EmailMe Form - REGISTRATION FORM

TYPE of TRAINING *
Flight Operation Officer (FOO)
Flight Attendant (FA)
Airline Staff (AS)
Aviation Security (AVSEC)
Dangerous Goods (DG)
Porter
Full Name
First Last
Place of Birth
Date of Birth
DD / MM / YYYY
Gender
Male
Female
Height / Weight
Marital Status
Single
Married
Widow
Widower
Religion
Latest Education Level
Citizen
Personal Identity (Resident Card/License/Passport) Number:
Where Province do you come from?
Please indicate where the Region you come from.
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email Address
Phone Number
Please indicate your housing preference during Training periode.
Own Home
Dormitory
Cottage
My job orientation after I finished the training program
I want be placed at Work
Seeking work independently
FAMILY DATA
Father's Name :
First Last
Father's Condition :
Life
Passed Away
Mother's Name :
First Last
Mother's Condition :
Life
Passed Away
Address of Parent / Guardian :

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Parent's Mobile Phone No :
Last Education of Parent :
Parent Occupation :
Source of Information (I get the Information) from: *
Friend
Family
Brossure
TV / News Paper
My School
Alumnus
Internet
Other
RECOMENDED BY:
Please provide the names of people who recommen you.
Phone Number
Attachment Documents are Required :
Copy of Last Education Degree (1 sheet)
Copy of Resident Card/KTP (1 sheet)
Copy of Birth's Certificate
Health's Certificate (1 sheet)
Certificate of Colourness (1 sheet)
Police Note Information / SKCK (1 sheet)
Photo 3x4, Red Background (10 sheet)
Photo 4x6, Red Background (10 sheets)
Bank's Payment Receipt (1 sheet)
Submitting documents can be attached by email: trustaviationcenter@gmail.com or sent physical document to the TRUST Aviation Campus
Submission Date :
DD / MM / YYYY
PERSONAL STATEMENT
I understand that this application is for admission only for the term indicated. I agree that I am bound by the Trust Aviation Training regulations concerning application deadlines and admission requirements. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action or denial of admission. If admitted, I agree to abide by the policies of the Trust Aviation Training Center and the rules and regulations. Should any information change prior to my entry into the Training Campus, I will notify the Office of Admissions.
Confirmed *
Yes, I understand and agree to the terms listed above.

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