Enrolment Form Y24 Final
Enrolment Form Y24 Final
Thank you for choosing Blue Chip Flight School as your preferred training
partner.
Before submitting your enrolment, please ensure that it meets all the
requirements.
________________________________________________________________
Instructor:
Registration fee:
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ENROLMENT FORM
Please complete all information fields on the enrolment
Name:
Surname:
ID/Passport number:
Residential Address:
Where did you hear about us? Referral Facebook Google Radio School Instagram
Other:
Other:
CONTACT DETAILS
Cell:
Work:
E-Mail:
Contact nr:
Cell nr:
E-Mail:
F. Any withdrawal from the student’s school account will be subjected to a 5% handling fee and
written permission from the student’s sponsor. The funds will be paid into the sponsor’s account – it
will only be allowed to be paid into the student’s account with written permission from the sponsor.
G. The sponsor or person responsible for the student’s account undertakes that any withdrawals or
payments for rent/transport will not jeopardize the funds required to maintain training.
Blue Chip Flight School Banking Details:
Account name: Blue Chip Flight School
Bank: First National Bank
Type: Cheque Account
Account number: 6280 6679 380
Branch Code: 2252445
Reference: Name/Pastel/Seams Account no.
Swift Code: FIRNZAJJ
If any student or pilot does not adhere to the Payment Conditions, Blue Chip Flight School reserves
the right to terminate any further training.
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You / the client will accept that you have signed the enrolment forms and to your personal
information (your cell phone number, name, ID license number, and other personal information)
being noticeable and processed by the BlueChip Staff team to contact the student and to process
administrative duties. Such information may not be used by the staff members outside of Blue-Chip
Flight school unless they have been given written consent from the Client or student.
Herewith I declare that I have read and understand the contents hereof and undertake to abide by
these Local Rules from page 2 to 7.
___________20________
__________________________ ______________________
Name & Surname (Student) Signature
If a minor: this agreement must be co-signed by Parent / Guardian
_________________________ ______________________
Name & Surname (Parent/Guardian) Signature
_________________________ ______________________
Name & Surname (Witness) Signature
__________________________ ______________________
Name & Surname (Instructor) Signature
__________________________ ______________________
Name & Surname (BCFS Witness) Signature
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INDEMNITY
________________________ 20______
________________________ ______________________
Name & Surname (Student) Signature
If underage: must be co-signed by Parent / Guardian
_________________________ ______________________
Name & Surname (Parent/Guardian) Signature
__________________________ ______________________
Name & Surname (Student Witness) Signature
__________________________ ______________________
Name & Surname (Instructor) Signature
__________________________ ______________________
Name & Surname (BCFS Witness) Signature
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