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Online Application form
Name
Father's Name
Occupation
Date of Birth
Place of Birth
Passport Number
Issued at
Issued Place
Expiry Date
Nationality
Age
Height
Weight
Sex
Male
Female
List of Enclosures
10th Marksheet
Yes
No
12th Marksheet
Yes
No
Age Proof
Yes
No
Medical Certificate
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No
Character Certificate
Yes
No
Educational Qualifications
Yes
No
Local Police Verification
Yes
No
Past Experiance
Day Solo
Day Dual
Night Solo
Night Dual
License / No. / Validity
Aircraft Endorsed:
Address
City
State
State
Phone
Pincode
Email
Caste
Religion
Srno.
Exam
Board/University
Subject
Marks Obtained
%
1
10th
2
10 + 2
3
10+2+3
Course Applied for
Ground Training
Student Pilot License
Private Pilot License
Commercial Pilot License
Hobby Flying
Flexi Flyers Program
India PPL No.
Total Hours
PIC
Hours Flown:
Solo
Total
Parents Details
Fathers Name
Office Phone
Mothers Name
Home Phone
Occupation
Mobile
Office Address
Application form
Demand Draft No.
Date:
for Rs.
Name of Bank & Branch:
I request you kindly enrol me in your institute for