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AMC1 to Appendix 9 Training, skill test and proficiency check for MPL, ATPL, type and class ratings, and proficiency check for IRs

Available versions for ERULES-1963177438-10793

ED Decision 2011/016/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Aug 2023)

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AMC1 to Appendix 9 Training, skill test and proficiency check for MPL, ATPL, type and class ratings, and proficiency check for IRs

ED Decision 2011/016/R

APPLICATION AND REPORT FORM

If applicable, this form is also the certificate of completion of the type rating course for ZFTT.

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<table border="1" cellpadding="0" cellspacing="0" width="603"><tr><td valign="top" width="40">1 </td><td colspan="16" valign="top" width="563">Theoretical training for the issue of a type or class rating performed during period </td></tr><tr><td colspan="5" valign="top" width="166">From: </td><td colspan="6" valign="top" width="166">To: </td><td colspan="6" valign="top" width="272">At: </td></tr><tr><td colspan="5" valign="top" width="166">Mark obtained: </td><td colspan="6" valign="top" width="166">% (Pass mark 75%): </td><td colspan="6" valign="top" width="272">Type and number of licence: </td></tr><tr><td colspan="11" valign="top" width="331">Signature of HT: </td><td colspan="6" valign="top" width="272">Name(s) in capital letters: </td></tr><tr><td valign="top" width="40">2 </td><td colspan="16" valign="top" width="563">FSTD </td></tr><tr><td colspan="6" rowspan="2" valign="top" width="244">FSTD (aircraft type): </td><td colspan="6" rowspan="2" valign="top" width="158">Three or 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width="64"></td><td colspan="6" valign="top" width="272"> Name(s) in capital letters: </td></tr><tr><td valign="top" width="40">4 </td><td colspan="2" valign="top" width="81">Skill test </td><td valign="top" width="15"></td><td colspan="5" valign="top" width="132"> Proficiency check </td><td valign="top" width="15"></td><td colspan="7" valign="top" width="321"></td></tr><tr><td colspan="17" valign="top" width="603"> Skill test and proficiency check details:</td></tr><tr><td colspan="9" valign="top" width="267">Aerodrome or site: </td><td colspan="2" valign="top" width="64"></td><td colspan="6" valign="top" width="272">Total flight time: </td></tr><tr><td colspan="9" valign="top" width="267">Take-off time: </td><td colspan="2" valign="top" width="64"></td><td colspan="6" valign="top" width="272">Landing time: </td></tr><tr><td colspan="2" valign="top" width="87">Pass <v:group coordsize="109728,109728" id="Group_x0020_4346316" 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failed: </td></tr><tr><td colspan="9" valign="top" width="267">Location and date: </td><td colspan="2" valign="top" width="64"></td><td colspan="6" valign="top" width="272">SIM or aircraft registration: </td></tr><tr><td colspan="9" valign="top" width="267">Examiner’s certificate number (if applicable): </td><td colspan="2" valign="top" width="64"></td><td colspan="6" valign="top" width="272">Type and number of licence: </td></tr><tr><td colspan="9" valign="top" width="267">Signature of examiner: </td><td colspan="2" valign="top" width="64"></td><td colspan="6" valign="top" width="272">Name(s) in capital letters: </td></tr><tr height="0"></tr></table>

AMC1 to Appendix 9 Training, skill test and proficiency check for
MPL, ATPL, type and class ratings, and proficiency check for IRs

ED Decision 2011/016/R

APPLICATION AND REPORT FORM

If applicable, this form is also the certificate of
completion of the type rating course for ZFTT.

<table border="1" cellpadding="0" cellspacing="0" width="603">
<tr>
<td colspan="3" valign="top" width="472">
APPLICATION AND REPORT FORM 
ATPL, MPL, TYPE RATING, TRAINING,
 SKILL TEST AND PROFICIENCY CHECK AEROPLANES (A) AND HELICOPTERS (H) 
</td>
<td colspan="2" valign="top" width="130">
</td>
</tr>
<tr>
<td valign="top" width="234">
Applicant’s last name(s): 
</td>
<td valign="top" width="105">
Aircraft: 
</td>
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  A          H       
</td>
</tr>
<tr>
<td valign="top" width="234">
Applicant’s first name(s): 
</td>
<td valign="top" width="105">
</td>
<td valign="top" width="133">
 SE-MP:  A           H        
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</v:shape></v:group> ME-MP:   A        H       
</td>
</tr>
<tr>
<td valign="top" width="234">
Signature of applicant: 
</td>
<td valign="top" width="105">
Operations: 
</td>
<td colspan="3" valign="top" width="263">
              SP
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</tr>
<tr>
<td valign="top" width="234">
Type of licence held: 
</td>
<td valign="top" width="105">
Checklist: 
</td>
<td valign="top" width="133">
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State of licence issue: 
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<table border="1" cellpadding="0" cellspacing="0" width="603">
<tr>
<td valign="top" width="40">
1 
</td>
<td colspan="16" valign="top" width="563">
Theoretical training for the issue of
 a type or class rating performed during period 
</td>
</tr>
<tr>
<td colspan="5" valign="top" width="166">
From: 
</td>
<td colspan="6" valign="top" width="166">
To: 
</td>
<td colspan="6" valign="top" width="272">
At: 
</td>
</tr>
<tr>
<td colspan="5" valign="top" width="166">
Mark obtained: 
</td>
<td colspan="6" valign="top" width="166">
% (Pass mark 75%): 
</td>
<td colspan="6" valign="top" width="272">
Type and number of licence: 
</td>
</tr>
<tr>
<td colspan="11" valign="top" width="331">
Signature of HT: 
</td>
<td colspan="6" valign="top" width="272">
Name(s) in capital letters: 
</td>
</tr>
<tr>
<td valign="top" width="40">
2 
</td>
<td colspan="16" valign="top" width="563">
FSTD 
</td>
</tr>
<tr>
<td colspan="6" rowspan="2" valign="top" width="244">
FSTD (aircraft type): 
</td>
<td colspan="6" rowspan="2" valign="top" width="158">
Three or more axes: Yes 
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<td valign="top" width="16">
</td>
<td colspan="2" rowspan="2" valign="top" width="16">
</td>
<td colspan="2" rowspan="2" valign="top" width="170">
Ready for service and used: 
</td>
</tr>
<tr>
<td valign="top" width="16">
</td>
</tr>
<tr>
<td colspan="6" valign="top" width="244">
FSTD manufacturer: 
</td>
<td colspan="9" valign="top" width="189">
Motion or system: 
</td>
<td colspan="2" valign="top" width="170">
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</v:shape></v:group>Visual aid:  Yes             No        
</td>
</tr>
<tr>
<td colspan="15" valign="top" width="433">
FSTD operator: 
</td>
<td colspan="2" valign="top" width="170">
FSTD ID code: 
</td>
</tr>
<tr>
<td colspan="11" valign="top" width="331">
Total training time at the controls: 
</td>
<td colspan="6" valign="top" width="272">
 Instrument approaches at aerodromes to a
 decision altitude or height of: 
</td>
</tr>
<tr>
<td colspan="11" valign="top" width="331">
Location, date and time: 
</td>
<td colspan="6" valign="top" width="272">
 Type and number of licence: 
</td>
</tr>
<tr>
<td colspan="17" valign="top" width="603">
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</td>
</tr>
<tr>
<td colspan="11" valign="top" width="331">
Signature of instructor: 
</td>
<td colspan="6" valign="top" width="272">
 Name(s) in capital letters: 
</td>
</tr>
<tr>
<td valign="top" width="40">
3 
</td>
<td colspan="6" valign="top" width="209">
Flight training: in the aircraft 
</td>
<td valign="top" width="16">
</td>
<td colspan="6" valign="top" width="159">
 in the FSTD (for ZFTT) 
</td>
<td colspan="2" valign="top" width="15">
</td>
<td valign="top" width="164">
</td>
</tr>
<tr>
<td colspan="5" valign="top" width="166">
Type of aircraft: 
</td>
<td colspan="6" valign="top" width="166">
Registration: 
</td>
<td colspan="6" valign="top" width="272">
 Flight time at the controls: 
</td>
</tr>
<tr>
<td colspan="5" valign="top" width="166">
Take-offs: 
</td>
<td colspan="6" valign="top" width="166">
Landings: 
</td>
<td colspan="6" valign="top" width="272">
 Training aerodromes or sites 
(take-offs, approaches and landings): 
</td>
</tr>
<tr>
<td colspan="11" valign="top" width="331">
Take-off time: 
</td>
<td colspan="6" valign="top" width="272">
 Landing time: 
</td>
</tr>
<tr>
<td colspan="11" valign="top" width="331">
Location and date: 
</td>
<td colspan="6" valign="top" width="272">
 Type and number of licence held: 
</td>
</tr>
<tr>
<td colspan="17" valign="top" width="603">
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</td>
</tr>
<tr>
<td colspan="9" valign="top" width="267">
Signature of instructor: 
</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
 Name(s) in capital letters: 
</td>
</tr>
<tr>
<td valign="top" width="40">
4 
</td>
<td colspan="2" valign="top" width="81">
Skill test  
</td>
<td valign="top" width="15">
</td>
<td colspan="5" valign="top" width="132">
 Proficiency check  
</td>
<td valign="top" width="15">
</td>
<td colspan="7" valign="top" width="321">
</td>
</tr>
<tr>
<td colspan="17" valign="top" width="603">
 Skill test and proficiency check details:
</td>
</tr>
<tr>
<td colspan="9" valign="top" width="267">
Aerodrome or site: 
</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
Total flight time: 
</td>
</tr>
<tr>
<td colspan="9" valign="top" width="267">
Take-off time: 
</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
Landing time: 
</td>
</tr>
<tr>
<td colspan="2" valign="top" width="87">
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</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
Reason(s) why, if failed: 
</td>
</tr>
<tr>
<td colspan="9" valign="top" width="267">
Location and date: 
</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
SIM or aircraft registration: 
</td>
</tr>
<tr>
<td colspan="9" valign="top" width="267">
Examiner’s certificate number (if
 applicable): 
</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
Type and number of licence: 
</td>
</tr>
<tr>
<td colspan="9" valign="top" width="267">
Signature of examiner: 
</td>
<td colspan="2" valign="top" width="64">
</td>
<td colspan="6" valign="top" width="272">
Name(s) in capital letters: 
</td>
</tr>
<tr height="0">
</tr>
</table>

##### AMC1 to Appendix 9 Training, skill test and proficiency check for MPL, ATPL, type and class ratings, and proficiency check for IRs

*ED Decision 2011/016/R*

**APPLICATION
AND REPORT FORM**

If applicable, this form is also the certificate of completion of the
type rating course for ZFTT.

<table cellpadding="7" cellspacing="0">
<col/>
<col/>
<col/>
<col/>
<col/>
<tr valign="top">
<td colspan="3">
APPLICATION
			AND REPORT FORM 

ATPL,
			MPL, TYPE RATING, TRAINING, SKILL TEST AND PROFICIENCY CHECK
			AEROPLANES (A) AND HELICOPTERS (H) 

</td>
<td colspan="2">
 

</td>
</tr>
<tr valign="top">
<td>
Applicant’s
			last name(s): 

</td>
<td>
Aircraft:
			

</td>
<td>
<img align="left" alt="Shape2" name="Shape2" src="source-marked.part-0014_html_7fdd7f1d.gif"/>
<img align="left" alt="Shape1" name="Shape1" src="source-marked.part-0014_html_d93b6c6a.gif"/>
SE-SP:
			A	 H 	
</td>
<td colspan="2">
<img align="left" alt="Shape3" name="Shape3" src="source-marked.part-0014_html_7fdd7f1d.gif"/>
ME-SP:
			 A	 H 	
</td>
</tr>
<tr valign="top">
<td>
Applicant’s
			first name(s): 

</td>
<td>

</td>
<td>
SE-MP:
			 A 	 H 	 

</td>
<td colspan="2">
<img align="left" alt="Shape4" name="Shape4" src="source-marked.part-0014_html_7fdd7f1d.gif"/>
ME-MP:
			 A	 H 	
</td>
</tr>
<tr valign="top">
<td>
Signature
			of applicant: 

</td>
<td>
Operations:
			

</td>
<td colspan="3">
	SP
						<img align="bottom" alt="Shape5" name="Shape5" src="source-marked.part-0014_html_4ad91121.gif"/>

MP 
			<img align="bottom" alt="Shape6" name="Shape6" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
</tr>
<tr valign="top">
<td>
Type
			of licence held: 

</td>
<td>
Checklist:
			

</td>
<td>
Training
			record: 
			<img align="bottom" alt="Shape7" name="Shape7" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td colspan="2">
Type
			rating: 
			<img align="bottom" alt="Shape8" name="Shape8" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
</tr>
<tr valign="top">
<td rowspan="2">
Licence
			number: 

</td>
<td>

</td>
<td>
Skill
			test: 	<img align="bottom" alt="Shape9" name="Shape9" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td colspan="2">
Class
			rating: 
			<img align="bottom" alt="Shape10" name="Shape10" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
</tr>
<tr valign="top">
<td>

</td>
<td>
IR:
			 	<img align="bottom" alt="Shape11" name="Shape11" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td colspan="2">

</td>
</tr>
<tr valign="top">
<td>
State
			of licence issue: 

</td>
<td>

</td>
<td>
Proficiency
			check: 
			<img align="bottom" alt="Shape12" name="Shape12" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td>
ATPL:
						<img align="bottom" alt="Shape13" name="Shape13" src="source-marked.part-0014_html_4ad91121.gif"/>


 

</td>
<td>
MPL:
						<img align="bottom" alt="Shape14" name="Shape14" src="source-marked.part-0014_html_4ad91121.gif"/>

 

</td>
</tr>
</table>

<table cellpadding="7" cellspacing="0">
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
<tr valign="top">
<td>
1
			

</td>
<td colspan="16">
Theoretical
			training for the issue of a type or class rating performed during
			period 

</td>
</tr>
<tr valign="top">
<td colspan="5">
From:
			

</td>
<td colspan="6">
To:
			

</td>
<td colspan="6">
At:
			

</td>
</tr>
<tr valign="top">
<td colspan="5">
Mark
			obtained: 

</td>
<td colspan="6">
%
			(Pass mark 75%): 

</td>
<td colspan="6">
Type
			and number of licence: 

</td>
</tr>
<tr valign="top">
<td colspan="11">
Signature
			of HT: 

</td>
<td colspan="6">
Name(s)
			in capital letters: 

</td>
</tr>
<tr valign="top">
<td>
2
			

</td>
<td colspan="16">
FSTD
			

</td>
</tr>
<tr valign="top">
<td colspan="6" rowspan="2">
FSTD
			(aircraft type): 

</td>
<td colspan="6" rowspan="2">
Three
			or more axes: Yes 

No
						<img align="bottom" alt="Shape15" name="Shape15" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td>
 

</td>
<td colspan="2" rowspan="2">

</td>
<td colspan="2" rowspan="2">
Ready
			for service and used: 

</td>
</tr>
<tr valign="top">
<td>
 

</td>
</tr>
<tr valign="top">
<td colspan="6">
FSTD
			manufacturer: 

</td>
<td colspan="9">
Motion
			or system: 

</td>
<td colspan="2">
V<img align="left" alt="Shape16" name="Shape16" src="source-marked.part-0014_html_23651a06.gif"/>
isual
			aid: Yes 	 No 	 

</td>
</tr>
<tr valign="top">
<td colspan="15">
FSTD
			operator: 

</td>
<td colspan="2">
FSTD
			ID code: 

</td>
</tr>
<tr valign="top">
<td colspan="11">
Total
			training time at the controls: 

</td>
<td colspan="6">
Instrument
			approaches at aerodromes to a decision altitude or height of: 

</td>
</tr>
<tr valign="top">
<td colspan="11">
Location,
			date and time: 

</td>
<td colspan="6">
Type
			and number of licence: 

</td>
</tr>
<tr>
<td colspan="17" valign="top">
Type
			rating instructor 
			<img align="bottom" alt="Shape17" name="Shape17" src="source-marked.part-0014_html_4ad91121.gif"/>

Class rating instructor 	<img align="bottom" alt="Shape18" name="Shape18" src="source-marked.part-0014_html_4ad91121.gif"/>

………………………… instructor 	<img align="bottom" alt="Shape19" name="Shape19" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
</tr>
<tr valign="top">
<td colspan="11">
Signature
			of instructor: 

</td>
<td colspan="6">
Name(s)
			in capital letters: 

</td>
</tr>
<tr valign="top">
<td>
3
			

</td>
<td colspan="6">
Flight
			training: in the aircraft 

</td>
<td>
 

</td>
<td colspan="6">
in
			the FSTD (for ZFTT) 

</td>
<td colspan="2">
 

</td>
<td>

</td>
</tr>
<tr valign="top">
<td colspan="5">
Type
			of aircraft: 

</td>
<td colspan="6">
Registration:
			

</td>
<td colspan="6">
Flight
			time at the controls: 

</td>
</tr>
<tr valign="top">
<td colspan="5">
Take-offs:
			

</td>
<td colspan="6">
Landings:
			

</td>
<td colspan="6">
Training
			aerodromes or sites 

(take-offs,
			approaches and landings): 

</td>
</tr>
<tr valign="top">
<td colspan="11">
Take-off
			time: 

</td>
<td colspan="6">
Landing
			time: 

</td>
</tr>
<tr valign="top">
<td colspan="11">
Location
			and date: 

</td>
<td colspan="6">
Type
			and number of licence held: 

</td>
</tr>
<tr>
<td colspan="17" valign="top">
Type
			rating instructor 
			<img align="bottom" alt="Shape20" name="Shape20" src="source-marked.part-0014_html_4ad91121.gif"/>

Class rating instructor 	<img align="bottom" alt="Shape21" name="Shape21" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
</tr>
<tr valign="top">
<td colspan="9">
Signature
			of instructor: 

</td>
<td colspan="2">
 

</td>
<td colspan="6">
Name(s)
			in capital letters: 

</td>
</tr>
<tr valign="top">
<td>
4
			

</td>
<td colspan="2">
Skill
			test 

</td>
<td>
 

</td>
<td colspan="5">
Proficiency
			check 

</td>
<td>
 

</td>
<td colspan="7">

</td>
</tr>
<tr>
<td colspan="17" valign="top">
Skill
			test and proficiency check details:
 

</td>
</tr>
<tr valign="top">
<td colspan="9">
Aerodrome
			or site: 

</td>
<td colspan="2">
 

</td>
<td colspan="6">
Total
			flight time: 

</td>
</tr>
<tr valign="top">
<td colspan="9">
Take-off
			time: 

</td>
<td colspan="2">
 

</td>
<td colspan="6">
Landing
			time: 

</td>
</tr>
<tr valign="top">
<td colspan="2">
Pass
				<img align="bottom" alt="Shape22" name="Shape22" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td colspan="7">
Fail
				<img align="bottom" alt="Shape23" name="Shape23" src="source-marked.part-0014_html_4ad91121.gif"/>


</td>
<td colspan="2">
 

</td>
<td colspan="6">
Reason(s)
			why, if failed: 

</td>
</tr>
<tr valign="top">
<td colspan="9">
Location
			and date: 

</td>
<td colspan="2">
 

</td>
<td colspan="6">
SIM
			or aircraft registration: 

</td>
</tr>
<tr valign="top">
<td colspan="9">
Examiner’s
			certificate number (if applicable): 

</td>
<td colspan="2">
 

</td>
<td colspan="6">
Type
			and number of licence: 

</td>
</tr>
<tr valign="top">
<td colspan="9">
Signature
			of examiner: 

</td>
<td colspan="2">
 

</td>
<td colspan="6">
Name(s)
			in capital letters: 

</td>
</tr>
</table>

Compare / EASA/ Incorporated Amendments/ Compare & Highlight Differences

AMC1 to Appendix 9 Training, skill test and proficiency check for MPL, ATPL, type and class ratings, and proficiency check for IRs

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