Application – Capital connect

+254 721261471

APPLICATION

All the fields marked with an asterisk (*) are required.

PERSONAL DETAILS

First Name *
Middle name *
Last Name *
Date of Birth *
Gender *
ID /Passpport Number *
Country of Citizenship *
Country of Birth *
Postal Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone Number *
Email Address *

PHYSICAL CONDITION

Height in (cm) e.g. 170 *
Weight in (kg) e.g. 70 *
Hearing Condition *
Eyesight Condition *
If issued with a medical certificate, indicate details:
Class
Date Issued
Any other medical/physical statement

EDUCATION

College/University
Date Attended
Grade Attained
Country
High School
Date Attended
Grade Attained
Country

AVIATION EXPERIENCE (If any)

Licence Held
Training School Attended
PIC Hours
Dual Hours
Total Flight Time
Other Ratings (Separate with a coma ",")

PROGRAM DESIRED

Course Applied For *
Start Date Desired *

REQUESTS

Would you like us to offer you housing and accommodation suggestions in the area? *
YesNo
State any other requests here
How did you hear about Capital Connect Aviation? *
If other specify here

ATTACHMENTS

ID/Passport/Birth Certificate *
High School Certificate *
Medical Certificate (if any)
Highest Education Certificate
Last Page of Logbook (if any)
Pilot Certificate (if any)
Passport Size Photo *
Any other relevant document

Verification

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Give Us A Call

+254 721261471 or +254 777363662

Send Us A Message

info@capitalconnectaviation.com

School Location

Wilson Airport, Nairobi Kenya

Opening Hours

09:00 AM - 18:00 PM

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