IPPI card application form

Sample Application Form

I wish to apply for an International Pilot Proficiency Identification
(IPPI) Card

Name .......................... Address ................................
Tel ........................... ........................................
Fax ........................... ........................................
e-mail ........................ ........................................
Date of Birth ................. Nationality ............................
Sex: MALE / FEMALE National License No.....................
FAI Sporting License No ......................

Hang Gliding :
National Pilot Rating ....... Years ..... Hours ...... Current Wing .........
Paragliding :
National Pilot Rating ....... Years ..... Hours ...... Current Wing .........

I enclose a CHEQUE / POSTAL ORDER /CREDIT CARD NUMBER FOR .... .....
made out to .................................................................
Credit card number .............................. Expiry date ..........
Signed ............................... Date ..........................