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* 1. Your name:

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* 2. Your phone number:

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* 3. Your email:

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* 4. Name of the organisation you are nominating:

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* 5. Organisation's website:

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* 6. Name of contact at the organisation:

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* 7. Organisation's email:

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* 8. Organisation's phone number:

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* 10. How many students are trained by the organisation annually?

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* 12. Approximate number of flying instructors?

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