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AAA Training and Check Form Rev5

This document is an application form for pilot training on the C560XL/XLS aircraft. It provides information about the applicant, Dushyant Hooda, and his pilot credentials including licenses held, medical certification, flight experience, and aircraft type ratings. It also specifies the type of training being requested, which is for recurrent training and includes a low visibility take-off revalidation. The training is being ordered by Christopher Joseph, General Manager of Operations for Arrow Aircraft Sales & Charter.

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Pavani Kaur
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0% found this document useful (0 votes)
117 views1 page

AAA Training and Check Form Rev5

This document is an application form for pilot training on the C560XL/XLS aircraft. It provides information about the applicant, Dushyant Hooda, and his pilot credentials including licenses held, medical certification, flight experience, and aircraft type ratings. It also specifies the type of training being requested, which is for recurrent training and includes a low visibility take-off revalidation. The training is being ordered by Christopher Joseph, General Manager of Operations for Arrow Aircraft Sales & Charter.

Uploaded by

Pavani Kaur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form
Training for C560XL/XLS
Company Information:

Company name: ARROW AIRCRAFT SALES &CHARTER


__________________________________________

Company address: 502 TWINKLE APARTMENTS J.N. ROAD, MUMBAI, INDIA


__________________________________________ Company phone: +919820012516
__________________________________________

Company e-mail: __________________________________________


[email protected] AOC holder: ☐NO ☐YES [AOC number: ______________]

Pilot Information:
DUSHYANT HOODA 27/08/1988
Name: __________________________________________ ☐ Cpt ☐ F/O Date of birth: ______/______/____________

[email protected] +91 9871644548


E-mail: __________________________________________ Language(s): ☐ German ☐x English Phone: _________________________

License: ☐ PPL(A) ☐ CPL(A) ☐ ATPL(A) License number: 8407


_________________________ Medical cert.: x Class I ☐ Class II

☐ ATPL(A) theory credit ☐ MCC
☐ HPA DGCA INDIA 1/03/2020
Country of issuance: _________________________ Medical expiry: ______/______/___________

C560XLS 24/08/2019 24/08/2019


TR/CR endorsement(s): __________________________ XL/XLS type rating expiry: ______/______/__________ ME-IR(A) expiry: ______/______/__________

06/03/2019 290
Total flight time: _________
530 h [PIC: _________h]
140 Date of last flight on XL/XLS: ______/______/__________ Hours on XL/XLS: ___________h

Type of Training / Check (please choose your training by marking the correct box):

Proficiency Check only: Recurrent Training: [acc. to PART-ORO.FC.230 and customer OM]

Type of check(s): ☐ LPC ☐ OPC ☐ ATPL(A) Skill Test Type of check(s): ☐ LPC ☐ OPC ☐ ATPL(A) Skill Test
Additional: Additional:
☐ LVTO [acc. PART-SPA subpart E SPA.LVO] (_______m) ☐ LVTO [acc. PART-SPA subpart E SPA.LVO] (_______m)
125
☐ LVTO Revalidation ONLY ☐ LVTO acc.to operator´s OM x LVTO Revalidation ONLY
☐ ☐ LVTO acc.to operator´s OM
☐ Steep Approach [acc. PART-CAT subpart C - CAT.POL.A.245] ☐ Steep Approach [acc. PART-CAT subpart C - CAT.POL.A.245]
☐ Short Landing [acc. PART-CAT subpart C - CAT.POL.A.250] ☐ Short Landing [acc. PART-CAT subpart C - CAT.POL.A.250]
☐ Qualification to operate in either pilot’s seat [acc. PART-ORO.FC.235] ☐ Qualification to operate in either pilot’s seat [acc. PART-ORO.FC.235]
(Additional 30 min simulator) (Additional 30 min simulator)
☐ Special airports: _____________________ ☐ Initial or
_____________________ ☐ Revalidation

☐ Route sector with TRE(A) required [acc. PART-FCL.740.A(a)(2)(ii)] Recurrent topic(s) required by: ☐ AAA ☐ Operator: _____________________

Initial Type Rating Course: [acc. to PART-FCL subpart H] Type Rating With Credits Course:

Type of check(s): ☐ Skill Test only ☐ OPC (requires an add. session after skill test) Type of check(s): ☐ Skill Test only ☐ OPC (requires an add. session after skill test)

Valid Type Rating and 100 hours experience on:


Jet experience: _________ h Types: __________________________________________ ☐ C525 incl. CJ4 ☐ C550/551/560

Additional: _________________________________________________________________________ Additional: ___________________________________________________________________________

Type Rating Renewal: [acc. to PART-FCL.740(b)] Command Course: [acc. to PART-ORO.FC.205 and customer OM]

TR expired: ______/______/____________ Amount of theory required: _____ hours classroom instruction

Type of check: ☐ LPC ☐ LPC and OPC FFS Training required: _____ sessions à _____ hours (thereof 50% PF / 50% PM)

Hours on jet since expiry date: ____________ h Type of check(s): ☐ LPC ☐ OPC ☐ ATPL(A) Skill Test

Hours on jet during last 12 months: ____________ h

Difference Course: SFI/TRI Course: [acc. to PART-FCL subpart I FCL.930.TRI / FCL.930.SFI]

☐ from XL/XLS to XLS+ ☐ from XLS+ to XL/XLS ☐ SFI ☐ TRI ☐ full course ☐ without teaching& learning

Hours on multi-pilot aeroplanes: ____________ h


Route sectors on 560XL/XLS: ____________

Training Ordered By:


Name: CHRISTOPHER JOSEPH
__________________________________________ Title: __________________________________________
GENERAL MANAGER OPERATIONS

E-Mail: [email protected]
__________________________________________ Phone: +919820012516
__________________________________________

Signature: __________________________________________ Date/Location ______/______/___________


15 03 2018 MUMBAI
____________________________________

Scan of valid license (incl. associated ratings), medical certificate, last 3 pages of pilot's logbook and passport necessary before proficiency check or training
start.[Additionally required in case of OPC or Recurrent Training: OM-B and company forms]
In case of certain changes in the training schedule within one week before the training is going to take place, we reserve the right to charge extra costs.
AAA Rev. 5 – 04.01.2016

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