APPLICATION FORM
Part I (Personal data)
1. Name 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?
Certificate Course (1 month) Course fee N25, 000
Diploma Course (3 Months) Course fee N45, 000
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. Relation with you:
Part III Academic Data
Previous Educational Institution attended with Date 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Have you ever withdrawn or been dismissed from any academic Institution?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
AEROFLIGHT TRAVEL ACADEMY (A subsidiary of Aeroflight Limited) 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
FULL PAYMENT FOR: CERTIFIICATE COURSE (1 MONTH) DIPLOMA COURSE (3 MONTHS)
MODE OF PAYEMENT: CASH CHEQUE
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.
By submitting this form online I hereby attest as above Student’s signature
Sponsor’s signature & stamp