Gliding Australia Badge Claim

1

Pilot's Name* This field is required.

First Name

Last Name

2

Pilot's Gliding Australia Number* This field is required.

3

Pilot's Email* This field is required.

example@example.com

4

Pilot's Phone Number* This field is required.

Please enter a valid phone number.

5

What Australian Gliding Club do you belong to?Foreign Pilots can list the Australian club they are flying from.

6

What are you claiming?* This field is required.

Badge

Record

Diploma

8

What record(s) are you claiming

9

Take-off airfield* This field is required.

10

Aircraft Registration* This field is required.

11

Aircraft Type* This field is required.

12

Flight Date* This field is required.

Date

13

Upload your IGC file* This field is required.

Drag and drop files here

Select files to upload

14

Official Observer's Name* This field is required.

First Name

Last Name

15

Official Observer's Email* This field is required.

example@example.com

16

Official Observer Phone* This field is required.

Please enter a valid phone number.

17

The Official Observer, has examined the flight file and made all the necessary checks and observation and is satisfied that the flight claim is valid under the conditions of the Sporting Code.* This field is required.

YESNO

18

Type of Declaration* This field is required.

19

Who has filled out this form* This field is required.

Pilot

Official Observer

20

If this is a foreign claim please provide address of applicant here. Please include full address, country, and association.

21

Additional InformationPlease provide any additional information relating to your notification e.g. if stat dec needed or selected Start and/or finish Lat/Long if you started remotely or out-landed.