Aerodrome Entry Permit (Aep) Application Form (Aepaf) - Government Of India
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1
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3GOVERNMENT OF INDIA
BUREAU OF CIVIL AVIATION SECURITY
AERODROME ENTRY PERMIT (AEP) APPLICATION FORM (AEPAF)
Fill up the form in CAPITAL LETTERS. Two copies of recent coloured passport size photographs- are to be pasted
(Not to be stamped) in space below. All the columns must be filled up otherwise application is liable to be
rejected. All dates are to be given in DD/MM/YY format. Any overwriting / correction must be countersigned
with official seal.
PART “A”
FOR OFFICE USE :
1. Zone_____ 2. Terminal_________3.AEP No._____________
PASTE
2. Working Airport _________________.
PHOTO HERE
PASTE PHOTO
ATTESTED
4. Valid upto ______/______/______.
ONLY
ON FRONT.
5. Issue date _______/_______/_______.
6. CA Verification :_____________ ( SHO/SB/PP/ any other)
Specimen Signature in BLOCK
Above (IN BLACK INK)
1. Fresh Issue / Re-issue (I/R)._____________
1(a) Previous AEP Colour / Zones ___________________
2. a. For Fresh issue tick ( ) reasons mentioned below.
Fresh Appointment
Designation Change
Transfer
Mutilation
Expiry
Loss
Any other reason: ____________________________
b. Date as of 2(a): _______/________/_______.
3. Name
(Last name)
(First Name)
4. Father’s Name_______________________________________________.
5. Mother’s Name ______________________________________________.
6. a. Permanent Address: _______________________________________________________________________
_______________________________________________________________________________________
b. Present Address: _________________________________________________________________________
_______________________________________________________________________________________
7. Date of Birth _____/_____/_____
8. Date of superannuation _____/_______/_____
9. a. Organization: ____________________________b. Designation _____________________ Code _________
c. Place of duty: ____________________________d. Nature of duty: __________________________________
f. Office Address: ____________________________________________________________________
__________________________________________________________________________________
10. Did you apply for AEP earlier?
YES
NO
Whether issued or not?
YES
NO
11. Details of AEP in possession: AEP No.__________________________ Valid upto _______________________
12. Information relating to applicants other than Indian nationals.
a. Nationality: ______________ b. Passport No.: ______________ c. Place of Issue: ______________________
d. Date of issue: _________ e. Expiry of Passport __________ f. Type of Visa: _________ g. Expiry of visa ______
13.
i (a) Is any case pending against you with the police or court?
Yes
No
(b) If Yes, furnish full details on a separate sheet of paper.
ii (a) Were you ever arrested?
Yes
No
(b) If yes, furnish full details.
Iii (a) Were you punished departmentally?
Yes
No
(b) If Yes, furnish full details:
I certify that the particulars furnished by me above are correct, I also understand that suppression of information
or giving false information would make me liable to legal action as well as denial of AEP
Date :
Signature of Applicant.
BCAS H.O
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