gaca_gov_sa · form · processed · 1 chunks
GACA الطبيه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] APPLICATION FOR NOMINATION OF AERODROME MANAGEMENT PERSONNEL <table><tr><td colspan="5">(For use of the Applicant/Aerodrome Operator)</td></tr><tr><td>No</td><td>Data Description</td><td colspan="3">Data Information(To be filled by Aerodrome Operator)</td></tr><tr><td>1.0</td><td>AERODROME MANAGEMENT POSITION</td><td colspan="3"></td></tr><tr><td>2.0</td><td>NAME OF AERODROME</td><td colspan="3"></td></tr><tr><td>3.0</td><td>DETAILS OF NOMINATED APPLICANT</td><td colspan="3"></td></tr><tr><td>3.1</td><td>Full name of applicant</td><td colspan="3"></td></tr><tr><td>3.2</td><td>Address of applicant</td><td colspan="3"></td></tr><tr><td>3.3</td><td>Date of Birth (DOB)</td><td colspan="3"></td></tr><tr><td>3.4</td><td>Telephone/Email of applicant</td><td>Tel</td><td></td><td>Email</td></tr><tr><td>3.5</td><td>Nationality of the Applicant</td><td colspan="3"></td></tr><tr><td>4.0</td><td colspan="4">QUALIFICATION AND EXPERIENCE</td></tr><tr><td colspan="5">I. QUALIFICATIONS</td></tr><tr><td>No</td><td>Qualification Description(Start from higher qualification)</td><td colspan="2">Name of the Institution/University</td><td>Month & Year of Completion</td></tr><tr><td>4.1</td><td></td><td colspan="2"></td><td></td></tr><tr><td>4.2</td><td></td><td colspan="2"></td><td></td></tr><tr><td>4.3</td><td></td><td colspan="2"></td><td></td></tr><tr><td colspan="5">II. WORK EXPERIENCE</td></tr><tr><td rowspan="2">No</td><td rowspan="2">Designation of the Position</td><td rowspan="2">Name of the Organization/Aerodrome</td><td colspan="2">Period of Work</td></tr><tr><td>From</td><td>To</td></tr><tr><td>4.10</td><td></td><td></td><td></td><td></td></tr><tr><td>4.11</td><td></td><td></td><td></td><td></td></tr><tr><td>4.12</td><td></td><td></td><td></td><td></td></tr><tr><td>5.0</td><td colspan="4">TRAINING DETAILS (Please mention only those training courses which are relevant to the post applied for)</td></tr><tr><td rowspan="2">No</td><td rowspan="2">Name of Course/Training</td><td rowspan="2">Name of the Training Institution</td><td colspan="2">Period of Training</td></tr><tr><td>From</td><td>To</td></tr><tr><td>5.1</td><td></td><td></td><td></td><td></td></tr><tr><td>5.2</td><td></td><td></td><td></td><td></td></tr><tr><td colspan="5">NOTE: 1. Attach candidate/management personnel Curriculum Vitae and proof of qualifications, experience and relevant training.2. Insert more rows if required at serial number 4 and 5.</td></tr><tr><td colspan="5">I hereby certify that the forgoing information is correct in every respect and no relevant information has been withheld</td></tr><tr><td colspan="3">Name of Nominating Authority/Accountable Executive (In Full)</td><td colspan="2">Signature</td></tr><tr><td colspan="3"></td><td colspan="2"></td></tr><tr><td colspan="3">Position held</td><td colspan="2">Date</td></tr><tr><td colspan="3"></td><td colspan="2"></td></tr></table> GACA-AVSES-AGA-F022 Rev: 2, Date: 09 Apr 25 Page 1 of 1