BGA Introductory Flight Pilot Form 9 BRITISH GLIDING ASSOCIATION FOR OFFICIAL USE ONLY BGA INTRODUCTORY FLIGHT PILOT ENDORSEMENT INITIAL ISSUE and REISSUE Please complete the form in clear block capitals using dark ink and submit to the BGA office Payment – No initial issue fee 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 - EASA Class 1 ( ) Sept 14 EASA Class 2 ( ) LAPL ( ) BGA Introductory Flight Pilot Form 9 3. COURSE COACH DECLARATION I confirm that the applicant ………………………………………………………………………….(name) has completed an approved BGA Introductory Flight Pilot course and therefore subject to CFI declaration, I recommend the issue of a BGA IFP endorsement that is to be revalidated annually by the CFI. Date of Course………….. ……….…………………………Location……………………………………………………. Name………………………………………………Signature……………………………………Date…………………… 4. APPLICANTS DECLARATION I certify that I have the required valid SPL or LAPL(S) and experience to hold the endorsement I am applying for. I understand the privileges and limitations of the BGA IFP endorsement I am applying for I understand that I must submit this application with the completed BGA course/test record I declare that to the best of my knowledge the information on this form is accurate Name………………………………………………Signature.………………………………………Date………………… 5. CFI DECLARATION - to be completed by the applicants BGA CFI I understand the experience requirement and hereby recommend this BGA Introductory Flight Pilot endorsement application. Name………………………………………………Signature…………………………………………………………………. Date…………………………………………………BGA Reference No………………………………………………….. Sept 14