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| Title (Mr, Mrs, etc) |
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| First Name |
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| Family Name |
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| Home Address 1 |
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| Home Address 2 |
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| County, Suburb |
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| Postcode, Zip Code |
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| Town/City |
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| Country |
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| Email Address |
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| Date of birth |
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Preferred method
of communication |
Post
Email |
| Contact |
ph:
ph:
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| Nationality |
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| Passport Number |
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| Passport expiry date |
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| Country of issue |
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| Gender |
Male
Female |
| Country of Birth |
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Do you hold a JAA
Class 1 Medical? |
Yes
No
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| If yes, country of issue |
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| JAA Certificate Number |
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| Have you ever been convicted of a criminal offence
(traffic and parking offences excluded)? If yes, please give details
in the space provided below on this form.
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Yes No |
| Have you ever been denied a visa? If yes, please give
details in the space provided below on this form. |
Yes No |
| Is English your first language? |
Yes No |
| If No, have you passed an International English Language
Testing System (IELTS or equivalent)? |
Yes No |
| If Yes, what was your IELTS or equivalent Band Width Score? |
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| Would you like to undertake English training in Australia in
order to reach the minimum WA Aviation College entrance score of
6.0?
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Yes
No |
| If you would like to undertake English training in Australia in
order to reach the minimum WA Aviation College entrance score of
6.0, would you like the WA Aviation College to organise this
training for you? |
Yes No
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ACADEMIC QUALIFICATIONS (Please list in reverse chronological
order)
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| Professional or Other Qualifications |
Institution |
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FLYING EXPERIENCE - FIXED WING PILOT |
Are you
the holder of a PPL(A) issued
in
accordance with ICAO Annex 1? |
Yes No |
| Please state current licence number (If held) |
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| Do you hold a night qualification? |
Yes No |
| TOTAL HOURS FIXED WING |
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| HOURS PIC FIXED WING |
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| HOURS DUAL FIXED WING |
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| HOURS FLOWN IN LAST TWELVE MONTHS |
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| LAST FLIGHT (DD/MM/YYYY) |
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OTHER FLYING EXPERIENCE |
| TOTAL HOURS ROTARY WING |
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| HOURS PIC ROTARY WING |
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| HOURS DUAL ROTARY WING |
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| TOTAL HOURS MILITARY |
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| HOURS PIC MILITARY |
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| HOURS DUAL MILITARY |
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ADDITIONAL INFORMATION BOX
(Please include any relevant information you think may assist your
application)
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THIS APPLICATION IS FOR A JAA AIRLINE INTEGRATED TRAINING
PROGRAM (AITP).
THE START DATE APPLIED FOR IS
Course start dates are available at the Course Calender page
on the WA Aviation College web site.
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If you prefer to pay by phone, post or in person, enter 'NIL' below
and on the secure page.
I authorise my credit card to be debited with an Application Fee of
(AUD)$
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Where did you hear about WAAC?
Newspaper WAAC
Website Word
of Mouth Magazine
Flyer
Flight Training Show
PPRUNE Internet
Search
Other
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By submitting this application form, the applicant acknowledges:
- The fee submitted with this document is for application processing
only,
hereinafter know as the Application Fee.
- The Application Fee offers no entitlement to attend a course.
- The approval of an application is at the complete discretion of the
Western Australian Aviation College.
- The Course Fees displayed by the Western Australian Aviation College
are subject to change and will be confirmed with the successful
applicant,
prior to confirmation of enrolment.
- The Application Fee paid is non-refundable.
- All AITP applicants must successfully complete the Assessment
Process.
The applicant agrees to undergo aptitude testing which forms
part
of the Assessment Process.
- This application is for the Course Start Date identified only.
Please click on the submit button below to send. Thank You for
your application.
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OUR COLLEGE
JAA AIRLINE INTEGRATED TRAINING
