MWFC Rental Pilot Information Form
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Transport Canada Licence/File Number
Citizenship
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Primary Phone Number
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Emergency Contact Name
Emergency Contact Relation
Emergency Contact Phone Number
Flight Training Programs (Check all that apply)
Recreation Pilot Permit
Private Pilot Licence
Commercial Pilot Licence
Night Rating
VFR Over-The-Top
Multi-Engine Rating
Instrument Rating
Instructor (Class IV)
Aircraft Rentals Only
Did you graduate from a Canadian High School? (For Private Pilot and Recreation Permit Students Only)
Yes
No
Do you wish to receive Tuition Tax credit forms?
NO (no tax forms will be issued for the eligible training you complete)
YES - I wish to receive tax credit forms and acknowledge that I must provide my SIN number to STFC Dispatch before December 31st of this calendar year. I understand that I must complete a signed Tuition Tax Credit form that I can request from the Flight Centre Dispatch Desk.
Date
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Signature
Attach Copy of Photo ID
Browse Files
(ex. Driver's Licence, Passport)
Cancel
of
Submit
Should be Empty: