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This document is an application form for flight training courses at KIST Aviation Academy (KISTAA). It requests information such as personal details, contact information, previous flight experience, and documents required for application. The courses listed are the Private Pilot License, Commercial Pilot License with Instrument Rating, Integrated Commercial Pilot License with Instrument Rating and Frozen Airline Transport Pilot License, and Assistance Flight Instructor. Upon completion, the application and required documents should be mailed or faxed to KISTAA's locations in Kuala Terengganu or Putrajaya, Malaysia.

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Muhamad Amir
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43 views2 pages

Form

This document is an application form for flight training courses at KIST Aviation Academy (KISTAA). It requests information such as personal details, contact information, previous flight experience, and documents required for application. The courses listed are the Private Pilot License, Commercial Pilot License with Instrument Rating, Integrated Commercial Pilot License with Instrument Rating and Frozen Airline Transport Pilot License, and Assistance Flight Instructor. Upon completion, the application and required documents should be mailed or faxed to KISTAA's locations in Kuala Terengganu or Putrajaya, Malaysia.

Uploaded by

Muhamad Amir
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KISTAA/B-BOP/01-00/001

KIST AVIATION ACADEMY (KISTAA)

Applicant
Photo
(Passport Size)

APPLICATION FORM
KINDLY INDICATE THE COURSE YOU REQUIRE:
Private Pilot Licence (PPL) Course.
Commercial Pilot Licence with Instrument Rating (CPL/IR) Course.
Integrated Commercial Pilot Licence with Instrument Rating (CPL/IR) Frozen Airline
Transport Pilot Licence (ATPL) Course.
Assistance Flight Instructor (AFI)

A. PERSONAL DETAILS
1. Name

2. NRIC / MyKad / Passport No:


3. Nationality:

M - Malaysia

O Others: _____________________________

4. Address:

5. Telephone No.:
Home:
Mobile:

E-mail: ___________________________
6. Gender:

M- Male

F - Female

8. Marital Status:

S Single M Married

7. Date of Birth: (Example: 30-01-1982)


-

B. PARENT / GUARDIAN DETAILS


1. Name

2. NRIC / MyKad / Passport No:


3. Nationality:

M - Malaysia

O Others: _____________________________

4. Address:

5. Telephone No.:
Home:
Mobile:
Office:

6. Relationship to applicant: _____________________

E-mail: ___________________________

KISTAA/B-BOP/01-00/001

C. PREVIOUS FLYING EXPERIENCE


1. Hours Flown:

Solo ___________ hours


Dual ___________ hours

2. Licence held: (Please tick)

PPL
CPL/IR
ATPL

3. Ratings Held:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
4. Other Experiences:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

D. ACKNOWLEDGE

.
DATE : .

NAME:
NRIC / MyKad / Passport No:

DOCUMENTS REQUIRED:
Letter of approval from Department of Civil Aviation (DCA) Malaysia.
Medical Certificate (Class II for PPL Course and Class I for CPL/IR
and ATPL) from a DCA approved medical practitioner.
Certified true copies of academic qualifications.
Certified true copy of NRIC/MyKad or passport for Non-Malaysian citizens.
10 passports sized non-returnable colour photographs.

Post or fax this application form together with the accompanying documents to:
The Principal
KIST AVIATION ACADEMY
Sultan Mahmud Airport,
Lapangan Terbang Sultan Mahmud
21300 Kuala Terengganu
Terengganu, Malaysia.
or
The Registrar
KIST AVIATION ACADEMY
7A, Jalan P9G/7, Precint 9, 62250 Putrajaya
Tel: 03-88893323 Fax: 03-88905323

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