CONFIDENTIAL DOCUMENT

APPLICATION FORM FOR EMPLOYMENT - AIRCREW

first officer Date Available immediately

Position applied for: /Notice required by current employer:
1.PERSONAL PARTICULARS

aviansyah,gilang
Name: (English)
Surname First Name, Other Names
gilang
Name: _ (Chinese, if any)

Date of Birth: 02/07/1985 Country of Birth: indonesia

day / month / year
PASSPORT
Passport No.: x1840400 Place of Issue: indonesia Date of Expiry:
day / month / year
ID CARD
ID Card No: 3275120207850005 Place of Issue: indonesia Date of Expiry:
day / month / year
Citizenship: Port of Domicile:

RESIDENTIAL ADDRESS(ES) FOR PREVIOUS 10 YEARS:

………………………………. ……………………………… ……………………………..….
………………………………. ……………………………… …………………………….......
………………………………. ……………………………… ………………………………...
………………………………. ……………………………… ………………………………...
Country…………………...…... Country………………………. Country…………………………

Attach a separate sheet if necessary

CURRENT CORRESPONDENCE ADDRESS:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
…………………………………………………………………………Country………………………………….

Tel. No: (Home) (Office) (Mobile)

Email Address:

ACADEMIC QUALIFICATIONS Official Use

(Starting with the latest record – you may attach a resume for detailed breakdown) Only
Period Name of University / Polytechnic / College / Copies /
Qualification Obtained
From To Technical Institute Verified

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 Period Copies /
Name of Secondary School Qualification Obtained
From To Verified

CAREER HISTORY Official Use

(Starting with the present employer – you may attach a resume for detailed breakdown Only
Period Copies /
Name of Institute Qualification Obtained
From To Verified

2. FLYING TRAINING AND OTHER TECHNICALQUALIFICATIONS

(Please attach a copy of the qualification(s) listed below)

Date
Qualification/Course Licence Obtained From
From/To

3. FLYING EXPERIENCE (if applicable)

JET AIRCRAFT

AIRCRAFT TYPE / EFIS COMMAND / F/O / 1ST PILOT / SECOND OFFICER FLIGHT ENGINEER TOTAL
ICAO CODE YES / NO CAPTAIN HOURS DUAL HOURS HOURS HOURS HOURS

TOTAL (A)

NON JET AIRCRAFT

COMMAND / F/O / 1ST PILOT / SECOND OFFICER FLIGHT ENGINEER TOTAL
AIRCRAFT TYPE / ICAO CODE
CAPTAIN HOURS DUAL HOURS HOURS HOURS HOURS

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 TOTAL (B)

TOTAL HOURS FIXED WING (A+B)

HELICOPTER

TYPE/ COMMAND FIRST OFFICER TOTAL

ICAO CODE HOURS HOURS HOURS

LICENCES (Please attach a copy of the Licence (s) and the last completed page of Log Book)

Type/country of Issue:

...................................................... No. ............................... Valid Until: .....................................................

...................................................... No. .............................. Valid Until: .....................................................

Aircraft Types endorsed on Licence:

...................................................... Part I / II .................................................. Part I / II

...................................................... Part I / II .................................................. Part I / II

...................................................... Part I / II .................................................. Part I / II

Instrument Rating Valid Until: Performance Examination Group “A” Yes /No

OTHER LICENCES

Radio ................................................................................................................ Valid Until .....................................

Navigation ........................................................................................................ Valid Until ........ ..............................

Other .................................................................................................................................................................

FLYING ACCIDENTS (if any)

………................................................................................................................ Valid Until ....................................

......................................................................................................…………….. Valid Until ....................................

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4. REFERENCE

Please provide the names and contacts of two persons whom Air Hong Kong may approach for a reference, one of whom
should preferably be from your present/last employer.
Name Company Address/Contact
information

1. …………………………………. …………………………………. ………………………………….

…………………………………. …………………………………. ………………………………….

2. …………………………………. …………………………………. ………………………………….

…………………………………. …………………………………. ………………………………….

5. AIR HONG KONG LTD REFERENCES

Please provide the names of contacts in Air Hong Kong whom you know and state in what connection
i.e. same Company/Squadron etc.

1. ………………………………………………………………………………………………….

2. ………………………………………………………………………………………………….

3. ………………………………………………………………………………………………….

6. ADDITIONAL INFORMATION
Please outline any interests, hobbies or activities you would like to pursue during your leisure time.

.....................................................................................................................................................................................................................................

Please give your reasons for wishing to join Air Hong Kong Ltd.

.....................................................................................................................................................................................................................................

Have you ever been employed by Cathay Pacific Airways or any of its Group Subsidiaries?

If Yes, please provide details: Yes No

Are there any information which you would like to disclose which may be relevant or material to your application for employment
with AHK?
Yes No

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If Yes, please state the details:

(Please note that AHK employees are subject to security background screening which includes declaration of criminal offence
record(s) required for compliance with the regulatory security standards and to determine their suitability for employment. Any
material non-disclosure of information or misinformation may result in the retraction/withdrawal or termination of an Offer of
Employment subsequently issued)

May we approach your current/previous employer(s) for reference checks for the purpose of concluding the recruitment decision?

If “Yes” to the above question, please sign below to indicate your consent:
Yes No
Remarks:

Signature: Date:

Name:

We are an Equal Opportunity Employer.

Personal data provided by the applicant will be used by Air Hong Kong Ltd for recruitment and employment related purpose only.
All data will be collected, processed and retained in compliance with the Personal Data (Privacy) Ordinance. The Personal Information
Collection Statement for Recruitment is attached for your review and acceptance.

I certify that I have read the attached Personal Information Collection Statement for Recruitment and agree to its terms and
conditions. I further declare that all personal data and information being provided for this application are true and accurate to the
best of my knowledge.

Signature: Date:

Name:

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Personal Information Collection Statement for Recruitment

Purposes of Collection

The personal data collected in this application form may be used by AHK Air Hong Kong
Limited (“Company”, “we” or “us”) for the following purposes:

a. To assess your suitability to assume the job duties of the position for which you are
going to apply or to be deployed;
b. To determine the remuneration and benefit package for you;
c. To prepare for your onboarding, such as reference checks, employment visa
application, and employment contract preparation; and
d. To conduct other employment related operations.

Personal data requested in the application form is mandatory, unless specified otherwise.
Failure to provide the mandatory personal data may render us unable to process your
application.

Transfer of Personal Data

The Company is a wholly owned subsidiary of Cathay Pacific Airways Limited.

We may transfer your personal data to the following parties (both in Hong Kong and abroad)
for the aforementioned purposes:

a. Our third-party service providers, including providers of background check services,

medical services, banking services, insurance and retirement schemes; and
b. Cathay Pacific Airways Limited and its wholly owned subsidiaries and related
companies.

We may also transfer your personal data to government departments, law enforcement
agencies and regulatory bodies when it is required by the laws, or when it is necessary to fulfil
the aforementioned purposes.

Retention Period

We may retain the personal data of unsuccessful applicants for future recruitment purposes
for two (2) years.

Data Access and Data Correction Requests

Under the Personal Data (Privacy) Ordinance, you have the right to request access to and
correction of your personal data related to your application. If you wish to exercise these rights,

March 2023

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please complete a data access request form and send it to our Head of Human Resources at
the address below. You may use our data access request form, or the one specified by the
Office of the Privacy Commissioner for Personal Data.

We may charge a reasonable fee for the processing of any data access request in accordance
with the Ordinance. In determining a reasonable charge for handling such requests, the cost
of actual time spent by administrator(s) / manager(s) who are involved in processing a
particular data access request is the basic element of the fee charged. In addition, cost of
copying per sheet of paper will also be charged.

Contact Us

If you want to learn more about our privacy policy in relation to employment, please contact
our Head of Human Resources at AHK Air Hong Kong Limited, 2/F Cathay House, 11 Tung
Fai Road, Hong Kong International Airport, Lantau, Hong Kong.

March 2023

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