GOVERNMENT OF'INDIA

BURE,AU OF CIVIL AVIATION SiCURITY

AERoDRoME ENTRv pERMrr
taril arpiffiiiorn *onu (AEpAr)

Fill up tho form in CApITAL LETTERS.

Copy ofrecent colored passport size photographs
needs to be uploaded in space
Drovided. orr ,ir..olr.", rn"r, iJ fiit"a
application is liable ro be rejecied. ,p o,t..*iru
All dates are to U. gr".rl, Olzirwyy formar.
overwriting / correction must be countersigned Any
with oificial seal_

i. nEP Apprrcatron Reference Id, ffi ,^ uto-generated)

2. TlRe ofAEP requested (Check Appropriate
Box)
a. Singie Airport pass
Multi Airport-single Region Airport pass
Multi Airport-Multi Region Airport pass
fl
tr
AEp
b. Temporary
tr
PermanentAEp tr
Commercial AEp
Government Securiry Agencies E
Protocol Pass
Poreign National Pass F
3. Issuecategory tr
FRESH:- EI
(lfseleoted, Appointment Order to
be uploaded for private
Posting to be uploaded for govt. imployees) Uplosd Appointmeny
_Order
RE-ISSUE:- Posting Ordcr
(lf selected, please select following
reasons;E
Designation Change:- tr
(lfselected, promotion order to be Upload Promotion
uploadedf Order
Tran sfer:-
(lfselected, Transfer order to be uploaded) E
Mutilation:- 'tr Upload Transfer Order

Expiry:- EI
(lfselected, copy ofprevious AEp
to be upt#[ea) Upload Prcvious AEp
Loss
(lf selected,. copy of FIRJpolice
at$
complaint witt penalty challan
And intemal enquiry conducted to be uploaded-)
Any other reason
(lfselected, mention reason and
I ,,r* I
upload relevant document)
I ,,*, I
4. Previous AEp Colour / Zones: -
5. Date as of (3)
DD/ MM/ YYYY

6. Applicant Name

(Pls. mention type of id-proof document)

7. Aadhar Number if Available

8. Father's Name:-
9. Mother's Name:-
10. a. Permanent Address:

b. Present Address:-

Type of Address ProofAttached

ll. Email Id:-

12. Mobile No:-

13. Emergency Mobile No:-

14. Blood Group:-

15. Date of Birth:- DD/MM/^/YY

16. Date of Superannuation: DDiMM/YYYY

I 7. a. Organization Name:
b. Designation:
c. Employee No.:
d. Place ofduty:
e. Nature of duty:
f. OfTice Address:

18. Did you apply for AEP earlier?

YES tr
Notr
Whether issued or not?
YES tr
Notr
19. Details ofexisting AEP in possession:-
AEP No, Valid Upto Place of Issue
20. lnformation relating to applicants other than Indian nationals.
a. Nationality:
b. Passport No: Upload Passport
c. Place of lssue:
d. Date oflssue:
e. Expiry ofPassport:
f. Type of Visa:
g. Expiry of Visa: Upload Visa

21. AVSEC Awareness Training:-

Date of Training: Location:
Name & Organization of the AVsEc Instruclori