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DPE/INSTRUCTOR Booking Form
Personal Information
First Name:*

All names listed in passport
Last Name:*

E-Mail:*

Address Line 1:*

Address Line 2:

City:*

Post Code:*

Country*

Nationality*

Gender:

Date of Birth:*

Phone:*

Height:*

Weight:*

Service Required*

1st TEST Required (if applicable)

2nd TEST Required (if applicable)

3rd TEST Required (if applicable)

Requested date of Service

A/C Reg, Make & Model (If Required)

Requested Location of Service

Do you hold an FAA Pilot Certificate?*

If so, what grade?
Do you hold an FAA Medical Certificate?*

If so, what Class?
Have you ever had an FAA Certificate Revoked?*

Non-FAA ICAO Licenses & Ratings held*

Country of Issue
FAA CFI or Flight School`s name.*

If applicable
Remarks

By checking the box below, you are confirming that you have Read, Understood & Agree with
SCH AIRCRAFT CONSULTANCY LTD`s Terms & Conditions of Service
AND THAT YOU HAVE REVIEWED AND UNDERSTAND THE INFO ON THE PROBLEMS & USEFUL INFO PAGE*
and that Bookings cannot be confirmed until full payment of fees has been received.
I Agree*

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