BGA Instructor Form 2
BRITISH GLIDING ASSOCIATION

FOR OFFICIAL USE ONLY

BGA INSTRUCTOR RATING RENEWAL
(renewals of lapsed ratings only – not for revalidation or new instructor ratings)
Please complete the form in clear block capitals using dark ink and submit to the BGA office
Payment – The instructors club will be invoiced for the renewal fee Confirmation – BGA confirmation of rating renewal will be given by email
1. APPLICANTS PERSONAL PARTICULARS

Date Received

Applicants BGA Reference Number (if known) ………………………………………………………………………..

Title………………………………………..Surname………………………………………………………………………….

Forenames………………………………………………………………….Nationality……………………………………..

Date of Birth………………………………Place of Birth……..……………………………………………………………..

Postal Address………………………………………………………………………………………………………………... …………………………………………………………………………………………………………………………………..

Post Code………………… …………Email Address……………………………………………………………………….

Tel No…………………………………………….…Mobile No………………………………………………………………

Preferred contact method – email or letter? ………………………………………………………………………………

BGA Club………………………………………………………………………………………………………………………

2. MEDICAL FITNESS – NPPL MEDICAL DECLARATION OR OTHER MEDICAL STATUS CURRENTLY HELD

Please tick -

NPPL Group 1 ( ) NPPL Group 2 ( ) JAR Class 1 ( ) JAR Class 2 ( )

Instructor Form 2 BGA Instructor Rating Renewal v Jul 2009

BGA Instructor Form 2 3. RATING BEING RENEWED – please tick one box only

Basic Rating 1,2,3,4,5,6,7

Assistant Rating 1,2,3,4,5,6,7

4. APPLICANTS FLYING EXPERIENCE DECLARATION

Full Rating 1,2,3,4,5,6,7

I certify that I have the minimum experience in the previous 12 months required of all BGA instructors and as described in the current edition of BGA Laws and Rules under ‘Instructor Standards’. I certify that the date of my most recent 5 year check was………………………………… and therefore my next five year check is due on……………………………….. Signed………………………………………………Surname……………………………………………………………… Date…………………………………………………BGA Reference No…………………………………………………..
5. RENEWAL CERTIFICATE - to be completed by the approved BGA examiner
I certify that………………………………………………………………….satisfies the renewal requirement and I recommend that the applicants Basic / Assistant / Full rating (delete as required – only one rating may be applied for on this form) should be renewed by the BGA..
Signed……………………………………………….Surname…………………………………………………………….. Date………………………………………………….BGA Reference No………………………………………………….
6. CFI RATING RENEWAL DECLARATION - to be completed by the applicants BGA CFI
I recommend this renewal of a Basic / Assistant / Full rating(delete as required) Signed………………………………………………Surname…………………………………………………………………. Date…………………………………………………BGA Reference No…………………………………………………..
7. APPLICANTS RATING RENEWAL DECLARATION
I certify that the particulars on this form are correct to the best of my knowledge and belief. I understand the privileges and limitations of the rating and my personal responsibilities including medical fitness and currency. Signed……………………………….Surname…………………………………….…………Date……………………….

Instructor Form 2 BGA Instructor Rating Renewal v Jul 2009