roe aera) PueieT ie kta) Cabin Crew Declaration Form * Candidate Details (Kindly fll below required information) | Personal information 2 ] Famametas flakawel RA Khana] one ora oon — | 25-/ 44/4886 Nationality | Tunisian Passport Number FEY TSEC Passport Expiry | 27/04/2020 Country of Residence Tunisia Date Height (nem) ASS Weight (inka cat Langvage(s) | Gaglth, Eveach , RCGLIC | Une visa type=Wapplcable | Tywtel | Spoken (Tourist/Employment/Residence) _| Contac : : “ aS BITFFEAOU | ematadiress al: Khawerats €F qmail Number Current Place of Work Current Position / Designation ‘Any previous experience in customer service? (if yes, please list the company and years of Experience.) ye, 2 yew Te eal conden ja Tumde , Tardcra (Tunic call canker) Any previous cabin crew experience? (If yes, please list Ne the airline and years of Experience.) ‘Are you confident in water and able to swim with the ald yes of oaton deuce? Tive you eer undergone ay surgtal operation andfor | (TF ‘been admitted to hospital fora serious illness? (I yes, please provide further details)Do you have any history of skin allergy? fy, please provide further details) Na ‘Do you suffer from any of the following? Recurrent heacache/ migraines ecurtentbacache/rheumatam, | “V* (ves, please provide futher deals) vive oestrus tasorwore | Y®/ face acident yes, please provie further dais) ‘Are you curenty receiving any medication prescribed by | V7 a doctor? (Ifyes, please provide further details) Would ou ke to declare any other medical conditions o¢ | %#) [Do you Rave any tattoos? (yes please inaeate these pa, and lcation nthe below Figure) ‘Do you have any scars? (if yes please indicate the size and Ney cation inthe below figure) FEMALE + Candidate Declaration [REFERENCE DISCLAIMER (Please read the attached carefully. Signing the Cabin Crew Declaration Form will be considered as ‘an acceptance ofthe below disclaimer)1 Melame LR Wratmmath herby uthoe Ar Arabs or any dl steed represeratie ofthe Company bearing theless o obtain any information fram employes cin sic agencies, or individuals relating to iy activities. This information may inde, but isnot limited to, academic achievement, performance, attendance, personal, cpa, ret, and conviction records. hereby rect you to release such information upon request of the bearer. | understand thatthe information clase i fr oficial use by Ai Arabia and maybe diclosed to such tid partis as necestyin the ftilment of offical responses, | acknowledge that this information governed by relevant data privacy regulation prevaling athe time, hereby reease any ini rom hi Arabia orth parts, ining record custodians, from any and al lability for damages of whteverknd or nature which may at anytime rest to me on account of compliance or any attempts to comply with ths authorization Signature pate: AGA) 2018