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.
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:
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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:
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ATPL:
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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: |
V |
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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
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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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