STUDENT ENROLLMENT APPLICATION

  • STUDENT ENROLLMENT APPLICATION

    APPLICATION INSTRUCTIONS : TYPE OR PRINT CLEARLY IN ALL CAPITAL LETTERS. PERSONAL INFORMATION All information must be given & entered as it appears on passport
  • Birth Date*
     - -
  •  -

  • Emergency Contact

  •  -

  • Visa Requirements

  • Passport Requirements

  • Passport issue date
     - -
  • Passport expiration date*
     - -
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  • Flight training details to be completed by Perkasa Flight School sales executive

  • Training program*

  • (PPL Executive 2x)

    I. Payment 1 (Before training starts) USD 12,500
    II. Payment 2 (Before flight training starts) USD 12,500

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  • (Ab Initio CPL-IR SE 3x)

    1. Payment 1 (at least 1 week before training starts) USD 24,000
    2. Payment 2-3 (after 25 flight hours & PPL Checkride) USD 18,500

  • (Ab Initio CPL-IR ME ATP Theory 3x)

    1. Payment 1 (at least 1 week before training starts) USD 27,000
    2. Payment 2-3 (after 25 flight hours & PPL Checkride) USD 20,000

  • Arrival and training start dates

  • Planned arrival to*
     - -
  • Estimated departure date*
     - -

  • Thus, this cooperation agreement was prepared consciously and truthfully.

  • Should be Empty: