GOVERNMENT OF INDIA
BUREAU OF CIVIL AVIATION SECURITY
AERODROME ENTRY PERMIT (AEP) APPLICATION FORM (AEPAF) UPLOAD RECENT
COLORED
APPLICATION FOR ISSUE OF TEMPORARY AND PERMANENT AEP
PHOTOGRAPH
(Size-3.5cmx4.5cm)
1. AEP Application Reference Id:
(Auto-generated)
2. AEP requested(Check[√] Appropriate Box)
a. Ty
✓ pPeermanent Temporary (1 to 30 days) 1 Day 1-7 Days 3 Months 6 Months
b. Categ
✓orOyperational Government Security Agencies Protocol Infra Foreign National Tool of Trade
c. Z✓ nAes ✓
o D✓ T Si Sd P B F Ft I Any Other Zone
✓ ✓ ✓
Cs ✓
d. Airport
e Airport ✓ All Airports All Domestic Airports All International Airports
o 5 Airports( , , All , ,
)
orts (With in Region)
e. Termi nCalargo Domestic International General AllTerminal -1 -2 -3
Aviation ✓
3. Issue category ✓ Fresh Re-Issue
(If selected [√] appropriate box, please upload ( ) relevant document)
a. Fresh ✓ Appointment/ Posting Order
b. Re-Issue Designation Change Promotion Order Transfer Transfer Order
Mutilated/ Damaged Copy of the Document Expired Previous AEP
Loss FIR/Police complaint/penalty challan and internal enquiry conducted
Any Other Reason Relevant Doc.
4.
a. Detail of the Applicant - Male ✓ Female
Name PREETI KAUR Aadhar No.* U230UU573752 Father’s Name NASIB
SINGH
Mothers Name RANJIT Date of Birth 25-11- (DD-MM-YY)
KAUR
Blood Group B Mobile00
No. 623UU10U0
+ 4
Gender FEMAL Next of 623UU10
kin(Mobile)
E 4
b. DEe-tmaialsil of existing Type of ID Proof PASSPORT
AEP No. APERPEEiTnI . KpAoUs Rse@sGsiOoI nN :D I G O. I
Valid Up To Place of Issue
5. Residential Address: (DD-MM-YYYY)
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PM
a. Permanent Address
House No./Street/Road HOUSE NO 1561 ADARSH
COLONY
District PATIAL
A
State
PUNJA
Pin Code
B
b. Present Address
House No./Street/Road AMBER INTERNATIONAL,S11,JN MARSHALL BUILDING,ANDHERI EAST
District MUMBAI
State MAHARASHTRA
Pin Code 400072
Type of Address Proof Attached PASSPORT / PAN CARD
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6. Employment Details:
Name of the
Organization INTERGLOBE AVIATION LTD. Designation LEAD CABIN ATTENDANT (T
Employee No. 8563U Place of Duty ALL AIRPORTS
Nature of Duty INFLIGHT SERVICES Date of Retirement 24-11-2060 (DD-MM-YYYY)
Office Address INTERGLOBE AVIATION LTD,
7. Others Details:
I. (a) Is any case pending against you with the police or court? Yes No ✓
(b) If yes, Furnish 4/5details on 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:
8.Have your AEP Application ever been rejected? ✓No If yes,then specify reason
Yes Whether Issued or Not? Yes No
9.Previous AEP A D T Si Sd P B F Ft Cs I Any other zone
Zones
10. Information related to applicants other than Indian Nationals
Nationality Passport No. **
Place of Issue Date of Issue (DD-MM-YYYY)
Expiry of Passport Passport Visa
Type of Visa Expiry of Visa (DD-MM-YYYY)
Expiry of FATA (DD-MM-YYYY) Expiry of Contract (DD-MM-YYYY)
11. AVSEC Awareness Training: -
a. Security Staff
Date of Training Location
(DD-MM-YYYY)
Initial Refresher Instructor
Name & Organization of the AVSEC
b. Non-Security Staff
Date of Training
25-08-2023 Location TATA SIA AIRLINE
(DD-MM-YYYY)
Name & Organization of the AVSEC
Instructor GURSIMRAN SINGH , VISTARA
AIRLIN
Applicant Signature: - Signature of Authorized Signatory with seal.
Place:- Mumbai
Name
Date:- 07-10-24 :
Designation
*Disclaimer:-
*Any Govt. issued ID with 12-digit unique number which is same throughout the lifetime should be required for AEP
registration. The applicant’s 12-digit unique number shall not be used for any authentication and Bio-metric details of the
applicant shall not be retained permanently in the Database/Server.
** Must.
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