Registration form

PERSONAL DATA
Title(required)
First Name(required)
Last Name(required)
Date of Birth (e.g. 25/12/1980)(required)
Nationality(required)
Passeport Number(required)
Corporate Name
Address(required)
PO BOX
Zip code(required)
City(required)
Region
Country(required)
Business Phone(required)
Cell Phone(required)
Fax
Email(valid email required)
Website
USUAL AIRCRAFT
Do you own more than one aircraft(required)
Registration of the aircraft you usually fly(required)
Aircraft Type (e.g. PA32, R44, DR400, etc.)(required)
Serial Number
Do you own a part of this aircraft
Are you the only owner of that aircraft (incl. via a Trust)
Name of the US Trust owning your aircraft
Location of the US Trust owning your aircraft
Home Base(required)
IFR equipped
CPL qualified aircraft
Insurance (name and location)
Registration of other owned aircraft(s) (incl. via Trusts)
Type of other owned aircraft(s)
LICENSES
FAA PPL(required)
FAA Instrument rating(required)
FAA CPL(required)
FAA other pilot liences/ratings
JAA/FCL PPL(required)
JAA/FCL Instrument rating(required)
JAA/FCL CPL(required)
JAA/FCL other pilot liences/ratings
Any other pilot licences/ratings
Total Flight Experience (hours)(required)
Flight Experience last 12 months (hours)
Med. Certif.: Class 1/Classe 2/Classe 3...?