Personal Details

Username (This username will be required for all future logins. Please keep it for your records.)

The password must have at least 8 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s), at least 1 special character(s) such as *, -, or #

Password

Email address

Email (again)

First name

Last name

Physical Address

Country of Residence

Gender

ID Number

Mobile Phone

Telephone Number

Alternative Contact Details

Programme Applied For

Accommodation Required?

Name and Surname

Phone

Mobile Phone

Email Address

Hereby declare that the information provided in this form is true, correct, and complete to the best of my knowledge. I understand that any false or misleading information may result in disciplinary action or disqualification of my application.

Learner’s Full Name:

Required

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Biographical Information

Contact Information

Apply For Admission

Accommodation

Parent/Guardian

Declaration of Information

Fuze Aviation Academy

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