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M-1 Visa application

Student Pre-Admission Form (Fill out the form below & submit)

This form lists the required information by the Immigration Authorities to issue your I-20. Make sure the information below matches your Passport information.  Translate “Umlaute” as follows: ä = ae, ü = ue, ö =oe.

Type of Visa:

M-1 Date (mm/dd/yyyy):
Surname/Family Name:
First Name: Middle Name:
Suffix: Gender:
Date of Birth: (mm/dd/yyyy) Marital Status:
Country of Birth:
Country of Citizenship:
E-Mail Address:
Confirm E-Mail Address:
Home Telephone:
Mobile Phone:
Home Address
Address 1:
Address 2:
City:
Province / Territory:
Postal Code:
Country of Residence:
Mailing Address
Address 1:
Address 2:
City:
Province / Territory:
Postal Code:
Country of Residence:
Initial Attendance – Change of Status Required
Desire Program Start Date: (mm/dd/yyyy)

Desired Training:     Private Pilot          Instrument            Commercial

Desired Aircraft:   Cessna 172         Cessna 182         Cirrus SR20 or SR22

Previous Experience:  Total Hours: Aircraft Flown:

Source of Financial Resources:   Self            Sponsor                Other

Cost of Training: Living Expenses:

304 Citation Point, Naples, FL  34104

Ph. (239) 649-8822 Mail: info@rexair.net       www.rexair.net

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