045-application-for-nomination-of-aerodrome-management-personnel-part-137

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document_type=form entity=format:application/pdf entity=language:ar language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=airport_operations validity=valid validity_confidence=0.6

GACA
الهميه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
APPLICATION FOR NOMINATION OF AERODROME MANAGEMENT PERSONNEL (GACAR PART 137)
<table><tr><td colspan="5">(For use of the Applicant/Water Aerodrome Operator)</td></tr><tr><td>No</td><td>Data Description</td><td colspan="3">Data Information(To be filled by Water Aerodrome Operator)</td></tr><tr><td>1.0</td><td>WATER AERODROME MANAGEMENT POSITION</td><td colspan="3"></td></tr><tr><td>2.0</td><td>NAME OF WATER AERODROME</td><td colspan="3"></td></tr><tr><td>3.0</td><td>DETAILS OF NOMINATED MAMAGEMENT PERSONNEL</td><td colspan="3"></td></tr><tr><td>3.1</td><td>Name</td><td colspan="3"></td></tr><tr><td>3.2</td><td>Address</td><td colspan="3"></td></tr><tr><td>3.3</td><td>Date of Birth (DOB)</td><td colspan="3"></td></tr><tr><td rowspan="2">3.4</td><td rowspan="2">Telephone/Email</td><td>Tel</td><td colspan="2"></td></tr><tr><td>Email</td><td colspan="2"></td></tr><tr><td>3.5</td><td>Nationality</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>Name of the Institution/University</td><td>Month &amp; Year of Completion</td><td>Passing Grade</td></tr><tr><td>4.1</td><td></td><td></td><td></td><td></td></tr><tr><td>4.2</td><td></td><td></td><td></td><td></td></tr><tr><td>4.3</td><td></td><td></td><td></td><td></td></tr><tr><td colspan="5">II. WORK EXPERIENCE (Please mention only those which are relevant to the nominated position of management person)</td></tr><tr><td rowspan="2">No</td><td rowspan="2">Designation of the Position Held</td><td rowspan="2">Name of the Organization/Water 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. Please attach candidate/management person Curriculum Vitae and proof of qualifications, experience, and relevant trainings.2. Please 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-F045
Rev: 3, Date: 11 Sep 25
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