Ameldeformular

REGISTRATION FORM

(The lodgment of this Registration Form is a binding aggreement)

SURNAME:

NAME:

DATE OF BIRTH:

NATIONALITY:

SEX:

MALE :            FEMALE:           

PASSPORT-NUMBER:

E-MAIL

HOME ADDRESS:

Street:     

Zip-Code, City,

Country:   

PHONE NUMBER

MOBIL

COURSE OF YOUR INTERESTE:

WHAT KIND OF LICENSE DO YOU HOLD?

LICENSE NUMBER:

TOTAL FLIGHT HOURS:

COUNTRY OF ISSUE:

CONDITION OF PAYMENT:

BANK DETAILS

POSTBANK

BANK ID NUMBER 760 100 85,

ACCOUNT NUMBER: 775617853

IBAN NUMBER: DE50 7601 0085 0775 6178 53

BIC NUMBER: PBNKDEFF

DATE:

SIGNATURE: