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INSERT NAME

CERTIFICATES
GRADE

NUMBER

STUDENT
PRIVATE
COMMERCIAL
FLIGHT INSTRUCTOR
AIRLINE TRANSPORT
GROUND INSTRUCTOR

TOTALS:

FAA
8710
TOTALS

NR
INST
APP

LDG
NIGHT

LDG
DAY

SEL

MEL

TURBINE

0.0

0.0

0.0
Cross
Country
Solo
0.0

Total

Instruction
Received

Solo

PIC

Cross
Country
Instruction
Received

0.0

0.0

0.0

0.0

0.0

Total Time (Last 12 months)


Instrument Approaches (Last 6 months)
IFR CURRENT?

0.0
0
NO

I certify that the entries and totals contained in this log are true as of date:

RECORD OF CERTIFICATES AND RATINGS


RATINGS
ORIGINAL DATE OF ISSUE

CATEGORY, CLASS, OR TYPE


AIRPLANE SINGLE-ENGINE LAND
AIRPLANE MULTI-ENGINE LAND
INSTRUMENT
AIRPLANE SINGLE-ENGINE SEA

NIGHT

ACT
INSTR

SIM
INSTR
HOOD

0.0

0.0

0.0

Cross
Country
PIC
0.0

SIM

CROSS
COUNTRY

AS
FLIGHT
INSTRUCTOR

0.0

0.0

0.0

Instrument

Night
Instruction
Received

Night
Take-off/
Landings

Night
PIC

Night
Take-Off/
Landing
PIC

0.0

0.0

0.0

og are true as of date: November 13, 2016

Signed:

RATINGS

TYPE

ORIGINAL DATE OF ISSUE

E LAND

E LAND

NE SEA

DUAL

PIC

TOTAL
DURATION
OF
FLIGHT

0.0

0.0

0.0

INSERT NAME

P-to-P
Cross
Country
0.0

DATE

AIRCRAFT
TYPE

AIRCRAFT
IDENT

FROM

LANDINGS

TO

REMARKS
AND
ENDORSEMENTS

DAY

LANDINGS

NIGHT

TYPE OF PIL

SEL

MEL

TURBINE

NIGHT

ACT
INSTR

SIM
INSTR
HOOD

NR
INST
APP

SIM

CROSS
COUNTRY

TYPE OF PILOTING TIME

AS FLIGHT
INSTRUCTOR

DUAL

PIC

SIC

TOTAL
DURATION
OF FLIGHT

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