Local Pilot | Sky Remy Services

Name *

First

Last

Date of Birth *

Phone number *

Email *

Nationality *

Glider manufacturer & Name / Colour / Age of Glider *

Example: Ozone Enzo3 / Green, White / 2 years

Type of License / Total Flying Hours / Last check of Glider *

Example: APPI 4 / 400h / 2018

Next of Kin - Name/Tel. Nr. *

Example: Lisa - +254700567890

AMREF Flying Doc Insurance Nr. *

Get your AMREF Flyng Doctors Insurance easily online. Basic rate is 15 USD short term. Most reliable and swift SAR in Kenya! Goto: https://flydoc.org/

Dates of Flying Vacation *

Example: 22.03 - 28.03.2022

Area of Flying / Accomodation *

Kerio / Kilima Resort

E-Visa Nr *

Paypal / Mpesa Payment Code *

Payment: via Paypal USD 15 (PAK annual fee) to skyremyservices@gmail.com OR via 'Mpesa PAYBILL" KSH 1500 (PAK annual fee) to Business Nr: 516600 / Account Nr.: 445622 . Type in the Paypal / Mpesa Payment Confirmation Code above.

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