Prospective Member Application

Thank you for showing an interest in joining the 152Group.

By Completing the below form you are agreeing that the Popham 152Group may retain your information to allow us to contact you in relation to becoming a member of the 152Group.

We will not use this information for any other purpose and this information will be deleted if:

1. You are not successful in your application to join the syndicate

2. You do not wish to continue to be kept on our waitlist and indicate so by emailing
[email protected] requesting us to delete your record

Please enter your full name

Your age

Your weight in Kg, sorry to ask but we have a weight limit of 85Kg for G-BRTD (Cessna 152) and 116Kg for G-BJBW (PA28)

Where do you live (nearest Town / City will suffice)

Your email address

Your contact phone number (preferably mobile)

Which Aircraft are you interested in?

What year did you pass your PPL?

Your Total PIC Flying Hours

Your Total SEP Hours

Your Total Hours on type for the aircraft you are interested in i.e. PA28 or 152

Your Total SEP Hours in past 12 months (Any SEP aircraft)

Your Total Hours on type i.e. PA28 or 152 in past 12 months

Type of licence held? (PPL SEP etc.)

Date SEP Rating valid to?

Which Medical do you hold?

Medical valid to? (If PMD enter same date as SEP Rating valid to)

Anticipated Hours to be flown per year

Do you hold any of these ratings?
IRIRRNightCRIInstructorExaminer

Where has your previous flying taken place and in what type or types of aircraft?

Have you had any insurance claims/accidents/violations of aviation regulations in the last five years? This is not a stopper but we would need to confirm coverage with our aircraft insurers. Please provide details if applicable

Tell us a bit about you, why you would like to join our group, what sort of flying you would like to do

The 152 Group

By Aviators, for Aviators

Prospective Member Application