RISHWORTH AVIATION/KOREAN AIR: CANDIDATE QUESTIONNAIRE & DECLARATION

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Thank you for your application to Rishworth Aviation!

We look forward to supporting you with your application to Korean Air. This document is required to be
completed as part of the application process to ensure that we fully understand your current employment
situation, background and experience with a view to maximising your opportunities with our airline clients.

We are here to help you throughout this process.

Please dont hesitate to contact anyone of our Recruitment Consultants at any time.
____________________________________________________________________________________

INFORMATION IN SUPPORT OF APPLICATION:

Please provide further details/explanation regarding your work history. This is to provide Korean
Air with an overall understanding of your flying background and experience:

If you have any gaps of 3 months or more in your flying career please note what
you were doing during this time.

Please include any other details such as your training, any nonflying jobs, and reasons for leaving
airline/position.

I have been working for LATAM Airlines for almost 10 Years, of which 7 were as a Captain flying
A320. I am looking for a new opportunity to improve my professional experience.

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SECTION 1: GENERAL

1.1 Do you have any questions about the contract terms?

Yes No X

If Yes, please specify:

1.2 Do you have any experience working/flying in Korea?

Yes No X

If Yes, please advise when:

1.3 Is Korean Air your first preference?

Yes X No

If No, please provide details:

SECTION 2: PREVIOUS APPLICATIONS

2.1 Have you ever applied for a position through Rishworth before?
Yes No X

If Yes, which positions have you applied for through Rishworth?

2.2 Have you ever been on assignment/contract with Rishworth before?

Yes No X

If Yes, what contract/s and when?

2.3 Have you ever applied to Korean Air before (including through any Agency)?
Yes No X

If Yes, please provide date of application/s:

2.4 Have you ever screened/interviewed with Korean Air before (including through any Agency)?
Yes No X

If Yes, please provide date and location of screening:

What was the outcome of that screening?

Successful Unsuccessful

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SECTION 3: MEDICAL and FLYING HISTORY:

3.1 Have you ever had an aviation medical certificate denied, suspended or revoked by any licencing
authority?

Yes No X

If Yes, please provide details:

3.2 Do you currently, or have you previously had any medical or health concerns or conditions?

Yes No X

If Yes, please provide details:

3.3 Have you ever had any form of surgery (including eye surgery)?

Yes X No

If yes please advise what type of surgery you had, when you had that surgery and whether you
have fully recovered:

Apendix (age 18), Hydrocele (age 6)

3.4 Have you ever failed a proficiency assessment/checks (initial, airline re-currency, screening or
otherwise)?

Yes X No

If Yes, please provide details: Include number and types of checks failed.

Failed 1 line check and 1 recurrent Sim

3.5 Have you ever been involved in any aviation related incidents or accidents or are you currently under
investigation for an aviation related incident or accident?

Yes No X

If Yes, please provide details:

3.6 Have you ever been asked to leave an airline or been the subject of an airline disciplinary review or
investigation?

Yes No X

If Yes, please provide details:

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3.7 Have you ever been convicted of a criminal offence, or have any legal actions pending?

Yes No X

If Yes, please provide details:

3.8 What Airline are you currently flying for?

Name of current airline:

Latam Airlines

3.9 Please let us know why you are considering another airline at this time.

Reason for Leaving: a) Please provide a detailed explanation for your reason for leaving.
b) If you are on a Leave of Absence or Furlough, please provide the details of
these arrangements (timeframe, recall terms) OR advise if you will resign
before starting a new contract.

I would like to have a better professional opportunity for me and my family

3.10 What period of notice are you required to provide your current airline?

Notice period:

3 months

Earliest date available to start contract:

Second semester 2018

3.11 Do you have any bonding or financial obligations to your current airline?

Yes No X

If Yes, Please provide details:

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3.12 Please confirm what rank you are, and what your present flying status is (please tick as relevant
and advise the fleet/dates):

Captain/PICs First Officers

Flying as Captain/PIC X Flying as First Officer
(do not tick if flying as
Cruise/Relief Captain)
Fleet: A320 Fleet:

Flying as Cruise/Relief Captain Flying as Second Officer

Fleet: Fleet:

If not flying as Captain/PIC, If not flying as First Officer,

please advise the date you last please advise the date you last
flew as Captain/PIC: flew as First Officer:

Fleet: Fleet:

If not flying as Relief/Cruise If not flying as Second Officer,

Captain, please advise the date please advise the date you last
you last flew as Relief/Cruise flew as Second Officer:
Captain: Fleet:
Fleet:

3.13 If you are not currently flying, what airline did you last fly for and what was the reason for leaving?

Name of airline you last flew for and reason for leaving:

3.14 If you are not currently flying, what have you been doing since your last flying job?
Please explain:

3.15 If accepted by Korean Air are you able to commit to the full term of the contract (5 years)?
Yes X No

If No, please explain:

3.16 FOR NON TYPE RATED PILOTS:

1. Please confirm you have read the B777 or A330 Type Ratings information provided to you
Yes X No

2. Please confirm you have researched and obtained confirmation, from the Civil Aviation Authority
(CAA) of your Licence, that they will endorse the newly independently obtained B777 or A330 Type
Rating on your licence without any limitations/restrictions
Yes X No

If No, please explain:

3. Please advise the country of the CAA and your Licence on which the new B777 or A330 Type
Rating will be endorsed without any limitations/restrictions
COUNTRY: ARGENTINA

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 SECTION 4: REFEREE DETAILS:

Please provide the contact details of at least 2 referees and if you have worked for more than 1
airline over the last 7 years, please ensure that you provide at least 1 referee from each airline
who can confirm your employment/dates/hours at the airline and were your immediate supervisors
including your current airline* (Director of Operations, Chief Pilot, Manager/Superior, Post
Holder).

Please supply the airlines flight operations office number or the office number of the
location where the referee is stationed, and the referees company email address.

1. Referee Contact details:

Name: Cristian Rodriguez Company phone number: 5491130997245

Position: Instructor Company email address:

Company: LATAM Christian.rodriguez@latam.com

2. Referee Contact details:

Name: Marcos Ezcurra Company phone number: 005491165606701

Position: Fleet Manager Company email address:

Company: LATAM marcos.ezcurra@latam.com

3. Referee Contact details:

Name: Company phone number:

Position: Company email address:

Company:

Xxx *Tick this box if you do not wish us to contact your current airline/manager until a
job offer has been accepted by you. Please note that after a job offer has been accepted
by you and prior to starting on contract, Rishworth and the airline will make contact with
necessary persons to verify your flight experience and background.

SECTION 5: DECLARATION and CONSENT:

I, the undersigned confirm and declare that:

All information provided by me in this questionnaire and any documentation I provide to Rishworth
and the Airline is complete and accurate and I understand and acknowledge that any
misrepresentation or falsification may lead to termination of the application process or any
agreement between myself and Rishworth and the Airline; and

I understand that Rishworth will contact any of the referees provided and will carry out checks in
respect of any documentation or information provided including contacting any airline or persons
necessary to verify my experience, qualifications, records or the information contained in my
application, and I consent to all such checks and to the disclosure of information provided in
relation to my application.

Gonzalo Gorosito Argentina

Name Nationality Passport Number

________________________ _________________________
Signature Date

Thank you for taking the time to complete this form. We will be in contact with you
about your application soon. In the meantime, please do not hesitate to contact us
should you have any questions or queries about the application process

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