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APPLICATION FOR REGISTRATION
Civilian Pilots
Air Corps, U. S. Army

Date
Name (Surname first) Date of birth      
Home address 
Business address 
Occupation 
U. S. Citizen Married No. of dependents
High School Graduate 
University or college Course 
Years attended college Degree received
Type of Department of Commerce license now held
Total pilot hours Average hours flown monthly

A brief resume of flying experience

I am willing to serve in the Air Corps in time of war or national emergency.

Signature 

Incl. #1

Transcription Notes:
Blank form.