Progress Flight Academy Application for Training Candidate

Surname: Nationality: Height: Postal address City / Postcode / State Physical address City / Postcode / State Phone - Office Phone - Mobile First names: Passport no: Weight: Date of birth: RSA ID no: Sex:

Flight hours: Total: Instrument: Licence and ratings: Education - state proficiency in English, + qualifications in English, Maths and Science

Phone - Home e-mail Flight experience if applicable Solo total: Solo CC:

Accommodation required on Campus? Yes / No Special dietary requirements How did you learn of Progress? (Name of magazine / person / )

Course
Description: Price: Start date: Payment Plan (in advance or monthly installment):

Next of Kin (parent or guardian if applicant is under 21 years old)

(the person to contact in event of medical emergency) Name / Relationship Postal address City / Postcode / State Phone - Office Phone - Mobile

Phone - Home e-mail

Sponsor
(the person who will pay for the training and receive the Student Reports) Name / Company Postal address City / Postcode / State Phone - Office Fax

Phone - Mobile e-mail

Agreement
We accept the terms and conditions in the Progress Flight Academy Policy Document dated 110930 Signature: Applicant Date: Signature: Sponsor * Date: Parent or Guardian # Signature: Date:
* if applicant is not self sponsored # if applicant is under 21 years old

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