Pilot Application Form

Personal information:
Surname
First Name
Date of Birth (dd/mm/yy)
Nationality
Telephone No
Mobile Telephone
E-Mail
Skype
Address

Santiago
Toro
12/8/1965
Colombian
8897749938
8897749938
santiagotoro1@yahoo.com..
santiago.toro70
Marg Kryshnayaa Hotel Vijayawada India

Current base
Desired position

Vijayawada India
Embraer Captain

Flying Experience:
Aircraft Type

P1 Hours (Command)

DHC-6
ATR 42
Boeing 727
J-32
Embraer 170/190

P2 Hours (First Officer)

4626
2308

2279
1042
401
0
0

1933
2073

Date Last Flight

1999
2001
1995
2011
5/4/2016

Total Time (all Aircraft):

P1
Total Time

10647
14662

P2
Total time last 12 months

4025
486

Licences Hold:
Type
(ATPL/FATPL/CPL/FE etc.)

Country of Issue
Date of Issue
Date of Expiry
Last Medical
Medical Expiry

Flight Trainings:

License 1
DHC-6/ATR42/JS32/EMBRAER
170/190
Colombia
3/20/1996
Atached to Medical Certificate
4/12/2016
11/8/2016

License 2

Date Last PFC

12/30/2015

Specific Qualifications:
LOVIS-CATII/III
RVSM
ETOPS
MNPS
RNP/RNAV
LHS F/O >FL200
LOFT (Line oriented flight tr.)
RHS Capt.
Pilot Incapacitation
Emergency Descent
Aircraft Upset Recovery
Wind shear briefing & Recovery
TCAS Briefing & Manoeuvring
EGPWS/TAWS
Winter Operations
Operations near Volcanic Ash
Other Qualifications:
Dangerous Goods
Security/Unlawful Interference
Cold Weather and Winter Ops
Contaminated RW Operations
Hot Weather Operations
Fire drill
Emergency Evacuation
CRM
Terrain Awareness (CFIT)
Emer. Equip./CRM with CC
Basic Operator Familiarization. T.
ACAS/TCAS Theory
RVSM Theory
China RVSM
EGPWS/TAWS Theory
ETOPS Theory
MNPS Theory
RNP/RNAV Theory
AWO/LVP/CATII-III Theory
Wet Drill
Medical/First Aid
Thunderstorm Avoidance
Volcanic Ash Avoidance
Common Language:
Common Language Proficiency English
Evaluation

Per
Method
Initial Qualif. Last Recurent
Renewal Before
1/2 SIM/Recurre
01/27/14
nt
6/4/2016
1 SIM/Recurre
nt
1 SIM/Recurre
nt
1 SIM/Recurre
nt
6/15/2015
1 SIM/Recurre
nt
1 SIM/Recurre
12/30/2015
nt
1 SIM/Recurre
nt
12/30/2015
1 SIM/Recurre
nt
3 SIM/Recurre
6/15/2015
nt
1 SIM/Recurre
12/30/2015
nt
3 SIM/Recurre
6/15/2015
nt
12/30/2015
3 SIM/Recurre
nt
12/30/2015
1 SIM/Recurre
nt
12/30/2015
3 SIM/Recurre
nt
1 SIM/Recurre
nt
SIM/Recurre
nt
2
3
1
1
1
3
3
1
1
1
X
X
X
X
X
X
X
X
X
X
X
X
X

TE
TE
TE
TE
TE
T
T
T
TE
LINE
T
TE
TE
TE
TE
TE
TE
TE
TE
TE
TE
TE
TE

Initial ICAO
level
4

3/28/2016

4/5/2016
4/5/2016
9/21/2015

5/4/2016

2009 Course
complete

Last ICAO level Present ICAO level

4
4

Legend: - once every 6 months, 1 once per year, 3 once per 3 years, X Initial training only, E Exam SIM/Recurrent training during FFS
recurrent, LINE training during line check, T Training only required, TE -- Training and Evaluation. Please enter all training dates

Employment History:
Airline
ACES
Aerolinea de Antioquia
Air Costa

Dates From/To
1190/2003
2004/2011
STILL

Position

Aircraft Type

Reason for leaving

Bankrupt
Profetional assesment
STILL

Copies of documents mentioned below are enclosed to this Application Form:

1. Passport (color one)
2. Current Medical Certificate
3. License
4. Valid License Proficiency Check within minimum of three months remaining and valid class1 medical check
5. Log-book pages (last 3 months, showing totals)
6. Reference letter from 2 last Employers and contact details for verification
7. ICAO level 4 certificate
8. Non-criminal records Certificate
9. Non-accident/Incident aviation records Certificate
I hereby confirm that:
P1 time is pilot in command, left hand seat time where I am the designated Captain on the flight
P2 time includes P1 U/S time and time where I was not the designated Captain on a flight
I have no record of accidents or incidents in my flying
Santiago Toro
Candidate (name/signature/date)

17/06/16

Sigma Aviation Services confirms that all information in present Application form and all attached documents are correct
and have been checked by Sigma Aviation Services

Responsible person from Agency (name/signature/date)