Climb Level 4 - ICAO English

CL4 Registration Form (only valid for registrations made before 31 October 2012)

After you have completed this Registration Form and paid your fees, then you will be sent an email with your login details (within 48 hours)
 
"I confirm that I have read and understood the Climb Level 4 License Agreement (click here) and I agree with all its terms and conditions"

I accept

I do not accept

First name Age 
Family name Date of Birth 
Address Sex 
City Nationality 
State/Province Native Language 
Zip/Postal Code Occupation           
Country The name of the company your work for
Phone Fax 
E-mail
Please enter your e-mail address again  
Which programme would you like to take?

Date to begin your Programme?

As soon as possible      or.......
  Day     Month        Year  
Payment: I have paid my fees on ..... (date)

(After sending this form you will be automatically re-directed to another webpage giving you payment instructions)
Other Information: