EVALUATION FORM FOR FOREIGN PILOTS.

SUR MAME: MOHD NAWI

LAST NAME: MOHD SAFWAN

NATIONALITY: MALAYSIAN
AGE: 32 YEARS OLD

POSITION: PIC F/O NAVIGATOR INSTRUCTOR OTHER

X

LICENCE NO: ATPL 4232

LESSEE COMPANY: IRAN AIR

TYPE OF AIRCRAFT THAT YOU ARE GOING TO FLY: ATR 72-600

TOTAL FLIGHT TIME WITH ABOVE AIRCRAFT TYPE: 2304:51 HOURS

EXPERIENCE WITH ANY OTHER TYPE: ATR 72-500 TIME: 2320 : 15 HOURS
TYPE: DA-42 TIME: 25 : 00 HOURS

TYPE: DA-40 TIME: 146 : 00 HOURS

LAST EMPLOYMENT AIRLINES:

Airline Dates from / to Position Aircraft Type

ALLIANCE AIR
01/04/2016 - N/A CAPTAIN
(AIR INDIA) ATR 72-600

MALINDO AIR 03/02/2014 -

CAPTAIN ATR 72-600
(LION GROUP) 31/03/2016

WINGS ABADI
AIRLINES 19/08/2011 - FIRST OFFICER /
ATR 72-500 / 72-600
31/01/2014 CAPTAIN
(LION GROUP)
ANY FLYING EXPERIENCE IN IRAN: Y N
X
(IF YES PLEASE SPECIFY)

DID YOU HAVE ANY ACCIDENT/INCIDENT Y N

X
(IF YES PLEASE SPECIFY)

IS IT YOUR FIRST EVALUATION INTERVIEW IN IRAN Y N

X
(IF YES PLEASE ADVISE)

SUBJECT
POOR MEDIUM GOOD

GENERAL KNOWLEDGE

ENGLISH UNDERSTANDING/SPEECH

RADIO TELEPHONY PROCEDURE

EXPEREINCE

_______________________________________________________________________

TOTAL RESULT:

SATISFACTORY UNSATISFACTORY

ASSESSOR 1 ASSESSOR 2 ASSESSOR 3

NAME:…………………… NAME:…………………… NAME:………………

SIGN:…………………… SIGN:…………………… SIGN:………………