Personal Details | Longreach Aviation China

Email

Home
Positions
Crew Info
Latest News
- Feature
- News
Registration
About Us
Contact Us
Privacy Policy

Search the site...

Home
Forms
Personal Details

The details on this page are to help us collect some essential personal data required to arrange the insurances on your behalf and prepare your documentation.

Therefore please complete the details to the best of your knowledge and as best you can.

If you have any questions then just drop us an email or give us a call to discuss.

Personal Details

Step 1 of 3 - Your Details

33%

Personal Details
Family Name*
First Name*
Middle Name
Date of Birth*
DD slash MM slash YYYY
Gender
- Male
- Female
Nationality*
Primary Phone*
Secondary Phone
Email Address*
Current Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Is this your postal address?
- Yes
- No
Postal Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Spouse's Details
Do you have a spouse or legally recognised partner?
- No
- Yes
Name
Gender
- Male
- Female
Date of Birth
DD slash MM slash YYYY

Health Insurance Details
Do you, and your family, currently have private health insurance?
- Yes we are all covered by private health insurance
- Only I am covered by private health insurance
- No, none of us have private health insurance
If you have private health insurance, what company are you with?
Do you currently have your own travel insurance?
- Yes
- No
When you start your new contract, do you plan on living at the same address as above?
- Yes
- No
If not, then please provide the address of where you and your family plan on living?
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact Details
Name of your Emergency Contact*
First Last
Relationship to You?*
Contact Phone Number*
Contact Email

Declarations
Are you undergoing or have you within the past 12 months undergone or been referred for any tests or investigations into any undiagnosed or suspected medical condition?*
- No
- Yes
Please provide some details:
Do you have any pre-existing conditions or medical conditions for which you are currently being treated?*
- No
- Yes
Please provide some details:
Have you or any other person with an interest in your insurance coverage been refused travel or medical insurance or had any special terms imposed?*
- No
- Yes
Please provide some details:
Comments
This field is for validation purposes and should be left unchanged.

Positions Available

Longreach Aviation is actively placing all types of personnel in various jobs throughout the Asian region. Contact us to discuss your options if you are looking to either advance your career or just move to a more fulfilling position.
Register Here

Aviation Services

With over a 100 years of accumulated experience in the aviation industry, Longreach Aviation can utilise its expertise and experience to provide innovative and cost-efficient solutions to a wide range of problems.
Our Services

Interview Preparation

Longreach can prepare pilots for their airline simulator assessment. Our experienced instructors have a training program specifically designed for the stringent standards of each airline. We know what check pilots are looking for, and so will you.
More Information

(c) 2012 Par Avion Resources Pty. Ltd. ABN: 51160251561 (trading as Longreach Aviation China)

Latest News
About Us
Contact Us