Course Application Form

Course Application Form
Full Name (as indicated on your CASA license and what will appear on your certificate):*

PrefixFirst NameMiddle NameLast Name
Date of Birth:*

DayMonthYear
Email*
Country of Birth:*
ARN:*
Phone number:*
Residential Address:*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Is your Postal Address the same as your residential address?:*

YesNo
Postal Address:*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Emergency Contact Details:*

First NameLast Name
Emergency Contact Phone number:*
Employer:*
Port: (Assessment location)
What type rating do you current have endorsed on your CASA license?

A320 V2500A320 CFM 56A320 LEAP-1AA320 PW1100GA330 CF6A330 PW4000A330 RR T700A350A340A220A380Boeing 737 ClassicBoeing 737 NGBoeing 737 MAX LEAP-1BBoeing 787 GEnxBoeing 787 RR T1000Boeing 747Boeing 717None
Do you have restrictions on your license? (Please detail)*
What type of training is required?*

TheoryPractical-On-Course (POC)On-the-Job-Training (OJT)Other
What category of training is required?*

B1.1B2B1.1/B2Other
Theory Course selection:*
POC Course selection:*
OJT Course selection:*
Payment

Once your application is received, processed and the prerequisites are met, an invoice will be issued indicating the payment details.
Do you have a CASA licence?*

YesNo
Required Documentation

A minimum of 60% of the required modules/exams are necessary as a prerequisite to sit the course. If you fall into this category please send all relevant certificates indicating that you obtain this 60%. If you hold a CASA license, please send this.
CASA License Upload:*

Cancelof
Prerequisite Upload: (at least 60% of the required exams of the Diploma/CASA license)*

Cancelof
1. If enrollment occurs 30 days or more prior to the commencement of the course the deposit required is $1000 per Course Code. If enrolling less than 30 days prior to the commencement of the course, you must make full payment. Enrollment will not be processed until the deposit has been received.

2. If 147 TECHNIC cancels or postpones a course for no reason of yours, you will receive your deposit back. If you pull out of a course after paying course fees and the course is still planned to go ahead. Your fees are non-refundable.

3. 147 TECHNIC has the right to cancel training if minimum student numbers are not reached. (Payment will be refunded)

4. All remaining balances for the course must be paid in full prior to commencing the course.

5. Notification of enrollment cancellation must be in writing otherwise your enrollment will apply and full payment must be sent.

6. The deposit is non-refundable. No refunds are issued after the course commences.

7. A tax invoice will be issued once your enrollment has been processed and confirmed. The tax invoice will be issued in the Student’s Name unless otherwise stated. The invoice contains the fund transfer details.

8. If your employer wishes to pay for your enrollment, you must attach a Company Purchase Order with your enrollment.
Should be Empty:

Course Application Form

Payment

Required Documentation