Navigate / EASA
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.

APPLICATION AND REPORT FORM

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


Applicant’s last name(s):

Aircraft:

SE-SP: A H

ME-SP: A H

Applicant’s first name(s):

SE-MP: A H

ME-MP: A H

Signature of applicant:

Operations:

SP MP

Type of licence held:

Checklist:

Training record:

Type rating:

Licence number:

Skill test:

Class rating:

IR:

State of licence issue:

Proficiency check:

ATPL:


MPL:




1

Theoretical training for the issue of a type or class rating performed during period

From:

To:

At:

Mark obtained:

% (Pass mark 75%):

Type and number of licence:

Signature of HT:

Name(s) in capital letters:

2

FSTD

FSTD (aircraft type):

Three or more axes: Yes

No


Ready for service and used:


FSTD manufacturer:

Motion or system:

V isual aid: Yes No

FSTD operator:

FSTD ID code:

Total training time at the controls:

Instrument approaches at aerodromes to a decision altitude or height of:

Location, date and time:

Type and number of licence:

Type rating instructor Class rating instructor ………………………… instructor

Signature of instructor:

Name(s) in capital letters:

3

Flight training: in the aircraft


in the FSTD (for ZFTT)


Type of aircraft:

Registration:

Flight time at the controls:

Take-offs:

Landings:

Training aerodromes or sites

(take-offs, approaches and landings):

Take-off time:

Landing time:

Location and date:

Type and number of licence held:

Type rating instructor Class rating instructor

Signature of instructor:


Name(s) in capital letters:

4

Skill test


Proficiency check


Skill test and proficiency check details:


Aerodrome or site:


Total flight time:

Take-off time:


Landing time:

Pass

Fail


Reason(s) why, if failed:

Location and date:


SIM or aircraft registration:

Examiner’s certificate number (if applicable):


Type and number of licence:

Signature of examiner:


Name(s) in capital letters: