Part I (Personal Data)

Surname
Other Names

2. Date of Birth
Day Month Year

3. Gender: Male Female

Marital status: Single Married Divorced

4. Place of Birth

5. Home Town LGA

6. Residential Address

7. State of Origin

8. Postal Address

9. E-mail Address

10. Briefly describe yourself

11. Which course are you applying for?

PPL SOUTH AFRICA PPL USA
CPL SOUTH AFRICA CPL USA

Part II (Parents/Guardian Data)

Tick as appropriate: Parent Guardian Others

1. Name

2. Age

3. Occupation

4. Permanent Home address

5. Office Address

6. Relationship with you

Part III Academic Data

Previous Educational Institution attended with Dates and certificates obtained:

(a)

(b)

(c)

(d)

Have you ever withdrawn or been dismissed from any academic Institution? Yes No

If yes Please explain?

Applicant attestation

I hereby certify that the information which I have provided above is true to the best of my knowledge and I promise to disclose any information that may be required from me in respect of this application and my academic certificates.

Signature Date

By submitting this form online you have hereby attest as above

PPK AVIATION INTERNATIONAL
(A subsidiary of PPK Associates)
62,Kudirat Abiola Way, Oregun Ikeja, Lagos. Tel: 01-7765562.

SPONSORSHIP/GARANTOR’S FORM

NAME OF SPONSOR

ADDRESS

OCCUPATION/POSITION

RELATIONSHIP WITH CANDIDATE

CORPORATE OR INDIVIDUAL SPONSORSHIP

TICK BELOW

PAYMENT FOR:
COMMERCIAL PILOT TRAINIG PRIVATE PILOT TRAINIG

MODE OF PAYEMENT: FULL INSTALMENT

NAME OF STUDENT:

GIVE BRIEF INSIGHT TO STUDENT’S CHARACTER/CONDUCT

SPONSOR’S TEL/FAX NOS: E-MAIL

ATTESTATION

I Sponsor(s) of
for aviation training hereby Guarantee as follows:

a) That all information supplied above by my company or me is true and correct to the best of my knowledge.

b) That the above prospective student has no criminal records both in Nigeria and Overseas. That he/she is of good character and will conduct his/herself properly, lawfully throughout the duration of the course.

c) That we/I accept to be liable for any debt or liability incurred in the course of training the candidate.

Student’s signature Sponsor’s signature & stamp

By submitting this form online you hereby attest as aboveS