Admission Form Endeavoir Aviation - ENDEAVOUR FLIGHT TRAINING

Foreign Student Visa Application

14229 SW 127th Street Miami Executive Airport Miami FL 33186.

PBX: (305) 769-2779 – Email: info@e-flighttraining.com

PERSONAL INFORMATION

Last Name *

First Name *

Date of Birth *

Month

Day

Year

Email Address *

Age *

Gender *MaleFemale

Place of Birth *

Citizenship *

PERMANENT ADDRESS

Address *

City *

State/Province *

ZIP / Postal Code *

Country *

LOCAL ADDRESS (IF APPLICABLE)

AddressIF APPLICABLE

CityIF APPLICABLE

State/ProvinceIF APPLICABLE

ZIP / Postal CodeIF APPLICABLE

Country IF APPLICABLE

COURSE INFORMATION

Please select the Course(s) that you are applying for *

Private Pilot Certificaton - Airplane Single Engine LandCommercial Pilot Certificate - Airplane Multi-engine LandCommercial Pilot Certificate - Airplane Single-engine LandAdditional Aircraft Rating - Airplane Single Engine LandAdditional Aircraft Rating - Airplane Multi-engine LandInstrument Pilot Certificate - Airplane

PREVIOUS EXPERIENCE (IF ANY)

Total HoursPREVIOUS EXPERIENCE (IF ANY)

Dual InstructionPREVIOUS EXPERIENCE (IF ANY)

Solo or Pilot-in-CommandPREVIOUS EXPERIENCE (IF ANY)

Issuing CountryPREVIOUS EXPERIENCE (IF ANY)

Licenses / Ratings HeldPREVIOUS EXPERIENCE (IF ANY)

FAA MedicalPREVIOUS EXPERIENCE (IF ANY)

Month

Day

Year

PASSPORT INFORMATION (For International Students)

Passport Issued by

Passport Number

Passport Issue Date

Month

Day

Year

Passport Expiration Date

Month

Day

Year

American Embassy/Consulate

MarriedYesNo

Number of Dependents

Desire Course Starting Date

Month

Day

Year

EMERGENCY CONTACTS

Name

Email Address

Phone Number

Address

City

State/Province

ZIP / Postal Code

Country

Relation to Student(Example: brother, friend, etc.)

Foreign Student Signature

Signature Date *

Month

Day

Year

Upload Passport Photo ID *

No file chosen

Miami – USA
Freddy Antolínez
PBX: 1-305-769-2779
+1 305 310 0066
freddy54d@e-flighttraining.com

Alddy Antolínez
PBX: 1-305-769-2779
+1 305 298 6502
alddy@e-flighttraining.com

14229 SW 127th Street
Miami Executive Airport KTMB.
Miami, FL 33186
Phone:1- 305- 769-2779

Foreign Student Visa Application

PERSONAL INFORMATION

PERMANENT ADDRESS

LOCAL ADDRESS (IF APPLICABLE)

COURSE INFORMATION

Please select the Course(s) that you are applying for *

PREVIOUS EXPERIENCE (IF ANY)

PASSPORT INFORMATION (For International Students)

EMERGENCY CONTACTS

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