Application form - Blue Wings Aviation

Personal information

Title (Mr, Mrs, Ms...)

First name*

Middle name

Surname*

Address (street, number)*

City*

County/Region*

E-mail*

Phone Number*

Date of birth (dd.mm.yy)*

Date of birth (dd.mm.yy)

Nationality*

Passport number*

Place of birth*

Do you need VISA to the Czech Republic?*

Pilot licence

Do you hold valid pilot licence?

Yes
No

Number

If yes, state the type of licence and qualifications

Licence

EASA
FAA
other

Country of issuance

License number

Date of issuance

Flight hours (fixed wing)

Total hours

PIC hours

IR flight hours

ME hours

Type of aircraft(s)

Medical certificate

Do you hold valid EASA medical certificate?

YES
NO

Class of certificate

1st class
2st class
other

If yes, please state country of issuance

If yes, please give date of issuance

Required training

Please indicate which courses you are applying for by ticking the relevant boxes.

Documents

Before submission of this application, please make sure you have enclosed the correct supporting documentation as listed below.

Photocopy of passport

Photocopy of EASA medical certificate (if you hold any)

Photocopy of Radiotelephony license (if you hold any)

Photocopy of your pilot licence (if you hold any)

Last two pages of your logbook (if you hold any)

Photocopy of high school certificate or University diploma (just CPL/ATPL applicants)