APPLICATION FOR EMPLOYMENT

Spring Japan is an EQUAL OPPORTUNITY EMPLOYER.

4-11-2 Kozunomori, Narita,
Spring Japan does not discriminate on the basis of age, gender, color, race or national origin. Chiba 286-0048 Japan

(A) GENERAL INFORMATION DATE: 12/09/2019

LAST NAME: FIRST NAME: MIDDLE NAME (IF ANY):

GHARDADDOU YASSER

DATE OF BIRTH, AGE: PLACE OF BIRTH (CITY): NATIONALITY:

22/03/1981 , 38 TUNIS TUNISIAN

PRESENT ADDRESS:

VILLA 35, BARASHI, SHARJAH, UNITED ARAB EMIRATES

MAILING ADDRESS (IF DIFFERENT FROM ABOVE):

E-MAIL ADDRESS: MOBILE PHONE NUMBER:

GHARDADDOU_YSR@HOTMAIL.COM +971509520593

PHONE NUMBER: EARLIEST AVAILABLE DATE:

+971555528709 01/10/2019

(B) EDUCATIONAL INFORMATION

SCHOOLS NAME & ADDRESS FROM / TO GRADUATE MAJOR
HIGH FROM:
Lycée Père Blanc, Tunis 1999 ● Yes
SCHOOL

TO:
2000 No

COLLEGE FROM:
University International De Tunis 2003 ● Yes
/UNIVERSITY

TO:
2005 No

GRADUATE FROM:
Yes
SCHOOL

TO:
No

BUSINESS FROM:
Yes
SCHOOL

TO:
No

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(C) EMPLOYMENT INFORMATION
PRESENT OR MOST RECENT EMPLOYER: POSITION FROM TO

AIRARABIA CAPTAIN 2007 2019

ADDRESS: PHONE NUMBER:

SHARJAH, UNITED ARAB EMIRATES +97165088888

REASON FOR LEAVING: MAY WE CONTACT EMPLOYER?

NEW CHALLENGE Y ● N

EMPLOYER PRIOR TO THE ABOVE: POSITION FROM TO

NOUVELAIR FIRST OFFICER 2006 2007

ADDRESS: PHONE NUMBER:

MONASTIR, TUNIS
REASON FOR LEAVING: MAY WE CONTACT EMPLOYER?

BETTER LIFE STYLE Y ● N

EMPLOYER PRIOR TO THE ABOVE: POSITION FROM TO

ADDRESS: PHONE NUMBER:

REASON FOR LEAVING: MAY WE CONTACT EMPLOYER?

Y N

EMPLOYER PRIOR TO THE ABOVE: POSITION FROM TO

ADDRESS: PHONE NUMBER:

REASON FOR LEAVING: MAY WE CONTACT EMPLOYER?

Y N

EMPLOYER PRIOR TO THE ABOVE: POSITION FROM TO

ADDRESS: PHONE NUMBER:

REASON FOR LEAVING: MAY WE CONTACT EMPLOYER?

Y N

REMARKS:

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(D) PILOT INFORMATION
(1) PILOT CERTIFICATES
COUNTRY DATE OBTAINED

ATPL
(a) UNITED ARAB EMIRATES 07/11/2010

(b)

(c)

TYPE RATING:

A320

(2) MEDICAL CERTIFICATE

CLASS: EXPIRATION DATE: COUNTRY ISSUED:

CLASS 1 05/03/2020 UNITED ARAB EMIRATES

(3) FLIGHT HOUR INFORMATION

TOTAL HOUR: 11165 PIC: 5273 SIC: 5892

(4) FLIGHT HOUR INFORMATION BY TYPE RATING

TYPE RATING
B737NG A 320

PIC HOUR
5273

SIC HOUR
5892

DATE OF LAST FLIGHT

DATE OF LAST SIM C'K

(4) FLIGHT HOUR INFORMATION BY EMPLOYER AND AIRCRAFT TYPE

EMPLOYER A/C TYPE POSITION DATE FROM DATE TO PIC SIC

B737NG A320 2007 2019 5273 4515

AIRARABIA

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EMPLOYER A/C TYPE POSITION DATE FROM DATE TO PIC SIC

A320 F/O 2006 2007 1376

NOUVELAIR

EMPLOYER A/C TYPE POSITION DATE FROM DATE TO PIC SIC

EMPLOYER A/C TYPE POSITION DATE FROM DATE TO PIC SIC

EMPLOYER A/C TYPE POSITION DATE FROM DATE TO PIC SIC

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(E) PHYSICAL CONDITION
(1) MEDICAL HISTORY / SELECT Y(YES) OR N(NO) FOR EACH CONDITIONS
CONDITION Y N CONDITION Y N CONDITION Y N
DIABETES MELLITUS ●
RECTAL OR ANAL DISEASES ●
EPILCPSY OR SEIZURE ●
(HEMORRHOIDS, ETC.)
ENDOCRINE AND METABOLIC ●
LIVER AND BILLIARY TRACT ●
LOSS OF CONSCIOUSNESS ●
DISEASES (HYPERLIPIDEMIA, DISEASES (SYNCOPE ETC.)
HYPERURICEMIA ETC.)
ALLERGY (ASTHMA OR HAY FEVER ●
KIDNEY, URINARY OR GENITAL ●
FREQUENT OR SEVERE ●
ETC.) DISEASES HEADACHES
RESPIRATORY DISEASES OR LUNG ●
JOINT, BACK OR LOW BACK PAIN ●
EYE OR VISION TROUBLE EXCEPT ●
DISEASES GLASSES
EXCESSIVE DAYTIME SLEEPINESS ●
INJURY ●
EAR, NOSE OR THROAT TROUBLES ●

HEART DISEASES ●
HEAD INJURY OR CONCUSSION ●
DIZZINESS ●

CHEST PAIN, CHEST OPPRESSION ●

MENTAL OR NEUROLOGICAL ●
MOTION SICKNESS REQUIRING ●
OR PALPITATION DISORDERS MEDICATION
HYPERTENSION ●
SUICIDE ATTEMPT ●
OTHER ILLNESS REQUIRING ●
MEDICATION
STOMACH OR INTESTINAL ●
DRUG OR ALCOHOL DEPENDENCE ●
TROUBLE

(2) SELECT Y(YES) OR N(NO) FOR EACH ITEMS AND IF YES, EXPLAIN IN DETAIL SUCH AS THE PART OF THE BODY,
CAUSE AND DATE ETC.
Y N DETAILS
ADMITTED TO HOSPITAL OR OPERATED ●

INVOLVED IN AIR OR OTHER ACCIDENT ●

DISQUALIFIED AT AVIATION MEDICAL EXAM OR ●

DETERMINATION OF JUDGEMENT OF MINISTER

CURRENTLY USE DAILY MEDICATION ●

(INCLUDING EXTERNAL USE AND SLEEPING
PILLS)
OTHER RELEVANT INFORMATION ●

(F) GENERAL QUESTION

NO YES COUNTRY IF YES
AS A PILOT-IN-COMMAND OR CO-PILOT, HAVE YOU

A. HAD, OR BEEN IN ANY ACCIDENT? ●

B. HAD, OR BEEN IN ANY INCIDENT? ●

C. HAD ANY CITATION FOR AVIATION RULE? ●

D. HAD YOUR PILOT CERTIFICATE SUSPENDED? ●

E. HAD YOUR PILOT CERTIFICATE REVOKED? ●

HAVE YOU EVER BEEN:

A. CONVICTED OF A MISDEMEANOR? ●

B. CONVICTED OF A FELONY? ●

C. CONVICTED OF A DUI? ●

HAVE YOU EVER APPLIED TO ANY JAPANESE AIRLINE? IF YES, PLEASE DESCRIBE WHICH COMPANY AND WHEN.

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 APPLICANT'S STATEMENT　 　 　

1. I understand that if I am accepted for employment by Spring Airlines Japan (Spring) such
employment could be subject to the completion of a company-administered medical
examination and/or medical questionnaire. If such examination or questionnaire discloses
any medical condition which, in the sole judgment of Spring, would impair my ability to
successfully perform the job responsibilities of the position for which I was hired, I will be
subject to dismissal. In either event, Spring shall not be held liable for such action. I
further release all parties including Spring, its officers, directors, employees and agents
and its parent corporation from any and all liability or claims for damages whatsoever that
may result from such dismissal.

2. Any acceptance of employment shall be predicated upon the truthfulness of the statements
I have made within this application and any supplements required. I understand that
should Spring find that any statement I have made is not truthful, any job offer extended
to me will be withdrawn and if employed, I will be subject to dismissal. In either event
Spring will not be held liable for such actions. I further release all parties including
Spring, its officers, directors, employees and agents and its parent corporation from any
and all liability or claims for damages whatsoever that may result from such dismissal.

3. I understand that should I not pass the Drug and Alcohol test or any retest and a medical
review officer finds that the test results are positive, any job offer extended to me will be
withdrawn and if employed, I will be subject to dismissal. In either event Spring will not
be held liable for such actions. I further release all parties including Spring, its officers,
directors, employees and agents and its parent corporation from any and all liability or
claims for damages whatsoever that may result from such dismissal.

4. I authorize Spring to verify all of the information contained within this application for
employment and any supplements submitted.

5. I authorize any person, schools, my current employer (if any) and previous employers, and
any organizations named in this application to provide Spring with any relevant
information that may be required. I further release all parties providing information from
any and all liability or claims for damages whatsoever that may result from the release,
disclosure, maintenance, or use of such information.

6. This application has been read by me in its entirety.

7. ✘ I hereby certify that the above information given are true and correct as to the best of
my knowledge.
(Check above)

DATE: 12/09/2019

NAME IN PRINT: YASSER GHARDADDOU

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