min 3 Member)</td><td>Name</td><td colspan="3"></td><td>Sign</td><td colspan="3"></td></tr><tr><td>Name</td><td colspan="3"></td><td>Sign</td><td colspan="3"></td></tr><tr><td>Name</td><td colspan="3"></td><td>Sign</td><td colspan='3"></td></tr><tr><td>Name</td><td colspan="3"></td><td>Sign</td><td colspan="3"></td></tr><tr><td colspan="10">AERODROME SAFETY INSPECTOR/CERTIFICATE PROJECT MANAGER RECOMMENDATION</td></tr><tr><td colspan="3">Assessment Results</td><td colspan="7">Competency Assessment Outcomes Remarks, if any</td></tr><tr><td colspan="2">Accepted</td><td colspan="8">☐</td></tr><tr><td rowspan="2" colspan="2">Accepted with Conditions</td><td rowspan="2" colspan="2">☐</td><td>Condition1</td><td colspan="5"></td></tr><tr><td>Condition2</td><td colspan="5"></td></tr><tr><td colspan="2">Not Accepted</td><td colspan="2">☐</td><td>Reason(s)</td><td colspan="5"></td></tr><tr><td colspan="10">COMPETENCY ASSESSMENT VALIDATION</td></tr><tr><td colspan="5">Signature of Designated CPM</td><td colspan="3">Name</td><td colspan="2">Date</td></tr><tr><td colspan="5"></td><td colspan="3"></td><td colspan="2"></td></tr><tr><td colspan="5">Signature of Concerned Department Manager</td><td colspan="3">Name</td><td colspan="2">Date</td></tr><tr><td colspan="5"></td><td colspan="3"></td><td colspan="2">Date</td></tr><tr><td colspan="5">Signature of Concerned Department General Manager</td><td colspan="3">Name</td><td colspan="2">Date</td></tr><tr><td colspan="5"></td><td colspan="3"></td><td colspan="2"><img></td></tr></table> GACA-AVSES-AGA-F007 Rev: 7, Date: 25 Mar 25 Page 1 of 1