1

Name of the Applicant (as per passport)

First Name

:

*

Middle Name

:

Last Name

:

2

Father's Name

:

3

Mother's Name

:

4

Date of Birth: DD / MM / YYYY

:

5

Age

:

Years Months

6

Nationality

:

7

Religion

:

8

Gender

:

9

Place of Birth

:

10

Passport Number

:

11

Martial Status

:

Single Married

12

Height

:

Feet Inches  or   cms

13

Weight

:

KGs

14

Color of Hair

:

15

Color of Eyes

:

16

No of Brothers

:

17

No. of Sisters

:

18

Rank in Family

:

19

Residential Address

:

:

:

City

:

State

:

Pin code

:

Telephone

:

Mobile

:

Fax

:

Email Id.

:

Residing in this address (Year)

:

From To No. of Years 

:

:

:

City

:

State

:

Pin code

:

Telephone

:

Mobile

:

Fax

:

Email Id.

:

Residing in this address (Year)

:

From To No. of Years 

20

Academic Educational Qualification

21

Additional Qualifications

22

Previous Flight Experience

License / Certificate Acquired

:

Rating (Single Engine) Please specify

:

Rating (Multi Engine) Please specify

:

Total Flight Hours

:

Dual Solo

23

Employer Information

Name of Employer / Company

:

Address

:

:

:

Office Phone

:

Position Held

:

Date of Employment

:

24

Father’s Occupation and Income details

:

25

Sponsor’s occupation and income details- if applicable

:

26

Details of countries visited in the last 5 years

Year

Country

Year

Country

Year

Country