Basic Information
Full Name*
First Name Middle Name Last Name
Student Number*
e.g. 11183021
Year Level*
for Incoming A.Y. '12-'13
Degree Program
E-mail*
Mobile Number*
Network Provider*
Telephone Number*
Birth Date*
Month Day Year
Present Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code Country
Permanent Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code Country
Person to contact in case of emergency:*
Parent/Guardian
Relationship*
ex. Father, Mother, etc.
Address of person to contact in case of emergency*
Contact details of person to contact in case of emergency*
ID Picture*
File should be in jpg format

Academic Background
High School Name*
Other Extra curricular activities
Extra Curricular Participation*
Student Council Class Officer Club/Organization Varsity Player Others (please specify below)

Flight School International Students Registration