Gulf Air Academy

ATO-135
Application From
Training Application Form

Course Applied For:

Personal Details (as written on Passport) Photo
Surname
Name
Father’s Name
Mother’s Name
Nationality
Date of Birth Place of Birth
Zip
Home Address Code

Country City
Mobile +
E-Mail Address
Father’s E-Mail
Emergency Contact Name Phone +
ID Card Number Issuing Authority
Passport Number Issuing Country
Aviation Background
Licence N° Issued By Type
Valid Until
EASA Medical None Class 1 Class 2
Class / Type / IR /
Instr. Ratings
Total Flight hours PIC hours Night hours SEP hours
X-Country hours MEP hours IFR hours X-Country PIC
Attached Copies (as applicable)
Licence: Medical: Passport / ID: Logbook: Education Certificate:
Declaration
I have read carefully and understood the terms and conditions as stated in the information package and explained to me by the
representative of the school.
I hereby solemnly declare that:
1: I wish to become a student of the GULF AIR ACADEMY ATO
2: I shall comply to the Academy regulations at all times
3: I shall comply with the rules of the air, the aerodrome regulations and any rules set out by the Authority
4: The information that I entered above is true and correct

Full Name Date

The Applicant The Head of Training The Accountable Manager
Applicant Approved for Training:
Yes: No: Date:

Name / Signature Name / Signature Name / Signature