Your Full Name (required):
Contact Number (required):
E-mail Address (required):
Membership Type? (required): —Please choose an option—CivilianADFAPSDefence ContractorAAFCOther
CASA ARN:
Do you have an Aviation Security Identity Card? —Please choose an option—YesNo
ASIC Expiry?
Do you have a valid CASA Medical Certificate? —Please choose an option—NoClass 1Class 2Basic Class 2
Medical Expiry?
What type of Pilot Licence do you hold? —Please choose an option—NoneRecreational (RPL)Private (PPL)Commercial (CPL)Air Transport (ATPL)Other
Do you have a Williamtown Airside Access Card? —Please choose an option—YesNo
Airside Expiry?
Comments (Include as much information as possible):
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