Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 2

DEMANDE DE DÉROGATION/WAIVER REQUEST

COURS DE SÉLECTION RÉGIONALE ET PAR QUOTA / COURSES BY REGIONAL SELECTION AND BY QUOTA

NOM DU CADET/CADET SURNAME PRÉNOM/GIVEN NAME ESCADRON/SQUADRON


                 

NIVEAU D'ENTRAÎNEMENT ACTUEL/ GRADE/RANK DATE DE NAISSANCE/ ÂGE/AGE


CURRENT TRAINING LEVEL BIRTH DATE
                       
COURS ANTÉRIEURS/PREVIOUS COURSES

FB/BT CIAS/ITSC CIEPL/ITPERTC CIAL/ITLC CIAI/ITIC CIAA/ITAC CIET/ITRCC CIAAS/ITASC

COURS DÉSIRÉ/REQUESTED COURSE: PRÉREQUIS MANQUANTS/MISSING PREREQUISITES:

           
RAISONS (JUSTIFICATION, CAPACITÉS ACADÉMIQUES, LEADERSHIP, MATURITÉ, RESPONSABILITÉS ASSUMÉES ACTUELLEMENT À L'ESCADRON ET BESOINS DE L'ESCADRON)
REASONS (JUSTIFICATION, SCHOOLWORK, LEADERSHIP, MATURITY, ACTUAL RESPONSIBILITIES AT THE SQUADRON AND SQUADRON'S NEEDS)
____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________

DATE COMMANDANT/COMMANDING OFFICER


COMMENTAIRES DU C ONSEILLER/ ADVISOR’S COMMENTS:
____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

______

____________________________________________________________________________________________________________________________

___

____________________________________________________________________________________________________________________________

___

DATE CONSEILLER / ADVISOR


DÉCISION DE L’URSC / RCSU’S DECISION:      
AUTORISÉ/AUTHORIZED REFUSÉ/REFUSED
____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

______

____________________________________________________________________________________________________________________________

___

____________________________________________________________________________________________________________________________
___

DATE ORC AV INSTR / RCO AV INSTR


Sept 07

You might also like