Sligation Implement: Application For Validation Payment

Submitted By Wilmot
Words: 289
Pages: 2

APPLICATION FOR ADMISSION
APPLICANT INFORMATION INTENDED COURSE: PPL / CPL / IR / FI / Validation / Conversion / Recency DATE OF APPLICATION (DD/MM/YYYY): Passport Name: Last Name Residential Address: City: Email: Age: Date of birth: Religion State: Gender: Passport No: Phone: Height (Meters): EMERGENCY CONTACT Full Name: Email: Phone: EDUCATION BACKGROUND 1 Language Level Written English Spoken Listening 2 Language Level Written Spoken Listening Relationship: ZIP Code: Nationality: Passport Expire Date: Marital Status: Weight (Kg): First Name Middle Name DATE OF STARTING (DD/MM/YYYY):

INSTITUTION / COUNTRY

QUALIFICATION ATTAINED

FROM (YEAR)

TO (YEAR)

SOURCE OF FUNDING Government Self-financing Private MODE OF PAYMENT Payment should be made upon acceptance into the course to Continental Aero Flying School in Philippine Peso Payment by Cash Payment by Bank draft SIGNATURES / AGREEMENT In consideration of my admission to Continental Aero Flying School (CAFS) and of the right, privileges and benefits which an CAFS students may be entitled to, I hereby agree to recognize, accept and comply with the existing rules, regulations and requirements laid down by the administration on all matters pertaining my enrolment; the use of libraries, laboratories, services and other facilities, payment of tuition fees, classroom conducts, class attendance, change or dropping of subject, academic load, residence and other requirements set forth in the student handbook. I understand that