Application Form Employment

Pawan Hans Limited
(A Govt. of India Enterprise)
7. Details of Family – Dependants only.

Sl. Name Sex Date of Birth / Age Relationship
No.
8. Is wife/husband employed : Yes / No ________________________________________

Name of the Organisation : ________________________________________________
Place of Posting : ________________________________________________
9. a) Do you belong to SC/ST/OBC : Yes/No_________________________________________
Ex-servicemen Category (please specify category and attach proof)
b) Are you Physically Handicapped : Yes/No_________________________________________

(Please specify category and attach proof)
c) Do you suffer from any major ailments? : Yes/No___________________________________

(If yes, please give details)
10. Have you ever been arrested / : Yes/No_________________________________________

convicted by any Court of law in India or abroad?
If yes, please give details : _______________________________________________
10(a) Were any Disciplinary Proceedings initiated / contemplated against you during or at the time of
quitting the service. : Yes/No________________
If yes, please give details : _______________________________________________
11. Educational / professional Qualifications:
Sl. Details of Institution / Recognized Specialization Period %age Division

No. Qualification Board / Univ. / Affiliated From To
2
Pawan Hans Limited
12. Training / Other Courses attend :
Sl. Name of the Course Duration Name of the Institution Contents of the Course
No.
13. Academic or professional : ________________________________________________

Awards/honours/special achievements, if any
14. Membership of Professional : ________________________________________________

Institution Association, if any
15. Details of Experience : ________________________________________________

Total length of Service : ________________________________________________
Name of the Period of Position held Nature of duties Pay Scales & Reasons for
Organisation Employment in brief Emoluments (Please leaving
give break –up)
From To
3
Pawan Hans Limited
16. Mother Tongue : ________________________________________________

17 Details of language known : ________________________________________________
Language other than Read Write Speak

Mother Tongue
18. Reference of two persons not related to you, who are well acquainted with your background / service
career and character.
Sl. Name Address Telephone No. Occupation

No.
19. Do you have any relative working with Pawan Hans Helicopters Limited : Yes / No___________
If yes please give details
Name Location Designation Relationship
20. Details of Demand Draft:
Name of the Demand Draft Demand Draft Demand Draft Amount (Rs.)
Issuing Bank and Number and Date drawn in favour of payable at
Branch
Note: SC & ST candidates are exempted from payment of application fee.
4
Pawan Hans Limited
FOR PILOTS ONLY
21.
(a) Licences held (CHPL, ATPL(H), IR, FRTO, RTR ETC) :__________________________________
(b) Indian CHPL/ATPL(H) No. ____________ Date of Issue and Validity_______________________
(c) Helicopters endorsed on CHPL/ATPL(H) ______________________________________________
(d) Total Flying Experience _____________ Helicopters _____________ Fixed Wing _____________
Type of Aircraft / Pilot in Command Co-Pilot Instruction Instruction Flying

Helicopter Experience Experience
Day (hrs) Night (Hrs) Day (hrs) Night (Hrs) Actual Simulated
e) Last Medical – CME, AF or IAM Bangalore: ____________________________________________
f) Next Medical Exam. Due : __________________________________________________
g) Details of Accidents/Incidents : __________________________________________________

on helicopters, if any
__________________________________________________
5
Pawan Hans Limited
FOR ENGINEERS / TECHNICAL PERSONNEL ONLY
22.
a) Category in which Licence held : ________________________________________________
b) H/c and Engines covered by the Licence: ________________________________________________
c) Validity of Licence : ________________________________________________
d) Branch / Trade : ________________________________________________
e) Professional Qualification : ________________________________________________
f) Previous Experience (including : ________________________________________________

appointments held) : ________________________________________________
g) Details of Aircraft (FW & : ________________________________________________

Helicopters Experience) : ________________________________________________
23. Any other relevant information : ________________________________________________

not covered above that you ________________________________________________
wish to provide (add a separate ________________________________________________
sheet, if required). ________________________________________________
6
Pawan Hans Limited
DECELARATION
I hereby declare that the information furnished above is true to the best of my knowledge and belief and I
fully understand that if any information given above is found false, my services are liable to be terminated
at any time without any notice by the management.
Signature of the Candidate
Name (in Block Letters) : ______________________________
Place : ______________________
Date : ______________________

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Pawan Hans Limited

(A Govt. of India Enterprise)

7. Details of Family – Dependants only.

8. Is wife/husband employed : Yes / No ________________________________________

b) Are you Physically Handicapped : Yes/No_________________________________________

c) Do you suffer from any major ailments? : Yes/No___________________________________

10. Have you ever been arrested / : Yes/No_________________________________________

11. Educational / professional Qualifications:

Sl. Details of Institution / Recognized Specialization Period %age Division

12. Training / Other Courses attend :

13. Academic or professional : ________________________________________________

14. Membership of Professional : ________________________________________________

15. Details of Experience : ________________________________________________

16. Mother Tongue : ________________________________________________

Language other than Read Write Speak

Sl. Name Address Telephone No. Occupation

If yes please give details

Name Location Designation Relationship

20. Details of Demand Draft:

Note: SC & ST candidates are exempted from payment of application fee.

FOR PILOTS ONLY

(b) Indian CHPL/ATPL(H) No. ____________ Date of Issue and Validity_______________________

(c) Helicopters endorsed on CHPL/ATPL(H) ______________________________________________

Type of Aircraft / Pilot in Command Co-Pilot Instruction Instruction Flying

e) Last Medical – CME, AF or IAM Bangalore: ____________________________________________

f) Next Medical Exam. Due : __________________________________________________

g) Details of Accidents/Incidents : __________________________________________________

FOR ENGINEERS / TECHNICAL PERSONNEL ONLY

a) Category in which Licence held : ________________________________________________

b) H/c and Engines covered by the Licence: ________________________________________________

c) Validity of Licence : ________________________________________________

d) Branch / Trade : ________________________________________________

e) Professional Qualification : ________________________________________________

f) Previous Experience (including : ________________________________________________

g) Details of Aircraft (FW & : ________________________________________________

23. Any other relevant information : ________________________________________________

Signature of the Candidate

Name (in Block Letters) : ______________________________

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(b) Indian CHPL/ATPL(H) No. Date of Issue and Validity___________