Post on 16-Aug-2014
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
CO-PILOT, STUDENT OR PASSENGER
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKSMONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
CO-PILOT, STUDENT OR PASSENGER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
CO-PILOT, STUDENT OR PASSENGER
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007MONTH DATE MAKE/MODEL REGISTRATION ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR AIRCRAFTPILOT IN COMMAND
REMARKS2007
CO-PILOT, STUDENT OR PASSENGER
CO-PILOT, STUDENT OR PASSENGER
MONTH DATE MAKE/MODEL REGISTRATIONPILOT IN COMMAND
ROUTE, EXERCISE, MISSION OR OTHER
TOTALS BROUGHT FORWARD ®
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS [COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
CO-PILOT, STUDENT OR PASSENGER
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
0.0 0.0
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float Instr.(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
TAKE-OFFS & LANDINGS
# IFR Approaches
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHTDUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFTCROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHT
TAKE-OFFS & LANDINGS
# IFR Approaches
TAKE-OFFS & LANDINGS
DUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOTDUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Float
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
# IFR Approaches
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED ->
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2003 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEARAIRCRAFT
TRAINING TIME INSTRUMENT CROSS-COUNTRY
2004 DAY NIGHTDUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR AIRCRAFT TRAINING TIME INSTRUMENT CROSS-COUNTRY2004 DAY NIGHT
DUAL SIMUL.DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0PAGE TOTALS ->
TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
PILOT IN COMMAND
GRAND TOTAL INCLUDES COLUMNS 1 TO 4
GRAND TOTAL
FAM
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PR
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UA
L A
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CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
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RIZ
ATI
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PR
EP
AR
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FO
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HT
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& L
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HT
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SP
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L
SID
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LIP
TAKE-OFF
CIR
CU
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APPROACH & LANDING
ILLU
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PR
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T/M
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STA
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D P
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UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
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FAM
ILIA
RIZ
ATI
ON
PR
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L A
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DIO
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CROSS-COUNTRYROUTE OF FLIGHT
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ILIA
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ATI
ON
PR
EP
AR
ATI
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HT
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UA
L A
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RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
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(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
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US
UA
L A
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RA
DIO
AID
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CROSS-COUNTRYROUTE OF FLIGHT
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ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
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FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
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UA
L A
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RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
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RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
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LIG
HT
AN
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UN
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UA
L A
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ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
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FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
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HT
AN
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UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
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LIG
HT
AN
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UN
US
UA
L A
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RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
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HT
AN
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D P
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UN
US
UA
L A
TTIT
UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
FAM
ILIA
RIZ
ATI
ON
PR
EP
AR
ATI
ON
FO
R F
LIG
HT
AN
CIL
LAR
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NAVIGATION INSTRUMENT
EM
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D P
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UN
US
UA
L A
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UD
ES
RA
DIO
AID
S
CROSS-COUNTRYROUTE OF FLIGHT
FROM TO 1 2 3 4 5 6 7 8 9#######################################################################################
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE LEGEND
P D S(SIGNATURE) DATE (SIGNATURE) DATE PREP DUAL SOLO
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE
RECORD EACH EXERCISE COVERED ON OPPOSITE PAGE