Australian Wings Academy - Airline Pilot Training Academy

Section 1: Personal Details

Student Name

First Name:

Family Name (Surname):

Preferred Name:

Address in Home Country

Street Address:

City / Country:

Zip Code:

Date of Birth (dd/mm/yyyy):

Sex:

Home Phone:

Mobile:

Email Address:

Confirm Email Address:

Country of Citizenship:

Birth Country:

Passport Number:

Passport Expiry Date:

Where did you hear about us?:

Sponsor Name:

Phone:

Mobile:

Email:

First Name:

Family Name (Surname):

Mobile:

Phone:

Email:

Is English your native language?:

If NO please indicate your level of English Training (if any) and any relevant test scores e.g. IELTS

Level of English:

Please select the courses you are enrolling for:

Commercial Pilot Licence (CPL)

Multi Engine Endorsement

Instrument Rating

ATPL Theory

Instructor Rating

(We will reply with fee details once we process your application):

Course Start Date:

Word Verification

Type the characters you see in the picture below.

Letters are not case sensitive