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——— | Aviation Technology Consultants 31/E-1 Gulberg III Hazrat Imam Hussain Road,Lahore, Pakistan +92-335-9440319 Photograph part66@aviationconsultantpk.com, noor@aviationconsultantpk.com. 1.5°X 1.5) ‘www.aviationconsultantpk.com Qty 4 (The applicant should fil all columns in capita letters and, tick (¥) the appropriate box where necessary) ‘Course Applied For: Registration No. (Oct use Ont Eanes Full Name: (As Per Metric / O-Levels Certificate) Father's Name: (As Per Metric / O-Levels Certificate) CNIC No: Passport No: Date of Birth (aasmmiyy) / y Gender: Male Female Place of Birth: City: Country: Nationality: Native Language: Ph. Res. Mob. Em: Age: Postal Address (Present): Postal Address (Permanent): Which Address Should Be Used For Correspondence Present: In Case Of Combine B1, cre First Preference For License Category Karachi Islamabad Other: Permanent: rire Candidate Status Fresh Candidate Re-Appearing Module# Module Name MCQs/ Essay B1/B2 Pretend confirm that the given information in this form is correct and complete. I also confirm that misleading statements may be sufficient for cancelling my registration. Note : Fee is Non Refundable, Transferable Even In Case of Any Emergency, Late Arrival, Absent, Reschedule or Postpone. Applicant's Signature: Date: For Official Use Only Candidate 1D: Date of Birth (dd/mm/yy) ff Signature: Date: Ean Meezan Bank, Johar Town Branch, Lahore, Pakistan Title of Account: Aviation Technology Consultants Account # 0214-0100340333 Ein Kil Tek (y) AT Following Documents eee reer opr ern Bb + rnogapne 19° 15° Se Bll 2Posspon Cony /2 CNC Cony Bi oxi depoat sip

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