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STUDENT ENROLLMENT CERTIFICATE

Name of student

Address

City

Province

Postal Code

Home Phone #

Alternate Phone #

Email Address

Date of Enrollment

Name of Course

Level of Education

Field of Education

EMERGENCY CONTACT INFORMATION

Name

Relation to Student

Home #

Office #

Cell

INTERNATIONAL STUDENTS
(COMPLETE IF APPLICABLE)

Citizenship

Passport #

Country of Issuance

Expiry Date

Do you require a Visa to Study in Canada?
YesNo

Have you received your CAQ?
YesNo

Have you received your student VISA?
YesNo

VISA expiration Date (dd/mm/yy)

English Proficiency (Must pass ICAO Level 4)

Do you require housing during your stay in Canada?
YesNo

REFERRAL INFORMATION

Where did you hear about Academy of Aeronautics?

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Once we have received your enrollment form, we will contact you to proceed with your application.