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AMC1 SFCL.410(b)(3) Conduct of skill tests, proficiency checks and assessments of competence
Available versions for ERULES-1963177438-17798
ED Decision 2020/004/R
found in: Sailplane Rule Book - Part-SAO Part-SFCL CS-22 (Nov 2022)
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Sailplane Rule Boo... (Nov 2022)
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AMC1 SFCL.410(b)(3) Conduct of skill tests, proficiency checks and assessments of competence ED Decision 2020/004/R APPLICATION AND REPORT FORM FOR THE SPL SKILL TEST OR PROFICIENCY CHECK <table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td colspan="14" width="100%"><p><b>APPLICATION AND REPORT FORM FOR THE SPL SKILL TEST OR PROFICIENCY CHECK </b></p></td></tr><tr><td colspan="2" width="18%"><p>Tick as applicable</p></td><td colspan="12" valign="top" width="81%"><p>I hereby, in accordance with Annex III (Part-SFCL) to Regulation (EU) 2018/1976:</p><p><v:group coordsize="94488,94488" id="Group_x0020_47" o:gfxdata="UEsDBBQABgAIAAAAIQC2gziS/gAAAOEBAAATAAAAW0NvbnRlbnRfVHlwZXNdLnhtbJSRQU7DMBBF 90jcwfIWJU67QAgl6YK0S0CoHGBkTxKLZGx5TGhvj5O2G0SRWNoz/78nu9wcxkFMGNg6quQqL6RA 0s5Y6ir5vt9lD1JwBDIwOMJKHpHlpr69KfdHjyxSmriSfYz+USnWPY7AufNIadK6MEJMx9ApD/oD OlTrorhX2lFEilmcO2RdNtjC5xDF9pCuTyYBB5bi6bQ4syoJ3g9WQ0ymaiLzg5KdCXlKLjvcW893 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valign="top" width="52%"><p>First name(s): </p></td></tr><tr><td colspan="6" valign="top" width="31%"><p>Date of birth: </p></td><td colspan="5" valign="top" width="36%"><p>Telephone: </p></td><td colspan="3" valign="top" width="32%"><p>Email: </p></td></tr><tr><td colspan="8" valign="top" width="47%"><p>Address: </p></td><td colspan="6" valign="top" width="52%"><p>Country: </p></td></tr><tr><td colspan="8" valign="top" width="47%"><p>Date:</p></td><td colspan="6" valign="top" width="52%"><p>Signature:</p></td></tr><tr><td valign="top" width="3%"><p><b>2 </b></p></td><td colspan="13" valign="top" width="96%"><p><b>Licence details </b></p></td></tr><tr><td colspan="14" valign="top" width="100%"><p>Licence number (if applicable): </p></td></tr><tr><td colspan="4" valign="top" width="27%"><p>Privileges: </p><p>(tick as applicable)</p></td><td colspan="10" valign="top" width="72%"><p><v:group coordsize="94488,94488" id="Group_x0020_53" 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sailplane/TMG:</p></td><td colspan="2" valign="top" width="29%"><p>Registration:</p></td></tr><tr><td colspan="3" width="25%"><p>Aerodrome or site:</p></td><td colspan="6" width="25%"><p>Take-off time:</p></td><td colspan="4" width="25%"><p>Landing time:</p></td><td width="25%"><p>Flight time:</p></td></tr><tr><td colspan="4" width="25%"></td><td width="25%"></td></tr><tr><td colspan="4" width="25%"></td><td width="25%"></td></tr><tr><td colspan="4" width="25%"></td><td width="25%"></td></tr><tr><td colspan="4" width="25%"></td><td width="25%"></td></tr><tr><td colspan="13" width="75%"><p> Total flight time:</p></td></tr><tr><td valign="top" width="3%"><p><b>4 </b></p></td><td colspan="13" valign="top" width="96%"><p><b>Result of the test or check </b></p></td></tr><tr><td colspan="14" valign="top" width="100%"><p>Skill test/proficiency check details (including information on oral theoretical knowledge examination, where applicable):</p></td></tr><tr><td colspan="7" 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width="3%"><p><b>5 </b></p></td><td colspan="13" valign="top" width="96%"><p><b>Remarks </b></p></td></tr><tr><td colspan="14" valign="top" width="100%"><p>Reasons and details in case of fail or partial pass/other remarks as necessary:</p></td></tr><tr><td valign="top" width="3%"><p><b>6 </b></p></td><td colspan="13" valign="top" width="96%"><p><b>Examiner’s declarations and details</b></p></td></tr><tr><td colspan="14" valign="top" width="100%"><p>I, the undersigning examiner:</p><p>- have received information from the applicant regarding their experience and instruction, and found that experience and instruction comply with the applicable requirements of Annex III (Part-SFCL) to Regulation (EU) 2018/1976; </p><p>- confirm that all the required manoeuvres and exercises have been completed, unless specified otherwise above in the case of fail or partial pass;</p><p>- 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.</p></td></tr><tr><td colspan="9" valign="top" width="50%"><p>Examiner’s certificate number:</p></td><td colspan="5" valign="top" width="50%"><p>Examiner’s SPL number:</p></td></tr><tr><td colspan="9" valign="top" width="50%"><p>Examiner’s name (capital letters):</p></td><td colspan="5" valign="top" width="50%"><p>Date and examiner’s signature:</p></td></tr><tr><td valign="top" width="3%"><p><b>7 </b></p></td><td colspan="13" valign="top" width="96%"><p><b>Attachments</b></p></td></tr><tr><td colspan="14" valign="top" width="100%"><p>Detailed report of skill test or proficiency check as per AMC1 SFCL.145 to be attached</p></td></tr><tr><td colspan="14" valign="top" width="100%"><p>Copy of the FE(S) certificate (in cases where the competent authority of the applicant is different from the competent authority of the examiner)</p></td></tr><tr height="0"></tr></table>