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International | Application Form

APPLICATION FORM

Kia Ora! Welcome to Air New Plymouth (Flight Training)

*Indicates required fields

COUNTRY OF ORIGIN:*
New Zealand India
  Europe Please specify country
  Other
SURNAME:*
FIRST NAME/S:*
TITLE:
DATE OF BIRTH:
AGE:*
DRIVERS LICENSE : YES / NO
PASSPORT EXPIRY DATE:*
HOME ADDRESS:
PRESENT QUALIFICATION:
MARKS:
Maths
English
Physics
ACCOMMODATION REQUIRED:
Double Single None
E-MAIL:*
PHONE:
PREFERRED START DATE:
COURSE:*
COURSE (if other than above)
Questions or any additional information:

 
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