Pre-registration form

01Training sought

Year of enrolment *

Training sought *

PPL(A) — Private Pilot LicenceLAPL(A) — Light Aircraft Pilot LicenceMicrolightI would like advice on the most suitable training

02Personal details

Title

MsMrOther

Surname *

First name *

Date of birth *

Town of birth

Sex

FM

Department of birth

Country of birth

Occupation

03Contact details

Address

Postcode

Town

Phone *

Email *

04Flying background

Do you already hold a pilot licence?

NoYes

Licence number (if any)

FFA membership number (if any)

FFPLUM membership number (if any)

Date of the medical examination (if already taken)

Medical examination valid until

Have you done any flight training before?

NoYes

If so, which

PPLLAPLMicrolightOther

Other training

Approximate flying hours

Previous flying club, if any

05Your plans

06Emergency contact

Name

Phone number

07How you found us

08Pre-registration

I undertake to send my identity document and a passport photograph (licence & medical certificate, if applicable) after submitting this form, by email to contact@byac.org, so that my application can be processed.