Course Information Course Name Course Date (YYYY/MM/DD-MM/DD) DGR Initial DGR Recurrent Participant Information Mr. Mrs. Ms. Date of birth (MM/DD) Personal: Company: Office: Mobile: JASG website JAA LinkedIn Friends / colleagues Others (please specify): 1. Please also read the Special Terms and Conditions regarding registration deadline, payment information and cancellation policy on the Application Guideline webpage. 2. By submitting this application, I consent to the release of personal information contained in the application form held by Jardine Aviation Academy (JAA) to International Air Transport Association (IATA) for registration purpose. 3. Should you have any question please contact us at [email protected]. Family Name (as appears on passport) First Name (as appears on passport) Company Name Job Title Email Address Postal Address (for certificate distribution use) Contact No. (include country / city code) How do you know us ? I consent to receive emails about your promotions and news from Jardine Aviation Academy (JAA). Note: DGR Awareness Jardine Aviation Academy Dangerous Goods Regulations Training Application Form JAA Facebook JAA Twitter IATA Website ^If you attended the same course before, please provide the expiry date on your previous certificate.(YYYY/MM/DD)