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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. Instructor Nominated:

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* 5. Flying School(s):

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* 6. Email:

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* 7. Phone:

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* 8. Highest level of qualification?

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* 9. How many years has this person been instructing?

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* 10. Does the instructor have a Flight Examiner Rating?

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