SECTION "A" _ PERSONAL DATA

CADET
SQUADRON

 532 MAITLAND RC(AIR)CS GODERICH, ON
IDENTIFICATION
OF CADET		 RANK
 SURNAME
 FIRST NAME
 SEX
HOME
ADDRESS 		ADDRESS
 CITY
 PROV.
 POSTAL CODE
TELEPHONE NO.
 HEALTH NUMBER
 AGE DATE OF BIRTH
LANGUAGES PRIMARY                          OTHERS RELIGION DATE OF REGISTRATION
     
SECTION "B" - LHQ TRAINING / COURSES / EXCHANGES ATTENDED OR PREVIOUS EMPLOYMENT
LAST LHQ TRAINING LEVEL COMPLETED
 YEAR
 LEVEL
COURSES/EXCHANGES/EMPLOYMENT
  YEAR
 CSTC OR COUNTRY OF EXCHANGE

SECTION "C" - CADET ACTIVITY(IES) REQUESTED
CHOICE
1 		EMPLOYMENT/COURSE/EXCHANGE
 CSTC OR COUNTRY OF EXCHANGE
2
3  
SECTION "D" - DECLARATION OF PARENT OR GUARDIAN
               
IF PASSES AUTHORIZED ON A RESTRICTED BASIS, INDICATE:                 
                   

PARENT/GUARDIAN
SUMMER ADDRESS
(IF APPLICABLE)

  		                               
 
             
   ALTERNATE FAMILY/ADULT
CONTACT (IN CASE OF
EMERGENCY)