Form: PPL Self Study Form | Eagles Assurgent Connexion

Applicant Information

Fields marked * are required

Educational Background

Highest Level of Education Completed *

Are you currently a student?*

Yes

If Yes, name of institution

Field of Study (if applicable)

How did you learn about our program? *

Social Media

Online Search

Referred by a Friend/Family

Other (specify)

Preferred Start Date

Would you like to receive flight training with our international partners? *

Yes

If Yes, when would you like to start?

Preferred Payment Method *

Credit/Debit Card

Bank Transfer

PayPal

Other (specify)

Additional Information

Please share any prior experience or knowledge in aviation, if applicable:

Do you have any special needs or requirements for the study program? *

Yes

If Yes, please specify

Declaration

I, the undersigned, confirm that the information provided in this form is accurate to the best of my knowledge. I agree to abide by the rules and regulations set forth by Eagles Assurgent Connexion for its Self-Ground School Study program.

Get in Touch

(+234) 913 680 9848

info@eaglesassurgent.org

Elite Academy Area M, World Bank New Owerri, Imo State.

(+234) 913 680 9848

Applicant Information

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Educational Background

Program Information

Payment Information

Additional Information

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