GGIFA International College of Aviation

PRELIMINARY APPLICATION
ENROLLMENT FORM

    KINDLY INDICATE YOUR COURSE PREFERENCE AND COMMENCEMENT DATE BY (√) WHERE     APPLICABLE:
 

Course Name

Commencement Date  mm/yy

1. PLEASE COMPLETE YOUR PERSONAL DETAILS IN CAPITAL LETTERS:

Mr. Mrs. Ms.

Others(Please specify: e.g. Dr, Dato’, etc.)   

Full Name (as in NRIC/ passport):

 

Date Of Birth:

IC/Passport/ID No:

Tel:

Fax:

Mobilephone:

Email:

ID Type:

New IC

Passport ID

Air Force ID

Army ID

Navy ID

Police ID
Citizenship:

Country Of Residence:

Visa Exp. Date:

 ((Malaysian Visa Holders Only / Non-Malaysian))
Home Address:

 2. PLEASE FILL IN YOUR (SPM)/O-LEVEL/ OTHER EXAMINATION RESULTS:
      (Leave Blank if Not Applicable)

Bahasa Malaysia:

English:

Mathematics:

Additional Maths:

Physics:

Chemistry:

Biology:

General Science:

Other (please specify):






3. PLEASE FILL IN YOUR PREFERRED METHOD OF PAYMENT (√)





 

PAYMENT METHOD:

CHEQUE

BANK DRAFT

TELEGRAPHIC TRANSACTION

YOUR STATEMENT OF ACCOUNT WILL BE NOTIFIED TO YOU AND ALL PAYMENT SHOULD BE MADE PAYABLE TO:
GULF GOLDEN SQUARE SDN. BHD.
RHB Bank, Bintulu Branch, A/C No. 21105200020405

4. SPONSOR PARTICULARS

OWN

AIRLINE SPONSOR

FINANCIAL INSTITUTION

OTHERS (PLEASE SPECIFY):      
 

NAME OF SPONSOR:    

ADDRESS:
DATE:

 

  

5. PLEASE SIGN THIS APPLICATION AGREEMENT:

I HEREBY DECLARE THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE AND I HAVE READ THE TERMS AND CONDITIONS AS PRINTED IN THE BROCHURE AND AGREE TO BE BOUND BY THE SAME AND ANY AMENDMENTS MADE THERETO.

DATE:      

     

ADDRESS:

CONTACT PERSON:        

 

AFTER COMPLETION OF THIS FORM YOU WILL BE REQUIRED TO FURNISH COPIES OF ALL REQUIRED DOCUMENTS IF YOU ARE GRANTED A LETTER OF ACCEPTANCE, AND FORWARD TO ANY OF OUR OFFICES:

KL OFFICES

WEST WING, LOT 03-04, SUBANG SQUARE SS15/4G, 47500 SUBANG JAYA, SELANGOR DARUL EHSAN, MALAYSIA / TEL: +603-56352180 FAX: +603-56367535

BINTULU OFFICE:

BINTULU AIRPORT, JALAN BINTULU TATAU, P.O.BOX 3090, 97000 BINTULU, SARAWAK, MALAYSIA /
TEL: +6086-333699 FAX: +6086-331299