INSURED NAME * First Name Last Name IDENTITY NUMBER * INSURED ADDRESS * INSURED CONTACT NUMBERS * INSURED EMAIL ADDRESS * INCEPTION DATE REQUIRED * SUM INSURED REQUIRED * ASSOCIATED FLIGHT TRAINING SCHOOL * YES NO NAME OF FLIGHT TRAINING SCHOOL * PLEASE ADVISE OF ANY ACCIDENTS AND/OR INCIDENTS AND/OR LOSSES AND/OR CLAIMS IN THE LAST 5 YEARS? Thank you!
