EMPLOYEE DATABASE

PERSONAL INFORMATION
Employee ID: 1 4 1 3 1 0 Employment Status: Syeida Lion
Full Nam : YAYA SUNARYA Contract Expiry Da:
######
Job Title : Aircraft Techision Location : SOEKARNO - HATTA
Department: EBU (ENGINE BUILD UP UNIT) Division: EBU (ENGINE BUILD UP UNIT)
Place of Birt : SERANG Date of Birt : 30 MARET 1987
Marital Statu : Single Married Widow(er)
Nationalit : INDONESIA Religion: ISLAM Blood Type : O
Company Email Addres: Mobile Phone No: 081285431430
Other Email Addres: yayaebu@yahoo.co.id Home Phone N: -
Mailing Addres : -

Permanent Addres: KP. SANGIANG DESA PABUARAN RT.003 RW.004 KECAMATAN RANGKASBITUNG - KAB. LEBAK - BANTEN

ID Number (KTP/SIM : 360243003870001 Passport Numbe : A9381725

BPJS No. : 0001968521062 Passport Issuing Count: INDONESIA
Tax Card No. (NPWP) : 36375395401000 Passport Issued Da : ### 11 NOVEMBER 2014
Passport Expiry Da: 11 NOVEMBER 2019

FORMAL EDUCATION
LEVEL SCHOOL MAJOR START FINISH
SD SDN BOJONG LOA PAMARAYAN - SERANG 1996 2000
SMP SMPN 1 PAMARAYAN PAMARAYAN - SERANG 2000 2003
SMA SMAN 1 PAMARAYAN PAMARAYAN - SERANG 2003 2006
D3 STTKD YOGYAKARTA YOGYAKARTA 2007 2010

WORKING EXPERIENCE
COMPANY POSITION START FINISH
PT. MERPATI NUSANTARA MEKANIK 2010 2010
PT.AERO NUSANTARA INDONESIA MEKANIK 2011 2013

LICENSES
BASIC LICENSE
TYPE EXAM NO. APPLICANT NO. ISSUED DATE
A1 344/0693/9428 A/P.8298 23-Apr-13
A4 345/0206/8439 A/P.8298 23-Apr-13

AMEL
License Numbe: ### 8298 Medical Examination
Issued Countr : INDONESIA Last Validatio : -
Initial Issued Da : 8 NOVEMBER 2016 Valid Unti: -
Expiry Dat : 23 AGUSTUS 2018 Status: Fit Unfit

NO. AIRCRAFT TYPE VALID UNTIL

8298 ATR 72-500-600 23-08-2018

COMA
NO. AIRCRAFT TYPE VALID UNTIL
8298 ATR 72-500-600 23-08-2018
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AUTHORIZATIONS
OTR DGCA 145.914 OTR DGCA 121.010
No. OTR Initial Issued Date Expiry Date No. OTR Initial Issued Date Expiry Date
M1036 8/11/2016 23-08-2018

OTHER OTR
No. OTR Initial Issued Date Expiry Date Issuing Authority

TRAININGS
AIRCRAFT TYPE RATING TRAINING
Aircraft Type Initial Training Date Last Validation Date Expiry Date Status
Valid Expired
Valid Expired
Valid Expired
Valid Expired

MANDATORY TRAINING
Training Title Initial Training Date Last Validation Date Expiry Date Status
Valid Expired
Valid Expired
Valid Expired
Valid Expired
Valid Expired
Valid Expired
Valid Expired
Valid Expired

OTHER TRAINING
Title Organizer Start Date Finish Date

EASA TRAINING
Title Date

Date :
Signature :

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Note: Please also submit 4x6 photo, copy of school diploma, copy of passport, Working Experience Letter

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