EASA B1.1/B1.

2/B2
Training Course and Examination Suscribtion FORM 360 Aviation Life
Technical Aviation
Academy
Aviagroup LTD
VAT Number: MT25787319

CANDIDATE'S DATA

NAME & SURNAME BIRTHDAY DATE PLACE OF BIRTHDAY HOME ADDRESS EMAIL ADDRESS MOBILE PHONE ID

Sebastian Plata 02/JUN/2023 Colombia Complex paradise 25N avenue, Sebas02p@hotmail.co +56986982626 AT118106
Sanchez Kinshasa, RDC m

CAT. MODULES
7
7 mc
No. B1/B2 1 2 3 4B1 4B2 5B1 5B2 6B1 6B2 7 es m 8 9 9 es 10 10 es 11a 11B 13 14 15 16 17 Total
B1
c mc mc Exams
B2
B1/B2 X X X X X X X X X X X X X X X X X 17

FILLUP INSTRUCTIONS:
MARK ALL DESIRE EXAMN

SIGNATURE

FOLLOW US ON
VISIT US ON
WWW.360AVIATIONLIFE.COM