| * required fields | |
| |
| Username: | * | | Username must be your E-Mail |
| Password: | * | | |
| Verify Password: | * | | |
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| Title: | * |
| |
| First Name: | * | | |
| Last Name: | * | | |
| Date of birth: | * |
. . |
| Place of Birth: | * | | |
| Place of Origin: | | | |
|
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| Address: | * | | |
| ZIP Code: | * | | |
| City: | * | | |
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| Phone private: | | | Format: +41 12 123 45 67 |
| Phone office: | | | Format: +41 12 123 45 67 |
| Mobile: | * | | Format: +41 12 123 45 67 |
| Main E-Mail: | * | | The system will send mails to this address |
| Second E-Mail: | | | optional |
|
|
| Licence: | * |
| |
| Licence number: | * | | Format EASA: CH.FCL.12345 |
|
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| Flying school: | * |
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| Active Examiner: | |
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| If you are examiner, select the checkbox |
|
| | |