Focus Air - Professional Pilot Training in South Africa

Name

Surname

Gender

Male

Female

Other

DOB

Marital Status

Single

Engaged

Married

Divorced

Current Address (Street Name)

City

State

Zip

Home Telephone Number

Cellular Telephone Number

Please indicate license and rating(s) held

PPL

CPL

Night rating

Instrument rating

Multi-engine rating

ATPL

Instructor rating

Nature of intended studies

Part-Time

Full-Time

Purpose of your flight training

Recreational

Career

Your intended course start (YYYY-MM-DD)

Are you currently employed?

Yes

What is the name of your current emplyer?

State the duration of your employment

Please indicate your highest level of education completed

Primary School

Secondary School

High School

Matric

University

College

If diploma/degree, please specify

Please indicate if attended and passed a basic course in one or more of the following subjects

Mathematics

Physics

English

Biology

Geography

Do you wear corrective lenses / contacts?

Yes, for reading

Yes, for driving

Yes, always

How would you rate your physical fitness>

Very good

Good

Average

Below average

How often do you do any form of physical exercise?

More than twice a week

Once a week

Once a month

Never

ANY OTHER INFORMATION YOU WOULD LIKE US TO KNOW ABOUT OR CONSIDER WITH REGARDS TO YOUR APPLICATION?

Applicants electronic signature

Current Date

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Application Form

APPLICATION FORM

PERSONAL INFORMATION

IDENTIFICATION NUMBER

COURSE APPLICATION

EDUCATIONAL BACKGROUND

MEDICAL AND GENERAL HEALTH DECLARATION

ADDITIONAL INFORMATION

APPLICATION DECLARATION

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