cpl training in india application form - chimes aviation academy

Application No: 002847A212

Course Applied for:

Commercial Pilots License (CPL)

1. Name of the Applicant:

2. Father/Guardian's Name: Diwakar Jha

3. Date of Birth: 28-April-1992

4. Nationality:

6. Place of Birth:

Filling Anyone of the following details is mandatory i.e Passport or Driving Licence or Telephone Bill

5. Sex:

7. Passport No. : Issued Place :

Date of Expiry :

Driving Licence No. : Issued Place :

Date of Expiry :

8. Marital Status:

9. Residential Address:

Town/City:

State:

Country:

Telephone:

Mobile:

Town/City:

State:

Pincode:

Country:

Telephone:

Mobile:

Fax:

10. Address for Correspondence:

e-mail:

Fax:

Animesh Jha

Indian Male

Bihar

Single

91-6272-258578

91-9661372762

91-9661372762

91-6272-258578

[email protected]

Pincode:

[email protected]:

Telephone No. : Service Provider:

Bill DateBill No. :

Referred by:

Not Applicable

11. Educational Qualifications:

12. Professional Qualifications:

Not Applicable

13. Work Experience or Other:

Not Applicable

Confidential Chimes Aviation Pvt. Ltd. 2008 [email protected] | www.caaindia.com

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I have read the prospectus and I am wiling to take the Pilot Training Course subject to the terms and conditions of Chimes Aviation

Academy

Color of Eye:Weight (in Kg):14. Height (in cm):

17. Monthly Income of Applicant (if Any) : Rs.

16. Occupation:

2.

1.

15. Details of Two Identification Marks:

7. Two Passport size color photograph

6. Copy of Medical Certificate

5. Aviation Related Education

4. Address Proof :

3. Age Proof :

2. Please note min education criteria of Class XII needs to be submitted before joining the course

1. Education Proof

The Hard Copy of Application form should be submitted along with the following documents :

Copy of the Class XII

Any other relevant certificates (if any

RT Licence

In case applied for CFP courses -

Flight Certificate

Photocopy of Passport Driving Licence

Class Xth Certificate Birth Certificate

(which is more recent, in case still appearing for a certain exam), please indicate that and attach certificate of last course completed.

Graduation certificate

Signature of the ApplicantPlace:Date:

OFFICE USE ONLY

LAST DATE FOR SUBMISSION IS

All documents needs to be attested by a Gazetted Officer.

Also 1 photograph needs to be pasted on the form and the other to be attached with the form.

Course Fee Receipt No.

Course Fee Amount

Interview Date

Entrance Exam Payment Details

CAA Registration

Course Fee payment Details

Course

Admission Test Letter No.

Application Received on

Admission Form No

Copy of SPL

Telephone Bill


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Chimes Aviation Academy

Student Application Form - Terms and Conditions

Application Fee, Terms and Conditions

1. Chimes Aviation Academy (Hereinafter referred

to as “CAA”) has been duly authorised by the

Director General of Civil Aviation (DGCA),

Ministry of Civil Aviation (MOCA) to provide the

flying training courses and render the related

studies.

2. CAA offers you the opportunity to appear for

the examination/entrance test for becoming

eligible for enrollment to _______ Course

(PPL/CPL/CFP, tick and fill as applicable) for

obtaining the license from DGCA.

3. The examination venue, date and time

provided to you shall not be subject to

cancellation, change or reschedule unless

otherwise communicated to you by CAA before

the due date of examination.

4. You shall not be entitled to seek cancellation

or rescheduling of exam.

5. Your selection to the course you are seeking

admission would be on purely merit and

fitness basis and CAA by enrolling you for

entrance test makes no guarantee for your

admission to the course.

6. Upon your successful selection, you shall have

to comply with all rules, regulations, directions,

as amended, issued by DGCA, MOCA or any

other statutory body governing the civil

aviation field as may be applicable to the

course you shall be enrolled for.

7. In addition to the statutory compliance, you

shall also have to abide by the contract, all

the policies made and issued by CAA,

whether at the time of your joining the

course or during the continuation of your

course.

8. You agree that any material changes viz., in

tenure, cost of course, general applicable terms,

eligibility for license may have the impact on the

course or its content and you shall abide by the

same in totality.

9. You are being allowed to sit in entrance test for

enrollment to _______ Course (PPL/CPL/CFP, tick

and fill as applicable) on payment of Rs.2000/-

(Rupees Two thousand Only) (here inaf ter

“Application Fee”).

10. The application fee shall be payable in Cash or

Demand Draft drawn in favour of “Chimes Aviation

Private Limited” payable at New Delhi.

11. The application fee paid by you is non-refundable

under any circumstances including your no show

for exam or withdrawal from the exam.

12. All the statutory levies including but not limited to

service tax shall be also borne by you applicable

on the application fee, if any.

13. The dispute, differences, shall be subject to the

sole and final adjudication of the management of

CAA, who shall appoint its senior representative

for the same. The decision of the said

representative of CAA shall be final and binding

upon you.

14. These terms shall be governed by the laws of

India.

15. Those irreconcilable disputes arising from these

terms shall be subject to jurisdiction of courts at

New Delhi.

16. This application from filled in by you is after

reading all the above terms and conditions and

agreeing to the same.

____________________________

Student/Applicant Signature


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