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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APPLICATION AND REPORT FORM ATPL, MPL, TYPE RATING, TRAINING,
SKILL TEST AND PROFICIENCY CHECK AEROPLANES (A) AND HELICOPTERS (H) |
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Applicant’s last name(s): |
Aircraft: |
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Applicant’s first name(s): |
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SE-MP: A H |
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Signature of applicant: |
Operations: |
SP
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Type of licence held: |
Checklist: |
Training record: |
Type rating: |
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Licence number: |
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Skill test: |
Class rating: |
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IR:
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State of licence issue: |
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Proficiency check: |
ATPL: |
MPL: |
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1 |
Theoretical training for the issue of
a type or class rating performed during period |
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From: |
To: |
At: |
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Mark obtained: |
% (Pass mark 75%): |
Type and number of licence: |
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Signature of HT: |
Name(s) in capital letters: |
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2 |
FSTD |
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FSTD (aircraft type): |
Three or more axes: Yes No |
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Ready for service and used: |
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FSTD manufacturer: |
Motion or system: |
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FSTD operator: |
FSTD ID code: |
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Total training time at the controls: |
Instrument approaches at aerodromes to a
decision altitude or height of: |
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Location, date and time: |
Type and number of licence: |
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Type rating instructor |
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Signature of instructor: |
Name(s) in capital letters: |
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3 |
Flight training: in the aircraft |
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in the FSTD (for ZFTT) |
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Type of aircraft: |
Registration: |
Flight time at the controls: |
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Take-offs: |
Landings: |
Training aerodromes or sites (take-offs, approaches and landings): |
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Take-off time: |
Landing time: |
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Location and date: |
Type and number of licence held: |
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Type rating instructor |
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Signature of instructor: |
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Name(s) in capital letters: |
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4 |
Skill test |
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Proficiency check |
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Skill test and proficiency check details: |
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Aerodrome or site: |
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Total flight time: |
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Take-off time: |
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Landing time: |
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Pass |
Fail |
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Reason(s) why, if failed: |
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Location and date: |
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SIM or aircraft registration: |
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Examiner’s certificate number (if
applicable): |
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Type and number of licence: |
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Signature of examiner: |
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Name(s) in capital letters: |
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