Civil Aviation Department, Please paste your

Government of Uttar Pradesh recent photograph

here
Application Form for Co-Pilot
(To be typed and printout to be submitted)

A. Personal Details :

Candidate’s Name
Date of Birth Age as on 01.07.2021
Current Address

Permanent
Address

Nationality Category (Gen/OBC/SC/ST)

Passport Number
Email
Mobile No.
Other Contact No.

B. Licence Details
Licence Details ATPL/CPL : -
Name and Country of the Institute
where Pilot’s licence obtained
Year of Obtaining Licence
Licence No.
Issuing Authority
IR Currency

C. Endorsements details (Please tick appropriate boxes)

PIC P2 On type Experience
1 Open rating
2 Super King Air 200
3 Super King Air 200GT
D. Performance Details: Total hours :
All Types Aircraft Multi Engine Night Flying
Total Hours (Combined)

As P1/P2 P1 P2 P1 P2 Total Total

Multi Engine

E. Employment Details: (Starting from Current Employer)

Name of the Position From To Aircraft Total Remuneration Accidents or
Organization/ Type Hours (Annual) Incidents, if
Employer Flown any

F. Flying Experience (Please write total hours)

S.No Engine Type Date of Last Aircraft Type P1 P1/US P2
Flying
i Jet EFIS (glass cockpit)

ii Jet - Non EFIS

iii Turbo Prop > 5700 kg

iv Turbo Prop < 5700 kg

v Single Engine

vi Others

G. Other Details :
Bond Period with current employer (Months)
Date when you can join if offered appointment
Time required to be eligible to fly CAD, GoUP aircraft
after joining
What is your expected Salary/ Remuneration
(Annual)

(Signature of Candidate)
Date: