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Air Service Training (Engineering) Ltd

Brahan Building, Crieff Road, Perth, Scotland, PH1 2NX


Tel: ++44 (0)1738 877105, Fax: ++44 (0)1738 553369
Email: info@airservicetraining.co.uk

Application Form for Short Modular Training Course with Examinations


Personal Details
Given Name(s)

Family Name

An Initial Registration Form must also be completed unless this has already been submitted.
Initial Registration Form
required:
If Required - Initial Registration
Form submitted to AST:

Yes / No:
Yes/No
Yes / No:

Checked:

Agent / Sponsor Details (where applicable)


Name

Organisation

This application must be accompanied by the appropriate payment.

Payment Details (if applicable)


Payment method

Cash / Cheque / Card / ELC / Other


Invoicing details (if required)

Name

Address

Telephone

Mobile phone

Email

Please send payment for examinations with this application unless special arrangements
have been made. Cheques payable to Air Service Training (Engineering) Limited.
The original photographic ID used when completing the Initial Registration Form must be
produced prior to entry to the examination, those candidates who cannot produce the
photographic ID will not be allowed to enter the examination room.
Full AST Terms and Conditions are available from the AST Admin Office and on the AST
website.
Failed Examinations, taken at any centre cannot be retaken within 90 days.
Additionally, if 3 consecutive attempts have been made at any module examination
since 1 Aug 2012 a waiting period of 1 year must elapse before the next attempt.
Application Form for Short Modular Course with Examinations (Reviewed Jan 2015)

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Are you applying for the Full Zero to Hero Course? (delete as required)

Yes / No

If Yes: Which Category? (delete as required)

B1.1 / B1.3 / B2

DD/MM/YY

If Yes: Course Start Date:


If No: Please identify the individual modules you require on the table below:

Course and Examination(s) Applied For:


Module
1
2
3
4B1
4B2
5B1
5B2
6
7
7 ESSAY
8
9
9 ESSAY
10
10 ESSAY
11
12
13
14
15
16
17

As
required

Course start
date

Dates of any previous attempts


taken for each Module

Organisation where these previous


attempts were taken

Your signature certifies that you have not taken and failed the same module(s)
examinations within 90 days of the date of examination applied for at AST and where
you have attempted the module(s) examination 3 times since 1 Aug 2012 then a
waiting period of one year has elapsed.
By entering my signature below I declare that the information given above is true and correct to the
best of my knowledge and belief. I also declare that if any of this information changes I will inform Air
Service Training immediately.

Signed

Date

Application Form for Short Modular Course with Examinations (Reviewed Jan 2015)

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