Member Registration - Besut Paragliding Park

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Name
Nickname
Country
State	State Perlis Kedah Kelantan Terengganu Perak Selangor Pahang N. Sembilan Melaka Johor Sarawak Sabah Kuala Lumpur Putrajaya Labuan other: If you’re from Malaysia, please select which State else please write the area name.
Are you a pilot?	Are you a pilot? Just Visiting Tandem Passenger Paragliding Paramotor Microlight other:
Pilot License	Pilot License Malaysia (MSAF) International (APPI) Indonesia (FASI) Thailand (RASAT)
License #
Certification	Certification Trainee Pilot Beginner Pilot Intermediate Pilot Advanced Pilot Tandem Pilot Instructor
Flight Log
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Email	Your primary email address
Mailing Address	Mailing address for official correspondence (this field will be kept private)
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