Online Membership Form

Thank you for joining....Please fill in as much detail as possible.

×

Member Details

id

date time

Gliding Club

-- Select Club -- Adamsfonten Gliding Club AkaVlieg Potchefstroom Bloemfontein Gliding Club Cape Gliding Club Drakensberg Soaring Club East Rand Gliding Centre Eastern Province Gliding Club El Mirador Gliding Club Estcourt Aero Club Garden Route Gliding Club Gariep Gliding Centre Goldfields Gliding Club Howick Gliding Club Kranskop Gliding Club Kroonstad Gliding Club Magalies Gliding Club Middleburg Gliding Club Other Club Soaring Safaris Swellengrebel Gliding Club Vaal River Gliding Club Vryheid Wings Club Whispering Wings

Other Club (Specify)

surname

Name

Member Deleted

no

username

email

password

SSSA Membership no

ID No

registerDate

photo

Emailing Lists

All Members

usertype

lastvisitDate

Account No

Date of Birth

Block Member Login

Yes

Contact Details

Mobile

Tel Work

Tel Home

Fax

Address 1

Address 2

City

Postcode

Postal Address

Member Deleted

Organization

Spouse Name

Next of Kin & Tel No

Renewal Dates

Annual Check Due

GPL Renewal Due

TMG Renewal Due

SPL Renewal Due

PPL/Comm Renewal Due

AP Renewal Due

Medical Renewal Due

Instructor Renewal Due

Licence details

Pilot Licence No

Radio No

GPL/SPL no

Instructor Brevet No

AP no

Total Flying Hours

Instructor Ratings

Glider Instructor Rating - Assistant Instructor

Glider Instructor Rating - Full Instructor

Glider rating - Aerotow

Glider rating - Auto Tow

Glider rating - Self Launch

Glider rating - Sustainer

Glider rating - Winch

TMG Intructor Rating - Grade A

TMG Intructor Rating - Grade B

TMG Intructor Rating - Grade C

Aircraft Ratings

Class of Medical

None Class 1 Class 2 Class 4

Tug Pilot

yes no

Winch Driver

yes no

Account Balance

Aeroclub Membership No

Instructor

yes no

Student

Yes No

Approved Person

yes no

Safety Officer

yes no

Captcha Security

Submit Application NOW

Cancel