Create New Instructor / Examiner

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Username:*Username must be your E-Mail
Password:*
Verify Password:*

Title:*
First Name:*
Last Name:*
Date of birth:* . .
Place of Birth:*
Place of Origin:

Address:*
ZIP Code:*
City:*

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

Flying school:*

Active Examiner: Warning: Undefined array key "$examiner" in /home/httpd/vhosts/camerano.ch/ratings.camerano.ch/php_code/create_user-form.php on line 316 If you are examiner, select the checkbox