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FORM-JAV - ATO Student Entry Form - 2023

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Fatima Nsour
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96 views3 pages

FORM-JAV - ATO Student Entry Form - 2023

Uploaded by

Fatima Nsour
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Training Department – JAV Student Entry Form

1. TRAINEE IDENTIFICATION (see Note 1)


Last Name: First Name:
Place of
Date of Birth:
birth:
ID/ Passport
Nationality:
number:
Street: Telephone:
City/ Zip
Address: Mobile:
Code:
Country Email:
Captain ☐
Gender: Function:
First Officer ☐
Airline
Self-sponsor: Yes No
Name:

2. TRAINEE INFORMATION (see Note 1)


ATPL: CPL: Number:
License
EASA: Country of
Information:
Other: Issue:
ME LEVEL:
Language
Instrument Valid until:
Proficiency: Valid until:
Rating:
Type: First Issue: Valid Until:
Type-Rating:
FOR CPL EASA LICENSES
MCC Certificate (Date of Issue):
Theoretical ATPL: Yes No

Page 1 of
NOTE I:
Join Copies of:
 Passport,
 License,
 Medical,
 Last three (3) pages of Logbook,
 Certificate of theoretical ATPL (for CPL licenses),
 Certificates of advanced UPRT and MCC for first Type-Rating.

Page 2 of
5. FLIGHT HOURS AND PREVIOUS EXPERIENCE (see Note
1)
Grand Total: PIC Total:
Total Flying Hours:

Type: Flight Time:

Current Aircraft
Experience:

3. CURRENT POSITION

4. TYPE OF COURSE(S) REQUESTED

Trainee: I declare all data above consigned are correct as far I am concerned
Signature: Date:

Location:

Page 3 of

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