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Background Checks (ZÜP)
as per Section 7 of the German Aviation Security Act
(LuftSiG)
and
Application for Access
Permissions
based on Section 10 of the German Aviation Security Act
(LuftSiG) regarding Security Restricted Areas
If you are filling out the application by hand, please use block
letters.
Please check the appropriate Security Restricted Area and submit to the relevant ID office.
Confirmation by ID card center
(Date/signature)
Confirmation by ID card center
(Date/signature)
Confirmation by ID card center
(Date/signature)
1. Security Restricted Areas *
All fields marked with * are mandatory. Please check or fill in as appropriate!
Family name
Sex
Maiden name
Date of Birth
Nationality (also former and double)
Place of birth
Native country
ID card no./ Passport no.
Issued by (authority)
Street, house no.
Zip code
City
Current residence
Please enclose a two-sided copy of your national ID card or complete copy of your passport - if your current registered address in Germany
is not visible on the document, then please also include an official registration form.
State (if not in Germany)
All registered given names / First and middle names
Phone number
Email address
Optional information (simplifies queries about the application)
Former names must also be indicated. If possible, these are to be documented (separately).
2. Applicant's personal information *
Flughafen Dresden
Flughafen Leipzig/Halle
EAT/DHL
male
female
diverse
https://fs.egov.sachsen.de/NetGateway/Process#FDF
smwa_lds_ZUEP_1engl
Prüfsumme:
https://fs.egov.sachsen.de/formserv/getform/smwa_lds_ZUEP_1engl_LDD_39_PDF/000-003/smwa_lds_ZUEP_1engl.pdf
PDF
Formular ID:
1.0
smwa_lds_ZUEP_1engl
Stand:
06.05.2021

Stamp/Date/Employer‘s signature
4. Confirmation by employer *
Prospective duty at the airport
Scheduled start of work
Company name
Company address
Name
Declaration of cost coverage
We are aware that we as employer will assume the costs of this check, as specified in Section 7.2 (2) of LuftSiG. An invoice will be issued
by the ID card center of the relevant security restricted area.
We confirm that we will be assuming costs
(not applicable by request for confirmation):
Contact person at the employer
Phone number
Email address
Note
: According to § 7 para. 9b LuftSiG the employer is obliged to inform the responsible Aviation Security Authority within one-
month changes concerning the activity of the people.
(to be filled in by the employer)
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All fields marked with * are mandatory. Please check or fill in as appropriate!
I hereby apply for
(Please complete pages 1 - 6 of the application completely and attach corresponding documents!)
(Please complete pages 1 - 6 of the application completely and attach corresponding documents!)
Date of the last
check
Authority name
Check on
Authority name
If a certification has been issued, please include a copy with this application.
(Please complete pages 1 and 2 of the application and enclose the signed declarations on pages 5 and 6)
3. Subject of application *
First-Time Background Check
Repeated Background Check
Confirmation of an existing background check (ZÜP) or a security check in accordance with Section 9 or 10 of
the German Security Clearance Check Act (Sicherheitsüberprüfungsgesetz) for access to one of the restricted
security areas above

5. Places of residence during the last 10 years *
(include attachment if needed)
From
Month/Year
To
Month/Year
Federal state
Zip Code
City
Street and house number
Officially
registered
(longer stays respectively)
If the residence is outside Germany, then please review the corresponding supplementary bulletin on this point. A copy can be downloaded
from
or requested from the ID card center.
For non-EU foreigners living in Germany, a copy of the German residence permit is to be submitted as well.
Record and document all employment, education, training and any gaps for at least the last 5 years prior to application.
The information on periods of employment, training and further education and any gaps (longer than 28 days) must be entered in the
following table chronologically and in each case with the beginning and end of the activity (DD/MM/YY). In cases where you, as the
applicant, have been employed by the company through which the application is made for at least five years - based on the date of
application - the procedure is unnecessary.
Your
employer
is
requested
to
confirm
your
continuous
employment
on
page
4
of
the
application
under
6.1
employer's
confirmation
of
employment relationship
with signature/stamp.
If this employment lasts less than five years, the table under 6.2 must be used in addition. The relevant supporting documents must be
attached to the application. These supporting documents are to be numbered in the order of the table.
Professional activities are to be proven with suitable copies. Periods of employment can be evidenced in particular by employment
contracts, employer's references, social security certificates, trade registrations (if applicable, with proof of the existence of the trade).
Training periods can be proven e.g. with training certificates, certificates or attestations of an acquired qualification, provided that the
period
is
evident
from
them.
Gaps
in
employment
history
exceeding
28
days
must
also
be
stated
and
supported
by
appropriate
evidence.
For
this
purpose,
proof
of
unemployment,
parental
leave
or
receipt
of
care
allowance,
for
example,
may
be
enclosed.
In
the
case
of
longer
trips, for example, a copy of the passport with the relevant visa endorsements can be submitted.
Please submit the supporting documents in German; if necessary, they must be translated.
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All fields marked with * are mandatory. Please check or fill in as appropriate!
6. Employment, education, training and any gaps
https://www.lds.sachsen.de/anlagen/?ID=17649

6.2 Proof of employment, education and training for the last 5 years including gaps (longer than 28 days).
Proof no.
From/To
(DD.MM.YY)
School/institute/employer (including address), sort of gap
(If necessary, please provide further information on a separate attachment)
To 6. Employment, education, training and any gaps
The applicant named under No. 2 has been employed in our company since:
6.1 .Confirmation of the employer (as under 4.) on the employment relationship
(to be filled in by the employer)
Date
During this time:
Stamp/Date/Employer‘s signature
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All fields marked with * are mandatory. Please check or fill in as appropriate!
no gaps (longer than 28 days) have occurred.
gaps (longer than 28 days) have occurred.
These are listed in the following table (Nr. 6.2).

7. Explanations
Declaration of the applicant
The purpose of the background check (ZÜP) is to protect against attacks on the security of civil aviation, in particular against aircraft
hijackings, acts of sabotage and terrorist attacks.
The aviation security authority may only use the data collected for the purpose of checking reliability.
If the Aviation Security Authority is required to assess you as unreliable within the meaning of Section 7 LuftSiG on the basis of the results
of the check, you will be given the opportunity to comment on the available findings beforehand.
For the duration of the validity of the ZÜP, you are subject to the follow-up report. Each authority involved in the application procedure will
inform the competent authority of any relevant findings concerning your person for the duration of the ZÜP.
The findings (e.g. criminal proceedings) may lead to the revocation of the ZÜP.
Explanations of the procedure
I agree to undergo a background check (ZÜP) on the basis of § 7 LuftSiG.
The Aviation Security Authority may, by providing my data:
make inquiries with the police enforcement and constitutional protection authorities of the federal states, the Federal Police and the
Customs Criminal Investigation Office and, to the extent necessary in individual cases, the Federal Criminal Police Office, the Federal
Office for the Protection of the Constitution, the Federal Intelligence Service and the Military Counter-Intelligence Service and the
Federal Commissioner for the Records of the State Security Service of the Former German Democratic Republic (DDR) about available
information relevant to the assessment of reliability
obtain unrestricted information from the Federal Central Register, information from the Education Register and information from the
Central Public Prosecutor's Proceedings Register,
in the case of foreign persons concerned, request information from the Central Register of Foreigners and, insofar as necessary in the
individual case, direct enquiries to the competent foreigners authorities regarding indications that the person concerned may have an
adverse effect on public security,
to the extent necessary in individual cases, make enquiries of aerodrome operators and air carriers as well as of the employers of the
last five years and the current employer of the person concerned as to information available there which is significant for the
assessment of reliability.
If the information provided by the aforementioned authorities gives rise to doubts as to the reliability of the person concerned, the Aviation
Security Authority may obtain information from law enforcement authorities.
I am obliged to cooperate. Insofar as this is required in individual cases, this duty to cooperate may also include the obligation to provide a
medical opinion if facts give rise to the assumption of alcohol or medication dependence, or to carry out a test for narcotics in accordance
with the Narcotics Act. This obligation also applies if the review has already been completed but there was or is evidence of abuse of
alcohol, medication or narcotics.
I acknowledge that
the result of the check will be forwarded to the federal and state police and constitutional protection authorities involved and to the
Customs Criminal Investigation Office.
my above-mentioned personal data and information on the result of the background check will be stored in the IT system of the
responsible Aviation Security Authority and the airport operator.
-
-
-
-
-
-
My personal data processed within the framework of the background check will be stored
1. by the Aviation Security Authority
a. in the case of a positive decision, for up to three years after the expiry of the validity of the background check
b. in the case of refusal or revocation of good repute up to 2 years after refusal or revocation
2.
from the above-mentioned authorities and bodies involved for up to 5 years and 3 months from the date of the request by the
Aviation Security Authority.
If there is reason to believe that my interests worthy of protection would be impaired by the deletion, the processing of the data must be
restricted. Restricted data may only be processed without my consent if this is indispensable to avert a significant danger.
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All fields marked with * are mandatory. Please check or fill in as appropriate!

I confirm with my signature that
I have taken note of and agree to the instructions, explanations on the procedure and the declaration,
I have not submitted an application for a background check pursuant to § 7 LuftSiG to any other authority which has not yet been
decided upon,
I have provided the above information truthfully and completely to the best of my knowledge and belief.
1
2
3
Pursuant to § 7 para. 9a LuftSiG, I am obliged to notify the Aviation Security Authority of the following within one month:
- Changes of my name,
- Changes of my current place of residence, unless the change of residence takes place within a (federal) country
- Changes in my employer,
- Changes in the nature of my employment.
I will notify the Aviation Security Authority of the changes in writing. At the same time, the responsible identification office at the
airport is to be informed.
Signature of the applicant
(For underage applicants, the signature of the legal guardian(s) is also required!)
Date
Data protection notice
Your data will be processed by the Landesdirektion Sachsen in the performance of its duties in accordance with the applicable provisions
on data protection. You can find further information on the processing of data and your rights in relation to the processing of data under the
link
and in the information sheets posted there.
To 7. Explanations
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All fields marked with * are mandatory. Please check or fill in as appropriate!
www.lds.sachsen.de/datenschutz