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LUCE AERONAUTICAL & TECHNOLOGICAL COLLEGE APPLICATION FORM Office of the Registrar © Freshman O Transferee O Second-Courser © Others (Please Specify) Applying For (Check One): Degree Programs © BS Aviation Major in Commercial Flying (© BS Aviation Major in Aviation Management © BS Aeronautical Engineering © BS Aircraft Maintenance Technology © BS Tourism Diploma and Certificate Programs © Diploma in Aircraft Maintenance Technology © Ceiificate in Fight Attendant Other Programs (Please Specify) Personal Information QR-WADM.001 QR-WREG-001 REV. ‘APR 12, 2011 2x2 Flight Training Programs Ailine Transport Pilot License (ATPL) First Officer- Ready (CPL w/ ME & IR) Commercial Pilot License (CPL) Private Pilot License (PPL) Commercial Helicopter Pilot License (CHPL) Private Helicopter Pilot License (PHPL] Mulfi-Engine Rating (ME) Instrument Rating (IR) Flight Instructor Rating (Fi) Limited First Officer Training Airbus A320 Type-Rating Course e0000000000 Mr./Ms. Legal Name: Tost Fist ‘Midalle Tr, ete. Permanent Home Address (Include zip code) House no. ‘Street Barangay/Vilage TityiMonicipality Distict/Provinee Country Tip Code Current Mailing Address (if different from home address) House no) ‘Street Barangay/Vilage CityiMonicipality District/Province Country Tip Code Date of Birth Place of Birth Civil Status Nationality Current Phone Number ‘Mobile Number Email Address Name of Father ‘Occupation Address Name of Mother ‘Occupation Address Name of Guardian Relationship fo the applicant Address Siblings Name ‘Age Profession/Course School/Office Address Name Age Profession/Course School/Office Address Name Age Profession/Counse School/Office Address Schools Attended High Schoo! ‘Address Date Graduated Elementary ‘Address Date Graduated If transferee, previous college attended before this application College ‘Address ‘Coune Date Graduated \ certify that | have accomplished this application form truthfully and to the best of my knowledge and that, if admitted, | shall abide by all school regulations and policies of WCC Aeronatical and Technological College. ‘Signature over Printed Name Date How did you learned about WCC Aeronatical and Technological College? 1 Newspaper Ads CO Referral (1 Billboard / Banners O Career Talk 1 intemet 1 Others, pls. specify C1 Radio / TV Ads Note: Attach pertinent document fo this application form as needed and required by the Registrar and Admission Ofices.

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