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AMC1 BFCL.410(b)(3)  Conduct of skill tests, proficiency checks and assessments of competence

ED Decision 2020/003/R

APPLICATION AND REPORT FORM FOR THE BPL SKILL TEST OR PROFICIENCY CHECK

APPLICATION AND REPORT FORM FOR THE BPL SKILL TEST OR PROFICIENCY CHECK

Tick as applicable

I hereby apply for the issue of the following, in accordance with Annex III (Part-BFCL) to Regulation (EU) 2018/395:

   Balloon pilot licence (BPL)

   Commercial operation rating

I hereby report the following, in accordance with Annex III (Part-BFCL) to Regulation (EU) 2018/395:

   Proficiency check (BPL — recency)

   Proficiency check (commercial operation rating)

1

Applicant’s personal particulars:

Applicant’s last name(s):

First name(s):

Date of birth:

 

Telephone:

Email:

Address:

 

Country:

 

Date:

Signature:

2

Licence details

Licence number (if applicable):

Class extension(s):

(tick as applicable)

   Hot-air balloons/Groups:     A      B      C      D

   Gas balloons

   Hot-air airships

FROM HERE TO BE COMPLETED BY THE EXAMINER

3

Details of the skill test/proficiency check flight

Date:

Class/group of balloon:

 

Registration:

Take-off site:

Take-off time:

Landing time:

Flight time:

 

 

 

 

 

 

 

 

   Total flight time:

4

Result of the test or check 

Skill test/proficiency check details (including information on oral theoretical knowledge examination, where applicable):

Passed 

Partially passed   

Failed 

5

Remarks

Reasons and details in case of fail or partial pass/other remarks as necessary:

6

Examiner’s declarations and details

I, the undersigning examiner:

-     have received information from the applicant regarding their experience and instruction, and found that the experience and instruction comply with the applicable requirements of Annex III (Part-BFCL) to Regulation (EU) 2018/395;

-     confirm that all the required manoeuvres and exercises have been completed, unless specified otherwise above in the case of fail or partial pass; and

-     where applicable, have reviewed and applied the national procedures and requirements of the applicant’s competent authority which is different from the competent authority that issued my examiner certificate.

Examiner’s certificate number:

Examiner’s BPL number:

Examiner’s name (capital letters):

Date and examiner’s signature:

7

Attachments

Detailed report of skill test or proficiency check as per AMC1 BFCL.145 or AMC1 BFCL.215 (as applicable) to be attached

Copy of the FE(B) certificate (in cases where the competent authority of the applicant is different from the competent authority of the examiner)

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