Pilot Information Sheet
Personnal Details
Family name
First name
Date of birth
Place of birth
Age
Age
—
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
Telephone number
Mobile number
E-mail
Permanent address
Nationality
Select a country
—
Andorra
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Netherlands Antilles
Angola
Antarctica
Argentina
American Samoa
Austria
Australia
Aruba
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Bermuda
Brunei
Bolivia
Brazil
The Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos (Keeling) Islands
Congo
Central African Republic
Congo-Brazzaville
Switzerland
Côte d'Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands
Micronesia
Faroes
France
Gabon
United Kingdom
Grenada
Georgia
French Guiana
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guam
Guinea-Bissau
Guyana
Hong Kong SAR of China
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
India
British Indian Ocean Territory
Iraq
Iran
Iceland
Italy
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
North Korea
South Korea
Kuwait
Cayman Islands
Kazakhstan
Laos
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova
Madagascar
Marshall Islands
Macedonia
Mali
Myanmar
Mongolia
Macao SAR of China
Northern Marianas
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
New Zealand
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn Islands
Puerto Rico
Portugal
Palau
Paraguay
Qatar
Reunion
Romania
Russia
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
Saint Helena
Slovenia
Svalbard
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
São Tomé e Príncipe
El Salvador
Syria
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Turkmenistan
Tunisia
Tonga
Timor-Leste
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania
Ukraine
Uganda
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vatican City
Saint Vincent and the Grenadines
Venezuela
British Virgin Islands
US Virgin Islands
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
South Africa
Zambia
Zimbabwe
Palestine
Serbia and Montenegro
Åland Islands
Heard Island and McDonald Islands
Montenegro
Serbia
Passport number
Passport expiry date
Licence
Type
Number
State of issue
Date of issue
Date of expiry
Type ratings
Date of last medical
Medical expiry date
ICAO English proficiency level
Flying experience
Aircraft type
PIC hours
Co-Pilot hours
Date of last flight (dd/mm/yy)
Experience
Total flying experience
PIC on jet
Flight incident or accident
Yes
No
Criminal record
Yes
No
Currency record
Date of last flight
... months ago
—
Few days ...
01 month
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
A/C
Employment Details
Company
From (dd/mm/yy)
To (dd/mm/yy)
Position
Reason for leaving
Notice period from current employer
Comments
Enter your comments here ...