Student Name

Student Photo

Gender Male Female

Date of Birth

Physically Challenged Yes No

Father /Mother Name

Student Mobile Number    

E-mail Id

Qualification

ID Proof

Course Preferred

Centre Urapakkam

Monthly Income

Parent Mobile Number

Reference Details : Google Justdial Friends Walkin

Permanent Address

Name of the Attender

Accept/I Acknowledge:

    I hereby confirm that the information provided herein is accurate, correct and complete and that the documents submitted along with this application form are genuine. For Pilot course as a parant of my son or daughter to attend all the classes. The practical classes time and place may differ depending on climatic conditions, number of students in batch and ATC/Local administration clearance. I understand the fees once played is nonrefundable at any cause.

signature of the Parent / Student                    DATE :

Note: Parent Signature is mandatory for ultra light pilot courses.

Note:Bring the Online application form along with the original documents for verification.