DPE/INSTRUCTOR Booking Form

Personal Information
First Name and ALL middle names as indicated on your passport:* 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 (Inches Only):* Weight (Pounds Only):*
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, please indicate certificate number and 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 Endorsing Instructor`s FULL Name and Certificate Number - MANDATORY FOR FLIGHT TESTS* If applicable
Remarks
By checking the box below, you are confirming that you (and your FAA CFI if flight test) have read, understand & agree with
SCH AIRCRAFT CONSULTANCY LTD`s Terms & Conditions of Service
AND THAT YOU (AND YOUR CFI IF FLIGHT TEST) 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*
Reset
Powered by Elbowspace.com