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

Do you have a valid CASA Medical Certificate?
—Please choose an option—NoClass 1Class 2Basic Class 2

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

Comments (Include as much information as possible):

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