FILES APPROVED PROGRAM MANAGER FEBRUARY 10, 2005

FILES APPROVED PROGRAM MANAGER FEBRUARY 10, 2005
THE HANDOUT IS A COPY OF THE CURRENT FAA FORM THEY ALSO HAVE A COPY OF THE SLIDES AS A HANDOUT. (BOTH ARE IN THEIR BINDER) <click for BANG> Let’s start off with a BANG! <click> ASI INDOC CLASS #8841 KELLY SWEETEN DECEMBER 5, 2006

FILES Processing Pilot & Flight Instructor Certification Files
During the 2006 FY, the files received by AFS-760, Airmen Records in OKC was 158,893 Pilots and 56,606 CFIs. The # of pilot and CFI files returned: ATP , Sport Pilots Commercial Pilot-2, Student Pilots Total Pilots 6% Private Pilot , Sub Total---9,534 Recreational Pilots CFI’s , Total CFI’s 5% Per AFS-760 on Total , Total Pilots & CFI’s 6% DPE awareness and IACRA has contributed to improved performance. During the 2004 FY, the file return rate (files returned by AFS-760, Airman Records in OKC) stood at 5%. Per AFS-760 on During the 2006 FY the return rate stood at 6%. A slight increase. Per AFS-760 on 95+% OF ALL PRACTICAL TEST FOR PILOT CERTIFICATES AND RATINGS WERE ADMINISTERED BY PILOT EXAMINERS. THIS MEANS THAT PILOT EXAMINERS ARE THE BEST PLACE TO ADDRESS FILES ACCURACY!!!! <CLICK>

OBJECTIVE: OBJECTIVE (Click) Pilot Examiners will be able to demonstrate their ability to ACCURATELY process certification files. WHY? 1. BETTER SERVE THE PUBLIC. 2. PROJECT POSITIVE IMAGE OF PE PROGRAM. 3. MAKE AFS-760’S WORK EASIER. 4. POSITIVE REPRESENTATION OF FAA 5. ERRORS COST $$$$$$$! <click> NEWLY HIRED ASI’S WILL BE ABLE TO DEMONSTRATE THEIR ABILITY TO ACCURATELY PROCESS CERTIFICATION FILES.

UNACCEPTABLE!!! FILES A file return rate of greater than
5 files within 12 months from your CO is UNACCEPTABLE!!! A FILE RETURN RATE GREATER THAN 5 FILES WITHIN 12 MONTHS IS UNACCEPTABLE! WHEN A FILE IS RETURNED BY THE FSDO OR AFS-760 APPLICANTS SOMETIMES DO NOT GET THEIR PERMANENT CERTIFICATES BEFORE THEIR TEMPORARY CERTIFICATES EXPIRE!!! THIS CAN CAUSE MANY PROBLEMS, ESPECIALLY IF THERE IS AN ACCIDENT OR INCIDENT WITH THE NEWLY CERTIFIED PILOT POSSESSING ONLY AN EXPIRED TEMPORARY CERTIFICATE. This training on reviewing and filling out the airman application (8710-1)should help improve this figure.

FSDO AFS-760 PILOT EXAMINER APPLICANT
PILOT EXAMINER - <click to show envelope mailed> FSDO - <click to show FSDO building> AFS <click to show OKC building> APPLICANT - <click to show applicant’s home> FILES MUST BE MAILED TO FSDO WITHIN 5 DAYS AFTER THE TEST! Currently, the completed certification file is sent to the FSDO for review before going on to AFS-760 at Oklahoma City. SOMETIME IN THE FUTURE, THIS PAPERWORK FLOW IS SUBJECT TO MAJOR CHANGE WITH THE ADVENT OF THE COMPUTERIZED “INTERNET AIRMAN CERTIFICATION AND RATING APPLICATION” (IACRA). Be certain to check & recheck the file before you send it to the FSDO. The paperwork must be correct! <click> PILOT EXAMINER APPLICANT

Free of Number Flights TYPE OR PRINT ALL ENTRIES IN INK Form Approved OMB No: Airman Certificate and/or Rating Application FEDERAL AVIATION ADMINISTRATION DEPARTMENT OF TRANSPORTATION I Application Information Student Private Commercial Instrument Other ___________________ Additional Rating Rotorcraft Reexamination Additional Instructor Rating Reissuance of ____________Certificate Medical Flight Test Powered-Lift Balloon Airplane Multiengine Airplane Single-Engine Ground Instructor Flight Instructor ____ Initial _____ Renewal ____ Reinstatement Recreational Airline Transport A. Name (Last, First, Middle) B . SSN ((US Only) E. Address City, State, Zip Code M. Do you now hold, or have you ever held an FAA Pilot Certificate? Yes No Medical Certificate? Q. Do you hold a stimulant drugs or substances? U.Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number the English language? G.Do you read, speak, write, & understand L. Sex Male Female P. Date Issued V. Date of Final Conviction II. Certificate or Rating Applied For on Basis of: Required Test A. Completion of Obtained in Competence B. Military Course Approved C. Graduate of Issued By Foreign License D. Holder of 1. Aircraft to be used (if flight test required) a. Total time in this aircraft/SIM/FTD 1. Service 2. Date Rated last 12 months in the following Military Aircraft. 4a. Flown 10 hours as pilot in command in 1. Name and Location of Training Agency or Training Center 2. Curriculum From Which Graduated 1. Country 2. Grade of License 4. Ratings hours 2b. Pilot in command 3. Rank or Grade and Service Number 1a. Certificate Number 3. Date 3. Number Training Program Carrier’s Approved E. Completion of Air 1. Name of Air Carrier 2. Date 3. Which Curriculum Initial Upgrade Transition PIC Country Cross Solo Rec’d Instr. Night Landing Take-off/ Takeoff/ Aero-tows Number of Launches Ground Received Instruction Comand in Pilot (PIC) Total Instruction III Record of Pilot time ( Do not write in the shaded areas. ) Airplanes Powered Lift Gliders Lighter Simulator Than Air IV. Have you failed a test for this certificate or rating ? Yes No that accompanies this form. and I agree that they are to be considered as part of the basis for issuance of any FAA certificate to me. I have also read and understand the Privacy Act statement V. Applicant’s Certification I certify that all statements and answers provided by me on this application form are complete and true to the best of my knowledge Signature of Applicant Date Training Device PCATD FAA Form (4-00) Supersedes Previous Edition NSN: Airship Glider (List Aircraft. 4b. US Military PIC & Instrument check in last 12 months l o S SIC FAA FORM 4-00 LET’S TALK ABOUT THE CURRENT FAA FORM , “AIRMAN CERTIFICATE AND/OR RATING APPLICATION” (DATED 4-00) AFS-760 will continue to accept old forms (Libby Johnson, cc:mail, 7/3/00). EACH OF YOU SHOULD HAVE A COPY OF THE CURRENT APPLICATION FORM (8710-1) IN FRONT OF YOU FOR REFERENCE AS WE DISCUSS THE SECTIONS AND BLOCKS. YOU ARE IN THE FINAL POSITION OF “QUALITY CONTROL” AS FAR AS CERTIFICATION & THE PAPERWORK IS CONCERNED. THE APPLICANT IS RESPONSIBLE FOR “COMPLETE AND TRUE” STATEMENTS ON THE FRONT OF THE FAA FORM APPLICATION (SECTIONS I THROUGH V). ANY CHANGES OR CORRECTIONS SHOULD BE MADE ONLY BY THE APPLICANT. HOWEVER, YOU ARE RESPONSIBLE FOR REVIEW OF THE APPLICATION TO MAKE SURE ALL APPROPRIATE QUESTIONS ARE ANSWERED AND THE CORRECT FORMATS USED FOR SUCH THINGS AS DATES, HEIGHT, ETC. <click> Launches Powered Number of

COMMERCIAL SOFTWARE The FAA has legal authority, under 49 U.S.C (a)(2) and 14 CFR Part 61.13(a) to prescribe the “form and the manner” for submitting application for the issuance of airman certificates. Commercial software must meet the following standards: 1. If the software program cannot ensure the application is printed on a single sheet of paper, (front and back) then applicants must provide their name, date of birth, and certificate number on the bottom right hand corner of page two. (SEE THE BOTTOM OF THE PRIVACY ACT STATEMENT TO FIND THIS INSTRUCTION). 2. The formatting, fonts, density and size must be identical to the FAA form in current use, and cannot be altered by any print process or computer system. 3. The software program must produce a form identical to the current FAA form. That is, comply with the Office of Management and Budget requirements. 4. The software program must be identified as a commercial form bearing the name and address of the company. <click>

APPLICATION INFORMATION
TYPE OR PRINT ALL ENTRIES IN INK Form Approved OMB No: Airman Certificate and/or Rating Application UNITED STATES OF AMERICAL DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION Student Private Commercial Instrument Other _______________________ Additional Rating Rotorcraft Reexamination Additional Instructor Rating REISSUANCE of _______________Certificate Medical Flight Test Powered Lift Glider Airplane Multiengine Airplane Single-Engine Ground Instructor Flight Instructor ____ Initial _____ Renewal ____ Reinstatement Recreational Airline Transport Airship Balloon I Application Information SECTION I - Application information: THE CURRENT VERSION OF FAA FORM IS DATED 4/00. LET’S REVIEW IT. REFER TO FAA FORM (4/00) SECTION I 1. HAVE APPLICANT CHECK AS MANY BLOCKS AS APPROPRIATE. 2. ANYTHING THAT ADDS TO CLARITY IS “OK”. ADDING A CATEGORY RATING: e.g. HOLD AMEL - IA AND ADDING GLIDER CHECK: ADDITIONAL RATING AND GLIDER NEW ITEMS: BALLOON, AIRSHIP, and POWERED LIFT (The word “aircraft” in the additional rating selection AND the “LIGHTER-THAN-AIR” selection have been removed from the application.) <click>

PERSONAL INFORMATION & IDENTIFICATION DATA
A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate INSTRUCTIONS FOR FILLING OUT ARE ATTACHED TO THE FORM. ADVISORY CIRCULAR 61-65D ALSO INCLUDES APPLICABLE INFORMATION. THIS SECTION CONTAINS MOST OF THE INFORMATION USED TO ESTABLISH IDENTITY AND ELIGIBILITY. CERTIFICATION CANNOT BE COMPLETED UNLESS ALL REQUIRED DATA IS FURNISHED. ALL DATA (EXCEPT SSN) IS MANDATORY. <click FOR THE “W”> NEW! BLOCK W HAS BEEN ELIMINATED. THE STATEMENT ABOUT GLIDER SELF CERTIFICATION IS NO LONGER REQUIRED. <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate A. Name (Last, First, Middle) Legal name -- Maximum 3 names No Middle Name -- “NMN” Middle Initial Only -- “ Initial Only” Jr. , II, etc. -- Indicate Problem Area: Foreign Citizens with long multiple names. A: Name LAST, FIRST, AND MIDDLE -- LEGAL NAME. ANY PERSON WHO HAS MORE THAN THREE GIVEN NAMES MUST CHOOSE THE THREE THAT WILL BE USED FOR PILOT CERTIFICATION. (USE NO MORE THAN ONE MIDDLE NAME!) NAME MUST MATCH THE NAME ON PREVIOUS CERTIFICATE. NAME CHANGES CANNOT BE COMBINED WITH APPLICATION FOR A RATING/CERT. A NAME CHANGE MUST BE A SEPARATE APPLICATION AND DPEs ARE NOT AUTHORIZED TO ACCEPT A NAME CHANGE APPLICATION. REFER THE APPLICANT TO THE DISTRICT OFFICE PER FAR NO MIDDLE NAME = NMN (DON’T ADVANCE THE SLIDE YET!)

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate B. MUST CONTAIN ONE OF THE FOLLOWING: “NONE” -- IF NEVER ISSUED. “DO NOT USE” U. S. SOCIAL SECURITY NUMBER IT IS NOT TO APPEAR ON AN “ORIGINAL ISSUANCE” AIRMAN CERTIFICATE. B. Social Security Number SOCIAL SECURITY NUMBER BLOCK SHALL NOT BE LEFT BLANK. NONE IS APPROPRIATE IF A U.S. SSN HAS NEVER BEEN OBTAINED BY THE APPLICANT. DO NOT USE IF THE APPLICANT DOES NOT WANT THE SSN TO APPEAR ON THE PILOT CERTIFICATE. UNITED STATES SSN ONLY. SOME FOREIGN COUNTRIES HAVE A SIMILAR NUMBER SYSTEM. MAKE SURE SUCH NUMBERS ARE NOT USED.

NEW GUIDANCE CONCERNING CERTIFICATE NUMBERS
(THIS AFFECTS ONLY THOSE APPLICANTS WHO CURRENTLY USE THEIR SS# AS THEIR CERTIFICATE #) DURING CERTIFICATION - IF THE APPLICANT WISHES TO REMOVE THEIR SSN FROM THEIR PILOT CERTIFICATE, AND CHANGE TO A UNIQUE NUMBER, YOU MAY DO SO - IT IS THE APPLICANT’S CHOICE. HOWEVER ALL INITIAL CFI CERTIFICATES WILL NOW BE ISSUED A UNIQUE CERTIFICATE NUMBER AND WILL CAUSE THE PILOT CERTIFICATE TO BE RE- ISSUED USING THE SAME UNIQUE CERTIFICATE NUMBER (LESS THE “CFI” SUFFIX) READ SLIDE

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction C. DATE OF BIRTH EIGHT DIGITS MONTH FIRST AGREES WITH OTHER DOCUMENTS C. Date of Birth CONFIRM THAT THE DATE IS IN THE FORMAT WE USE --- MONTH FIRST, THEN DAY, THEN YEAR. (YEAR IS NOW FOUR DIGITS) THE MILITARY AND SOME FOREIGN COUNTRIES NORMALLY WRITE THE DATE AS “DAY - MONTH - YEAR”. Do not use July 9, 1955! Use AFS-760 says to use 8-digit dates on all documents NOW (temp/disapproval/etc) <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

D. PLACE OF BIRTH CITY & STATE COUNTY & STATE IF CITY IS UNKNOWN CITY & COUNTRY IF OUTSIDE THE USA A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction D. Place of birth APPLICANTS BORN IN THE USA, SHOULD ENTER CITY AND STATE, OR IF CITY IS UNKNOWN, ENTER THE COUNTY AND STATE. APPLICANTS BORN OUTSIDE THE USA, SHOULD ENTER THE NAMES OF THE CITY AND COUNTRY. German – Mannheim, Germany French - Pairs, France <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

E. ADDRESS PERMANENT MAILING ADDRESS P. O. BOX or RURAL ROUTE INCLUDE EXPLANATION FOR NO STREET ADDRESS AND A MAP TO, OR DESCRIPTION OF, RESIDENCE LOCATION. A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction E. Address PERMANENT MAILING ADDRESS IS REQUIRED ON THE APPLICATION. IT IS EXPECTED TO BE THE ADDRESS OF A SPECIFIC LOCATION IN TERMS OF RESIDENCE NUMBER AND STREET WITH APARTMENT NUMBER WHEN APPROPRIATE, ETC. Problem Area: Applicant’s do not include map or directions on a separate sheet of paper to residence for rural routes. RURAL ROUTES AND P.O. BOX NUMBERS PROVIDE INSUFFICIENT INFORMATION TO PHYSICALLY GO TO AN APPLICANT’S RESIDENCE. THEY ARE UNACCEPTABLE, BY POLICY, WITHOUT A SIGNED MAP TO THE FILE REFERENCE: INSTRUCTION SHEET, PILOT EXAMINER’S HANDBOOK, ORDER D and AC 61-65D, Par. 7b. <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

F. CITIZENSHIP USA CHECKED OR CHECK OTHER & SHOW COUNTRY OF CITIZENSHIP A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction F. This block has changed. Nationality went away and it is now the COUNTRY of “Citizenship”) GERMANY, ITALY, FRANCE ETC. <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction G. DO YOU READ, SPEAK, WRITE, & UNDERSTAND THE ENGLISH LANGUAGE MAKE SURE EITHER “YES” OR “NO” HAS BEEN MARKED THE APPLICANT’S OPINION G. Do you read, speak, WRITE and understand the English language? Problem area: Applicants tend to leave this blank if they are unsure. This block has to be answered. QUESTIONS REQUIRING AN “X” IN YES OR NO ARE OFTEN OVERLOOKED --- DO YOU READ, SPEAK WRITE AND UNDERSTAND ENGLISH? ETC. [REFs: FAR & .96 & .103 & .123, & .153; , Pg 1-24 & 1-45/46; FSGA 95-08; , Vol 5, CH 2 <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction H. HEIGHT WHOLE INCHES CONVERT FROM METERS, ETC. H. Height HEIGHT MUST BE IN WHOLE INCHES - NO FRACTIONS. 5 FEET, 8 3/4 INCHES = 69 MAKE CONVERSIONS FROM OTHER SCALES SUCH AS METERS TO THE INCHES SCALE. IACRA DOES THIS FOR YOU. <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction I. WEIGHT WHOLE POUNDS CONVERT WHEN NECESSARY I. Weight ROUND OFF TO THE NEAREST POUND. NO FRACTIONS! <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

J. HAIR SPELLED OUT BLACK, RED BROWN, BLOND GRAY OR BALD A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction J. Hair ACCEPTABLE HAIR COLORS ARE SHOWN IN THE INSTRUCTIONS AND MUST BE SPELLED OUT COMPLETELY; NOT ABBREVIATED. (6 CHOICES) HAIR: BLACK, RED, BROWN, BLOND, GRAY, or BALD. TEST: USE COLOR OF THE HAIR UNDER A WIG OR TOUPEE. <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

K. EYES SPELLED OUT BLUE, BROWN BLACK, HAZEL GREEN OR GRAY A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction K. Eyes ACCEPTABLE EYE COLORS ARE SHOWN IN THE INSTRUCTIONS AND MUST BE SPELLED OUT COMPLETELY; NOT ABBREVIATED. (6 CHOICES) EYES: BLUE, BROWN, BLACK, HAZEL, GREEN, OR GRAY. TWO DIFFERENT COLORS: APPLICANT MUST PICK ONE COLOR & temporary must match. If they want they can add a note to the file but its not required. <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction L. SEX MAKE SURE AN ANSWER IS MARKED BLOCK L. Sex MAKE SURE THE APPLICANT HAS ANSWERED THIS BLOCK. IT IS SOMETIMES OVERLOOKED. IF THE ANSWER IS NOT CONSISTENT WITH THE APPLICANT’S APPEARANCE: CALL THE FSDO FOLLOW THE FSDO’s DIRECTIONS IF THERE APPEARS TO BE AN UNUSUAL SITUATION, SUCH AS: SEX CHANGE OR AN INCOMPLETE, IN PROGRESS, SEX CHANGE. <click> M. Do you now hold, or have you ever held an FAA Pilot Certificate

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate M. DO YOU NOW HOLD, OR HAVE EVER HELD AN FAA PILOT CERTIFICATE ANSWER IS “NO” IF APPLICATION IS ON BASIS OF FOREIGN LICENSE OR MILITARY COMPETENCE. M. Do you now hold, or have you ever held an FAA Pilot Certificate? This includes a Student Pilot Certificate Usually - “yes”, however the answer may be “no”. AGAIN, THIS IS A BLOCK THAT IS SOMETIMES OVERLOOKED, BUT MUST BE ANSWERED EITHER YES OR NO. MOST APPLICANTS WILL PROBABLY ANSWER “YES”. HOWEVER, “NO” IS APPROPRIATE IF THE APPLICANT MEETS PREQUISITE REQUIREMENTS BY MILITARY EXPERIENCE – PER FAR 61.73 HOLDING A FOREIGN LICENSE – PER FAR 61.75 THE HOLDER OF A STUDENT PILOT CERTIFICATE SHOULD ANSWER “YES”. IF THE APPLICANT IS APPLYING FOR A STUDENT PILOT CERTIFICATE, THE ANSWER WILL PROBABLY BE “NO”. <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate N. GRADE PILOT CERTIFICATE STUDENT, SPORT, RECREATIONAL, PRIVATE, COMMERCIAL, OR ATP NOT FLIGHT INSTRUCTOR N. Grade Pilot Certificate ANOTHER COMMON ERROR APPLICANT’S MAKE IS TO INDICATE THEIR “FLIGHT INSTRUCTOR” CERTIFICATE INFORMATION -- DO NOT ENTER FLIGHT INSTRUCTOR CERTIFICATE INFORMATION! THE ENTRY FOR THIS BLOCK WILL BE STUDENT, SPORT, RECREATIONAL, PRIVATE, COMMERCIAL, OR ATP. <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate O. CERTIFICATE NUMBER COMPARE WITH THE APPLICANT’S CERTIFICATE O. Certificate Number THIS ENTRY SHOULD REFLECT THE SAME NUMBER THAT IS SHOWN ON THE APPLICANT’S PILOT CERTIFICATE. <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate P. DATE ISSUED AS SHOWN ON THE CERTIFICATE P. Date Issued IT IS NOT UNUSUAL FOR AN APPLICANT TO INCORRECTLY SHOW THE DATE THAT A CERTIFICATE WAS FIRST ISSUED EVEN THOUGH IT WAS LATER REISSUED WITH AN ADDITIONAL RATING. THE CORRECT ENTRY IS THE DATE SHOWN ON THE CURRENT PILOT CERTIFICATE. <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate Q. DO YOU HOLD A MEDICAL CERTIFICATE? ASSURE THAT AN ANSWER IS MARKED Q. Do you hold a Medical Certificate? Yes or No. If yes, complete Blocks R – Class of Certificate S - Date Issued T - Name of Examiner <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate R. CLASS OF CERTIFICATE? ENTRY MUST BE CLASS SHOWN ON THE CERTIFICATE (FIRST, SECOND, THIRD) R. Class of Certificate ASSURE THAT THE APPLICANT HAS SHOWN THE CLASS MEDICAL AS ACTUALLY ISSUED. A COMMON MISTAKE MADE BY APPLICANTS IS TO CONFUSE THE “CLASS” OF MEDICAL WITH “PRIVILEGES”. EG. “CLASS II” MAY BE INDICATED AS A CLASS I MEDICAL WHEN MORE THAN 6 MONTHS HAVE PASSED SINCE ISSUANCE. THIS WOULD NOT BE CORRECT! “CLASS I” WOULD BE THE CORRECT ENTRY. SINCE AUGUST 4, 1997, A CLASS III MEDICAL IS ADEQUATE FOR ALL CERTIFICATION AND RATING PRACTICAL TESTS. FOREIGN MEDICALS ARE VALID FOR ADDING RATINGS [8700.1, Pg 29-2] TO A U.S. CERTIFICATE THAT WAS ISSUED ON THE BASIS OF THE FOREIGN PILOT’S LICENSE. THE MEDICAL MAY BE “A PART OF” THE FOREIGN PILOT LICENSE, OR MAY BE A SEPARATE DOCUMENT. WHEN IN DOUBT ABOUT VALIDITY, CONSULT WITH YOUR FSDO <click>

MINIMUM MEDICAL CERTIFICATE CLASS
1. Glider or Balloon - None 2. Sport Pilot – None (maybe) 3. Recreational Pilot - Third 4. Private Pilot - Third 5. Commercial Pilot - Third (CONT) MINIMUM MEDICAL CERTIFICATE CLASS FOR INITIAL CERTIFICATION, OR ADD ON’S. (READ SLIDE AND ELABORATE AS REQUIRED.) FOR GLIDER CATEGORY AND BALLOON CLASS RATINGS, NO MEDICAL IS REQUIRED. The same holds true for the Sport Pilot Certificate; MAYBE. TEST: A THIRD CLASS MEDICAL SUFFICES FOR INITIAL ISSUANCE OF ANY PILOT OR FLIGHT INSTRUCTOR CERTIFICATE. THIS ALSO APPLIES FOR THE ADDITION OF A CATEGORY OR CLASS RATING (8/4/97 FAR Part 61 change). THE DURATION OF 3RD CLASS MEDICAL CERTIFICATES WAS AMENDED ON 09/16/96. 36 CALENDAR MONTHS < 40 24 CALENDAR MONTHS > 40 <click>

MINIMUM MEDICAL CERTIFICATE CLASS
6.Airline Transport Pilot - Third 7. Instrument Rating - Third 8. Additional Category/Class - Third 9. Flight Instructor - None? READ SLIDE! A SECOND CLASS MEDICAL WAS ISSUED 18 MONTHS AGO. IS IT NOW A THIRD CLASS MEDICAL? (NO!) As of Aug. 4, To take a practical test, a minimum of a third class medical is required (except for balloons, gliders and Sport Pilot Certificates, maybe). To give instruction, a CFI is not required to hold a medical if they are NOT acting as PIC or acting as a required pilot flight crewmember(PER FAR 61.23(b)(5)). In other words the person receiving instruction must be capable of, and willing to act as PIC. <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate S. DATE ISSUED T. NAME OF EXAMINER CO SHOULD MAKE CERTAIN ENTRIES MATCH CERTIFICATE DURING THE CERTIFICATION PROCESS AS PART OF QC S. Date Issued (Medical) T. Name of Examiner COMPARE THE DATE ISSUED AND NAME OF EXAMINER WITH APPLICANT’S MEDICAL CERTIFICATE. THIS INFORMATION MAY NOT BE AVAILABLE IN THE CASE OF AN APPLICANT WITH A U. S. CERTIFICATE ISSUED ON THE BASIS OF A FOREIGN LICENSE (A RESTRICTED U.S. PILOT CERTIFICATE). THE MEDICAL QUALIFICATION MAY BE SHOWN AS AN “ENDORSEMENT” ON THE LICENSE WITHOUT THE MEDICAL EXAMINER INDICATED. IN THAT CASE THE APPLICANT SHOULD ENTER THE WORD “ENDORSEMENT”, - AND THE DATE OF THAT ENDORSEMENT IN MEDICAL VERIFICATION BLOCKS (8700.1, pg 29-2, para 5. I.). <click>

A. Name (Last, First, Middle) B . SSN (US Only) E. Address City, State, Zip Code Yes No Q. Do you hold a Medical Certificate? U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? C. Date of Birth Month Day Year D. Place of Birth F. Citizenship Specify USA Other____________ H. Height I. Weight J. Hair K. Eyes R. Class of Certificate S. Date Issued T. Name of Examiner N. Grade Pilot Certificate O. Certificate Number G. Do you read, speak, write, & understand the English Language? L. Sex Male Female P. Date Issued V. Date of Final Conviction M. Do you now hold, or have you ever held an FAA Pilot Certificate U. HAVE YOU EVER BEEN CONVICTED NOT ALCOHOL RELATED ASSURE THAT EITHER YES OR NO HAS BEEN MARKED. DATE OF FINAL CONVICTION IF YES U. Have you ever been convicted for violation of Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances? Problem Area: Applicants tend to forget to mark this one. A response of yes or no is required. Yes>>>>Date ILLEGAL SUBSTANCE CONVICTION. IF FINAL CONVICTION WAS MORE THAN ONE YEAR BEFORE APPLICATION, THE EXAMINER SHOULD PROCEED WITH THE TEST. FAR 61.15 IF FINAL CONVICTION WAS LESS THAN ONE YEAR BEFORE THE DATE OF APPLICATION, THE EXAMINER DECLINES TO ACCEPT THE APPLICATION AND DOES NOT TEST THE APPLICANT IN ACCORDANCE WITH THE PROVISIONS OF (a) (1). W. self certification of medical has been eliminated. <click>

CERTIFICATE OR RATING APPLIED FOR ON BASIS OF:
II. Certificate or Rating Applied For on Basis of: A. Completion of Required Test B. Military Competence Obtained in C. Graduate of Approved Course D. Holder of Foreign License Issued By 1. Aircraft to be used (if flight test required ) 1. Service 2. Date Rated 4a. Flown10 hours PIC in last 12 months in the following Military Aircraft. 1. Name and Location of Training Agency of Training Center 2. Curriculum From Which Graduated 1. Country 2. Grade of License 4. Ratings hours 2b. Pilot in command 3. Rank or Grade and Service Number 1a. Certificate Number 3. Date 3. Number E. Completion of Air Carrier’s Approved Training Program 1. Name of Air Carrier 2. Date 3. Which Curriculum Initial Upgrade Transition 4b. US Military PIC & Instrument check in last 12 months(List Aircraft) 2a. Total time in this aircraft / SIM / FTD SECTION II: Certificate Or Rating Applied for on Basis Of: AS EXAMINERS, YOU WILL USUALLY BE DEALING WITH: COMPLETION OF REQUIRED TEST (PART 61) OR BOTH GRADUATE OF APPROVED COURSE ( FOR PART 141) A. COMPLETION OF REQUIRED TEST 1. AIRCRAFT TO BE USED (Now includes Sim and FTD) IF MORE THAN ONE (1) AIRCRAFT IS USED, SO INDICATE. 2a. TOTAL TIME IN THIS AIRCRAFT (Added Sim and FT) “THIS” AIRCRAFT SHOULD BE READ AS “THIS MAKE AND MODEL” IF MORE THAN ONE (1) AIRCRAFT IS USED, SO STATE. 2b. PILOT IN COMMAND STUDENT PILOTS MUST ENTER SOLO FLIGHT HOURS IN THIS SPACE. ALL SOLO TIME IS PIC TIME, BUT ALL PIC TIME IS NOT SOLO. Do not advance! Notes Continued on next page

III. RECORD OF PILOT TIME
*Changes - Powered Lift and PCATD have been added. *PIC columns now have a place for SIC time that can be credited for a certificate or rating. (Additional columns added) Should comply with changes to 14CFR part 61 Problem Area WATCH OUT FOR THESE...... COMMON PITFALLS FOR APPLICANTS PRIVATE PILOTS (1) SOLO NOT INDICATED. PIC INSTEAD (2) SOLO CROSS COUNTRY NOT INDICATED. PIC INSTEAD. (3) NIGHT INSTRUCTION NOT SHOWN. PIC INSTEAD. (4) NIGHT TO/L NOT SHOWN. (5) NOT ENOUGH INSTRUMENT INSTRUCTION. 3 HOURS NOW REQUIRED (AIRPLANES)! (6) NOT ENOUGH TIME IN APPROPRIATE SECTIONS. <click> III. RECORD OF PILOT TIME Instrument Cross Country PIC Solo Night Instruction Received Take-off/ Landing Night PIC Takeoff/ Landing PIC Number of Flights Aero-Tows Ground Launches Powered Pilot in Command (PIC) Total III Record of Pilot time (Do not write in the shaded areas.) Lighter than Air Rotor- craft IV. Have you failed a test for this certificate or rating ? Yes No Signature of Applicant FAA Form (4-00) Supersedes Previous Edition NSN: Date Training Device SIC Gliders Lift PCATD Airplanes V. Applicant’s Certification -- I certify that all statements and answers provided by me on this application form are complete and true to the best of my knowledge and I agree that they are to be considered as part of the basis for issuance of any FAA certificate to me. I have also read and understand the Privacy Act statement that accompanies this form. Simulator

CHECK THE APPLICANT’S FLIGHT TIME AGAINST THE FAR’S
YOU CHECK THEIR FLIGHT TIME! SOME X-C TIME MAY BE ALLOWABLE FOR ATP, BUT NOT FOR PRIVATE OR COMMERCIAL CERTIFICATES. YOU PUT THE X IN THE BOX AND SIGN THE APPLICATION. YOU ARE INDICATING THAT YOU HAVE PERSONALLY REVIEWED THIS APPLICANT’S LOGBOOK, AND CERTIFY THAT THE INDIVIDUAL MEETS THE PERTINENT REQUIREMENTS OF FAR 61 FOR THE PILOT CERTIFICATE OR RATING SOUGHT. THE RULES HAVE CHANGED! SOME CHANGES ARE: 3 HRS NIGHT FLIGHT TRAINING INCLUDING 10 T.O.’S & LDGS. (AIRPLANES & ROTORCRAFT). NOW MANDATORY! AIRPLANES - 1 NIGHT X-C OF OVER 100 NM TOTAL DISTANCE. ROTORCRAFT - 1 NIGHT X-C OF OVER 50 NM TOTAL DISTANCE. AIRSHIPS - DIFFERENT! YOU CHECK IT IF YOU ARE INTERESTED. AIRPLANES - 3 HOURS OF “INSTRUCTION ON CONTROL SOLELY BY REFERENCE TO INSTRUMENTS” FLIGHT TRAINING IN A SINGLE-ENGINE AIRPLANE. (Part (a) (3) - This does not have to be by a CFII because it does not say “Instrument Instruction”!) THERE ARE OTHER CHANGES TOO! THESE ARE COVERED IN THE PART 61 LECTURE. REMEMBER THAT IT IS YOUR RESPONSIBILITY TO CHECK TO SEE IF THE APPLICANT MEETS ALL OF THE REQUIREMENTS! <click>

LET’S NOT FORGET BLOCKS IV & V
I DON’T FORGET! IV Have You Failed a Test for This Certificate or Rating? Yes or No “Within the past 30 days?” has been eliminated. V Applicants Certification Signature Of Applicant….. and Date <click>

INSTRUCTOR'S RECOMMENDATION
(Reverse Side) Instructor’s Recommendation Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation. I have personally instructed the applicant and consider this person ready to take the test. Date Instructor’s Signature (Print Name & Sign) Certificate No: Certificate Expires

AIR AGENCY’S RECOMMENDATION
(Reverse Side) Air Agency’s Recommendation Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation. This applicant has successfully completed our _____________________________________course, and is recommended for certification or rating without further ________________________________________test. Date Agency Name and Number Officials Signature Title

DESIGNATED EXAMINER REPORT
Student Pilot Certificate Issued ( Copy attached ) I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirements of 14 CFR Part 61 for the certificate or rating sought. I have personally reviewed this applicant’s graduation certificate, and found it to be appropriate and in order, and have returned the certificate. I have personally tested and/or verified this applicant in accordance with pertinent procedures and standards with the result indicated below. Approved--Temporary Certificate Issued ( Original Attached ) Disapproved--Disapproval Notice Issued ( Original Attached ) Location of Test ( Facility, City, State ) Certificate or Rating for Which Tested Date Type(s) of Aircraft Used Certificate No. Registration No.(s) Duration of Test Ground Flight Designation No. Designation Expires Evaluator’s Record (Use For ATP Certificate and/or Type Ratings) Oral Approved Simulator/Training Device Check Aircraft Flight Check Inspector Examiner Simulator/FTD Advanced Qualification Program Designated Examiner or Airman Certification Representative Report Signature and Certificate Number Examiner’s Signature (Print Name & Sign) REVISED ITEMS IN THIS SECTION OF THE FORM ARE HIGHLIGHTED IN YELLOW Designated Examiner or (Airman Certification Representative ) STUDENT PILOT CERTIFICATE IS THE ONLY BLOCK CHECKED IF YOU ISSUE A STUDENT PILOT CERTIFICATE. ALL OTHER PILOT CERTIFICATES, CATEGORY, CLASS, OR INSTRUMENT RATINGS YOU MUST CHECK: (1) LOGBOOK INSPECTION OR (CHECK BOTH 1& 2 IF 141 SCHOOL) (2) REVIEW OF GRADUATION CERTIFICATE (141 SCHOOL) (3) PERSONALLY TESTED, AND (4) OUTCOME - APPROVED OR DISAPPROVED DURATION OF TEST ADDED FTD TO SIMULATOR WORDING CHANGED FOR REVIEWING APPLICANT’S LOGBOOK I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirements of 14 CFR Part 61 for the pilot certificate or rating sought. DO NOT ADVANCE SLIDE MORE NOTES ON NEXT PAGE

ATP/TYPE RATING - CO’s MUST COMPLETE BOTH SECTIONS (NOT FOR FAA PERSONNEL)
Designated Examiner or Airman Certification Representative Report Student Pilot Certificate Issued ( Copy attached ) I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirements of 14 CFR Part 61 for the certificate or rating sought. I have personally reviewed this applicant’s graduation certificate, and found it to be appropriate and in order, and have returned the certificate. I have personally tested and/or verified this applicant in accordance with pertinent procedures and standards with the result indicated below. Approved--Temporary Certificate Issued ( Original Attached ) Disapproved--Disapproval Notice Issued ( Original Attached ) Evaluator’s Record (Use for ATP Certificate and/or Type Ratings) ATPE MUST COMPLETE BOTH “DESIGNATED EXAMINER REPORT” AND “EVALUATOR’S RECORD”. THIS ALSO APPLIES FOR A TYPE RATING, EVEN IF ADDED AT THE PRIVATE OR COMMERCIAL LEVEL. REFERENCE: D. REMEMBER - THE EXAMINER’S SIGNATURE AND DATE ARE REQUIRED FOR EACH LINE USED IN THE EVALUATOR’S RECORD. THE DATE IS THE DATE THAT PORTION IS COMPLETED! ADDITIONALLY, THE EXAMINER’S PILOT CERTIFICATE NUMBER IS NOW REQUIRED (IMMEDIATELY AFTER THE SIGNATURE)! (8) (P.E. Handbook) CHECK THE APPLICATION TO DETERMINE IF THE ORAL, SIMULATOR, AND/OR FLIGHT PORTION OF THE TEST WERE SEPARATE TESTS. THE TEST COMPLETION DATES SHOULD NOT EXCEED A 60-DAY TIME PERIOD OR THE PRACTICAL TEST MUST START FROM THE BEGINNING. (PER FAR 61.43(F)(1). REFERENCE: D <click> Location of Test ( Facility, City, State ) Duration of Test Ground Simulator/FTD Flight Certificate or Rating for Which Tested Type(s) of Aircraft Used Registration No.(s) Date Examiner’s Signature (Print Name & Sign) Certificate No. Designation No. Designation Expires Evaluator’s Record (Use For ATP Certificate and/or Type Ratings) Inspector Examiner Signature and Certificate Number Date Oral Approved Simulator/Training Device Check Aircraft Flight Check Advanced Qualification Program

Aviation Safety Inspector or Technician Report
AVIATION SAFETY INSPECTOR OR TECHNICIAN REPORT (FOR FAA PERSONNEL ONLY) I have personally tested this applicant in accordance I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirements of 14 CFR Part 61 for the certificate or rating sought. I have personally reviewed this applicant’s graduation certificate, and found it to be appropriate and in order, and have returned the certificate. I have personally tested and/or verified this applicant in accordance with pertinent procedures and standards with the result indicated below. Approved--Temporary Certificate Issued ( Original Attached ) Disapproved--Disapproval Notice Issued ( Original Attached ) Location of Test ( Facility, City, State ) Certificate or Rating for Which Tested Date Type(s) of Aircraft Used Certificate No. Registration No.(s) Duration of Test Ground Flight Designation No. Designation Expires Evaluator’s Record (Use For ATP Certificate and/or Type Ratings) Oral Approved Simulator/Training Device Check Aircraft Flight Check Inspector Examiner Simulator/FTD Advanced Qualification Program Aviation Safety Inspector or Technician Report Signature and Certificate Number Examiner’s Signature (Print Name & Sign) REVISED ITEMS IN THIS SECTION OF THE FORM ARE HIGHLIGHTED IN YELLOW Designated Examiner or (Airman Certification Representative ) STUDENT PILOT CERTIFICATE IS THE ONLY BLOCK CHECKED IF YOU ISSUE A STUDENT PILOT CERTIFICATE. ALL OTHER PILOT CERTIFICATES, CATEGORY, CLASS, OR INSTRUMENT RATINGS YOU MUST CHECK: (1) LOGBOOK INSPECTION OR (CHECK BOTH 1& 2 IF 141 SCHOOL) (2) REVIEW OF GRADUATION CERTIFICATE (141 SCHOOL) (3) PERSONALLY TESTED, AND (4) OUTCOME - APPROVED OR DISAPPROVED DURATION OF TEST ADDED FTD TO SIMULATOR WORDING CHANGED FOR REVIEWING APPLICANT’S LOGBOOK I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirements of 14 CFR Part 61 for the pilot certificate or rating sought. DO NOT ADVANCE SLIDE MORE NOTES ON NEXT PAGE

ATTACHMENTS Attachments: (AS INDICATED ON 8710-1)
Student Pilot Certificate ( copy ) Knowledge Test Report Temporary Airman Certificate Airman’s Identification ( ID ) ID: Name: Date of Birth: Certificate Number: Address Attachments: PENNSYLVANIA DRIVER’S LICENSE Notice of Disapproval Superseded Airman Certificate Form of ID Number Expiration Date Telephone Number FAA Form (4-00) Supersedes Previous Edition U.S.GPO: / NSN: X Attachments: (AS INDICATED ON ) STUDENT PILOT CERTIFICATE (COPY) If you issued a SPC. KNOWLEDGE TEST REPORT (If applicable) TEMPORARY AIRMAN CERTIFICATE OR……. NOTICE OF DISAPPROVAL SUPERSEDED AIRMAN CERTIFICATE (If applicable) Airman's Identification (Id) FORM OF ID and NUMBER are required. Show EXPIRATION DATE if applicable. ID MUST BE VALID. The applicant’s TELEPHONE NUMBER and ADDRESS are optional. See Privacy Act If an electronic form is not printed on a duplex printer, the applicant’s NAME, DATE OF BIRTH, AND CERTIFICATE NUMBER (if applicable) must be furnished on the reverse side of the application (3rd Column). This information is required for identification purposes. <click>

COMMON ERRORS ON FRONT OF APP: Leaving the "SSN" block blank. It must have a SSN or show "None" or "Do not use". "Place of Birth" needs a city as well as a state or country. We send it back if no city is shown. 3. If the applicant has a previous airman record and he shows his name different from what was previously indicated. For example, our records show William Dale Smith, and he shows Will Dale Smith on the new application, we will send it back. This is a real problem with foreign applicants. (Reverse Side) Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation.

COMMON ERRORS ON FRONT OF APP: 4. The drug statement MUST be answered. "U" under Part I, Application Information. 5. Under " II, Certificate or Rating Applied For on Basis of: Block A, 2a. "Total time in this aircraft/SIM/FTD" must show some time or show "0" hours. It cannot be left blank. (“Total time this aircraft means this make & model.) 6. If applicant is getting a U.S. certificate based on a foreign license, they MUST complete Part D, "Holder of Foreign License issued by", and they must have a “Verification of Authenticity” letter on file with the FSDO before arriving at the FSDO office. (Reverse Side) Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation.

COMMON ERRORS ON (Reverse Side) FRONT OF APP: 7. If applying under Military Competency, Part B, "Military Competence Obtained In" must have 4a. completed. Some applicants put "yes". That is not what we are looking for...they must put the name of the aircraft flown. 8. In V, "Applicant's Certification", some foreign and military personnel put the day, month and year in the "date" field; they should put month first, day, year. Otherwise this can be confusing. Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation.

COMMON ERRORS ON 8710-1 BACK OF APP:
(Reverse Side) BACK OF APP: 9. In the DE report, in the "Location of Test", the city must be shown. For some reason, sometimes only the airport and state is given. (Of course, if it is a balloon or seaplane test, it would not be at an airport, so in that case, a city would not be shown.) 10. In the DE report, "Certificate or Rating for Which Tested" must show the entire rating, for instance, "flight instructor instrument airplane" not just "flight instructor" or "private pilot airplane single engine land", not just "Private pilot", etc. Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation.

COMMON ERRORS ON 8710-1 BACK OF APP:
(Reverse Side) BACK OF APP: 11. If the application is printed out on two separate sheets, the back of the application must show the identification of the applicant. This can be filled in at the lower right side of the BACK page under ID: 12. Be sure that the date on the temporary certificate is the date that the practical test was completed. The main objective is that the CO thoroughly check over the application in order to determine that all fields are completed correctly and that all signatures are there. Instructors Recommendation (Print Name & Sign) Added OTHER THAN ATP OR A TYPE RATING ENSURE THAT RECOMMENDATION IS WITHIN SIXTY (60) DAYS A RECOMMENDATION IS REQUIRED FOR: (1) PILOT CERTIFICATE - INITIAL/UPGRADE (2) INSTRUMENT RATING (3) CATEGORY RATINGS (4) CLASS RATING (5) RETEST (ANY - INCLUDING ATP AND TYPE RATING) - MUST HAVE RECEIVED NECESSARY TRAINING AND “AN ENDORSEMENT FROM THE AUTHORIZED INSTRUCTOR WHO PROVIDED THAT TRAINING.” A RECOMMENDATION IS NOT REQUIRED FOR AN INITIAL: (1) TYPE RATING ONLY (2) TYPE RATING WITH ASSOCIATED CLASS RATING ATP (Initial) - NO RECOMMENDATION REQUIRED FOR CATEGORY, CLASS OR TYPE RATINGS. FAR states that all retests must have a recommendation.

AIRMAN CERTIFICATE (FRONT)
ANY ACTION ON A PILOT OR FLIGHT INSTRUCTOR CERTIFICATE WILL ALSO CAUSE A NEW TYPE CERTIFICATE TO BE ISSUED. THIS IS A HARD PLASTIC CREDIT CARD TYPE CERTIFICATE WITH SEVERAL NEW SECURITY FEATURES INCORPORATED INTO IT. THIS IS WHAT THE FRONT LOOKS LIKE…….

AIRMAN CERTIFICATE (BACK)
AND HERE IS WHAT THE BACK SIDE LOOKS LIKE. THIS IS A PLASTIC CREDIT CARD TYPE AIRMAN CERTIFICATE.

Jethro Bodine Wiley E Post This is a Student Pilot Certificate ONLY!
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION CERTIFICATE NO. ZZ- 174727 STUDENT PILOT CERTIFICATE THIS CERTIFIES THAT ( Full name and address ) JETHRO LEROY BODINE 3211 RODEO DRIVE BEVERLY HILLS, CA ZIP CODE BIRTH DATE HEIGHT WEIGHT HAIR EYES SEX 76 BLACK BLUE M IN 200 Has met the standards prescribed in Part 61 of the Federal Aviation Regulations for a Student Pilot Certificate. 1. PASSENGER CARRYING IS PROHIBITED This is a Student Pilot Certificate ONLY! STUDENT PILOT CERTIFICATE / FAA FORM STRESS: 1. MEDICAL CERTIFICATE REQUIRED! EXAMINER MAY NOT ISSUE A STUDENT PILOT CERTIFICATE WITHOUT SEEING A CURRENT MEDICAL. (EXCEPT FOR BALLOON AND GLIDER.) 2. DATE OF ISSUE 3. DATE OF EXPIRATION (24 CALENDAR MONTHS FROM THE DATE YOU ISSUE A STUDENT PILOT CERTIFICATE.) THE DATE ON THEIR CURRENT MEDICAL HAS NO EFFECT ON THE SPC EXPIRATION DATE). 4. NMN IS NOT PLACED ON SPC; ON ONLY. DATE FORMAT IS: MM-DD-YYYY (8 DIGITS NOW!) <click> ISSUANCE DATE EXPIRATION DATE SIGNATURE OF EXAMINER OR INSPECTOR Wiley E Post EXAM. DESIG. NO. OR INSPECTOR’S REG. NO. WILEY E. POST SW-05-28 DATE EXAMINER’S DESIG. EXPIRES: STUDENT PILOT’S SIGNATURE Jethro Bodine FAA Form (2-77) FORMERLY FAA FORM

Jethro Bodine Wiley E Post XXXXXX
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION XXXXXX CERTIFICATE NO. ZZ- 174727 STUDENT PILOT CERTIFICATE THIS CERTIFIES THAT ( Full name and address ) JETHRO LEROY BODINE 3211 RODEO DRIVE BEVERLY HILLS, CA ZIP CODE BIRTH DATE HEIGHT WEIGHT HAIR EYES SEX 76 BLACK BLUE M IN 200 Has met the standards prescribed in Part 61 of the Federal Aviation Regulations for a Student Pilot Certificate. 1. PASSENGER CARRYING IS PROHIBITED This is another Student Pilot Certificate ONLY! SPC / (FOR RECORD PURPOSES ONLY) 1. DELETE NUMBER. 2. SPACE FOR MORE AIRCRAFT SOLOS. 3. ISSUANCE DATE IS THE DATE YOU ISSUE THIS SPC. 4. EXPIRATION DATE = DATE OF EXPIRATION FROM CURRENT SPC. NOTE: TIME PERIOD WILL USUALLY BE LESS THAN 24 CALENDAR MONTHS. (No application required, no file! Destroy tissue copy.) REFERENCE: D. <click> FOR RECORD PURPOSES ONLY ISSUANCE DATE EXPIRATION DATE SIGNATURE OF EXAMINER OR INSPECTOR Wiley E Post EXAM. DESIG. NO. OR INSPECTOR’S REG. NO. WILEY E. POST SW-05-28 DATE EXAMINER’S DESIG. EXPIRES: STUDENT PILOT’S SIGNATURE Jethro Bodine FAA Form (2-77) FORMERLY FAA FORM

UNITED STATES OF AMERICA
DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION BB MEDICAL CERTIFICATE______________CLASS THIRD AND STUDENT PILOT CERTIFICATE THIS CERTIFIES THAT ( Full name and address ) JETHRO LEROY BODINE 3211 RODEO DRIVE BEVERLY HILLS, CA DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX 76 200 BLACK BLUE M has met the medical standards prescribed in Part 67, Federal Aviation Regulations for this class of Medical Certificate, and the standards prescribed in Part 61 for a Student Pilot Certifi- cate. This one is a Student Pilot Certificate and a Medical (Most common) MEDICAL CERTIFICATE AND SPC / FAA FORM (FOR STUDENT PURPOSES ONLY) INDICATES A MEDICAL PROBLEM! 1. ONLY THE FSDO MAY CONDUCT THE FLIGHT TEST FOR THIS INDIVIDUAL. REMEMBER...... MEDICAL CLASS TYPED ON CERTIFICATE GOES IN BLOCK “R” OF REGARDLESS OF DATE. SEE NOTE R ON INSTRUCTIONS. <click> STUDENT PILOTS ARE PROHIBITED FROM CARRYING PASSENGERS VALID FOR STUDENT PILOT PURPOSES ONLY DATE OF EXAMINATION EXAMINER’S SERIAL NO. SW SIGNATURE M. DE Sade, M.D. TYPED NAME M. DE SADE, M.D. AIRMAN’S SIGNATURE Jethro Bodine FAA FORM ( ) SUPERSEDES PREVIOUS EDITION

WHEN ISSUING A STUDENT PILOT CERTIFICATE - APPLICANT RECEIVES:
Medical Certificate Expired or previous (if any) IF YOU ISSUE A STUDENT PILOT CERTIFICATE: 1. APPLICANT RECEIVES THE ORIGINAL SPC. 2. RETURN MEDICAL CERTIFICATE (IF APPROPRIATE). (REQUIRES A MEDICAL CERTIFICATE UNLESS BALLOON OR GLIDER.) 3. RETURN THE EXPIRED OR PREVIOUSLY ISSUED STUDENT PILOT CERTIFICATE (IF ANY). <click>

TO AFS-760 (AIRMAN RECORDS)
Application (FAA FORM ) Tissue Copy of Student Pilot Certificate TO DISTRICT OFFICE 1. SUBMIT COMPLETED APPLICATION. 2. TISSUE COPY OF SPC TO FSDO NOTE: ACCORDING TO PE HANDBOOK, COPY OF SPC IS NOT REQUIRED TO BE SENT TO FSDO FOR ISSUANCE OF “RECORD PURPOSES ONLY “SPC. (REFERENCE: D) <click>

Wiley E Post TEMPORARY AIRMAN CERTIFICATE / REC PILOT (8060-4)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE PENDING THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of RECREATIONAL PILOT RATINGS AND LIMITATIONS XII. TEMPORARY AIRMAN CERTIFICATE / REC PILOT (8060-4) SOME ICAO REQUIREMENTS 1. LONG SOLO X-C 2. OPS. TO/FROM TOWER AIRPORTS (INSTRUCTION) 3. NIGHT INSTRUCTION TEST: ICAO REQUIREMENTS LIMITATION MUST BE PLACED ON CERTIFICATE [61.101(g)]. REC PILOT - AIRPLANE (SE) & ROTORCRAFT (HELICOPTER & GYROPLANE) CAUTION: GET TEMPORARY AIRMAN CERTIFICATE DATA FROM THE APPLICATION, NOT FROM THE SUPERSEDED CERTIFICATE. Since October 1997, AFS-760 has asked for the examiner’s pilot certificate number to be shown on the temporary airman certificate. May be placed right after DESIGNATION NO. or in the lower margin. When an FAA Inspector gives a test, the inspector’s pilot certificate number must be placed on the temporary certificate. The Inspector’s pilot certificate number may be placed in the “DATE DESIGNATION EXPIRES” box, or in the lower margin. Yes, a pen may be used for the lower margin. (Betty Morgan - AFS-760) <click> ROTORCRAFT - GYROPLANE HOLDER DOES NOT MEET ICAO REQUIREMENTS XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post PRIVATE PILOT / 8060-4 (SHOWING RECREATIONAL PRIVILEGES)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE PENDING THIS CERTIFIES THAT IV. LOIS ANN GARNER 123 NORTH SECOND STREET KIDD, PA V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BROWN F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of PRIVATE PILOT RATINGS AND LIMITATIONS XII. PRIVATE PILOT / (SHOWING RECREATIONAL PRIVILEGES) Lois already held a Recreational Pilot Certificate (Rotorcraft-Helicopter). She had the limitation -” HOLDER DOES NOT MEET ICAO REQUIREMENTS.” She just passed the Private (ASEL). Original vs. Reissuance is determined by GRADE of PRIVILEGES IN BLOCK “IX.” Notice that ICAO limitations are dropped at recreational level; they are met by the private airplane! CAUTION: This pilot is bound by all recreational pilot limitations in a helicopter. Strange but true! Notice the examiner’s pilot certificate number in the lower margin. <click> AIRPLANE SINGLE ENGINE LAND RECREATIONAL PRIVILEGES ROTORCRAFT - HELICOPTER XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW-05-28 Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post PRIVATE PILOT / 8060-4 (NIGHT FLYING PROHIBITED)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE PENDING THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of PRIVATE PILOT RATINGS AND LIMITATIONS XII. PRIVATE PILOT / (NIGHT FLYING PROHIBITED) This limitation now ONLY applies to persons who receive flight training and reside in the state of Alaska. If an applicant has been unable to get the required night instruction, a pilot certificate may be issued with the limitation “NIGHT FLYING PROHIBITED”. The applicant must receive the required training within 12 calendar months after the issuance of his/her Private Pilot Certificate. The limitation can be removed by a pilot examiner. If the training isn’t received within 12 calendar months following initial issuance of the pilot certificate, the certificate will be suspended until the person complies with the appropriate night training requirements. <click> AIRPLANE SINGLE ENGINE LAND NIGHT FLYING PROHIBITED XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

I. UNITED STATES OF AMERICA
III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE PENDING THIS CERTIFIES THAT IV. LOIS ANN GARNER 123 NORTH SECOND STREET KIDD, PA V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BROWN F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of PRIVATE PILOT RATINGS AND LIMITATIONS XII. PRIVATE PILOT / (NOT VALID FOR FLIGHTS REQUIRING THE USE OF ENGLISH) THIS LIMITATION MAY BE ISSUED FOR MEDICAL REASONS AND ONLY BY THE FAA-NOT CO’S!!!! <click> ROTORCRAFT HELICOPTER NOT VALID FOR FLIGHTS REQUIRING THE USE OF ENGLISH XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. SW-05-28/ X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post PRIVATE PILOT-GLIDER / 8060-4 (AERO TOW)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE PENDING THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of PRIVATE PILOT RATINGS AND LIMITATIONS XII. PRIVATE PILOT-GLIDER / (AERO TOW) EXAMPLE: GLIDER - AERO TOW NOW JUST “GLIDER”. A BIG CHANGE!!!! THE LAUNCH PROCEDURE IS NO LONGER PLACED ON THE PILOT CERTIFICATE. A LOGBOOK ENDORSEMENT OF TRAINING IN EACH GLIDER PROCEDURE (ground tow, aero tow, or self launch) IS REQUIRED BEFORE A PERSON MAY ACT AS PIC DURING THE OPERATION UNLESS THAT PERSON WAS QUALIFIED BEFORE AUGUST 4, 1997. <click> GLIDER AERO TOW XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post PRIVATE PILOT / 8060-4 (FOREIGN PILOT ENDORSEMENT)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. LOIS ANN GARNER 123 NORTH SECOND STREET KIDD, PA V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BROWN F UNITED KINGDOM IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of PRIVATE PILOT PAGE 1 OF 2 RATINGS AND LIMITATIONS XII. PRIVATE PILOT / (FOREIGN PILOT ENDORSEMENT) NOTICE THAT THE CERTIFICATE IS TIED TO FOREIGN LICENSE. PRIVATE PILOT IS THE HIGHEST LEVEL ISSUED NOW FOR A RESTRICTED U.S. PILOT CERTIFICATE. ALSO NOTICE HOW THE CERTIFICATE IS WRITTEN ON 2 PAGES. PAGE 1 OF 2 AND (NEXT SLIDE) <click> AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTIENGINE LAND (U.S.TEST PASSED) ISSUED ON THE BASIS OF AND VALID ONLY WHEN ACCOMPANIED BY UNITED KINGDOM PILOT LICENSE NO. ALL LIMITATIONS AND RESTRICTIONS ON THE XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. SW-05-28/ X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. LOIS ANN GARNER 123 NORTH SECOND STREET KIDD, PA V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BROWN F UNITED KINGDOM IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of PRIVATE PILOT PAGE 2 OF 2 RATINGS AND LIMITATIONS XII. PRIVATE PILOT / (FOREIGN PILOT ENDORSEMENT) - CONT. NOTE: PAGE 2 OF 2. ADDITIONALLY……. Look at the Airman Application , Section II D. Applicants are now required to complete both: D. HOLDER OF FOREIGN LICENSE ISSUED BY on FAA Form (The Airman Application) when they come to you to add an additional rating onto their Restricted U.S. Airman Certificate. (This is addition to completing A. COMPLETION OF REQUIRED TEST.) <click> THE UNITED KINGDOM PILOT LICENSE APPLY NOT VALID FOR AGRICULTURE AIRCRAFT OPERATIONS XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. SW-05-28/ X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Foreign Pilot 8710-1 MEDICAL CERTIFICATION Q. Yes R. Foreign Country
S. Date Issued T. N/A FOREIGN PILOT (MEDICAL CERTIFICATION ON ) (REF: , Pg 29-2, Para 5.I.) IF THE APPLICANT HAS A NON-FAA MEDICAL, USE THE FOLLOWING: Q. YES R. NAME OF COUNTRY (Block R says Class of Certificate.) S. MM-DD-YYYY (REMEMBER 8 DIGIT FORMAT) T. N/A or AS APPROPRIATE IF THE APPLICANT HAS A MEDICAL ENDORSEMENT ON THEIR FOREIGN PILOT LICENSE, USE THE FOLLOWING: Q. YES R. “ENDORSEMENT” When Q. is “yes” - These fields should not be left blank. <click>

Wiley E Post COMMERCIAL PILOT / 8060-4 (LIMITED COMMERCIAL)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION PENDING ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. According to 8710.3D. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of COMMERCIAL PILOT RATINGS AND LIMITATIONS XII. COMMERCIAL PILOT / (LIMITED COMMERCIAL) EFFECTIVE 6/2/02 THE WORD “PENDING” WOULD BE USED FOR THIS “ORIGINAL ISSUANCE” COMMERCIAL CERTIFICATE REGARDLESS WHETHER ELAINE PROVIDED A SSN OR NOT! <click> AIRPLANE MULTIENGINE LAND PRIVATE PRIVILEGES - AIRPLANE SINGLE ENGINE LAND. NOT VALID FOR CARRIAGE OF PASSENGERS FOR HIRE IN AIRPLANES ON CROSS-COUNTRY FLIGHTS OF MORE THAN 50 NAUTICAL MILES, OR AT NIGHT. XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post INSTRUMENT RATING / 8060-4 (AMEL VFR ONLY)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of COMMERCIAL PILOT RATINGS AND LIMITATIONS XII. INSTRUMENT RATING / (AMEL VFR ONLY) THIS IS ELAINE’S “NEW” TEMPORARY PILOT CERTIFICATE. (She added an Instrument Rating.) 1. ELAINE HELD COMMERCIAL ASMEL THAT WAS “LIMITED”. THAT MEANS SHE DID NOT HOLD AN INSTRUMENT RATING. 2. SHE TOOK INSTRUMENT FLIGHT TEST IN ASEL! NOTICE THAT THE INSTRUMENT FLIGHT TEST REMOVES THE PREVIOUS RESTRICTIONS. THE MULTIENGINE RATING REMAINS RESTRICTED TO VFR. ABOUT A MONTH LATER, ELAINE DECIDED TO DEMONSTRATE INSTRUMENT COMPETENCY IN A MULTIENGINE AIRPLANE, AND THIS IS WHAT HAPPENED -- <click> AIRPLANE SINGLE & MULTIENGINE LAND INSTRUMENT - AIRPLANE AIRPLANE MULTIENGINE LAND VFR ONLY XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of COMMERCIAL PILOT RATINGS AND LIMITATIONS XII. COMMERCIAL PILOT WITH INSTRUMENT RATING / (UNRESTRICTED) AFTER PASSING THE FLIGHT TEST IN A MULTIENGINE AIRPLANE, ELAINE WAS ISSUED AN UNRESTRICTED CERTIFICATE LIKE THIS ONE. NOTICE THAT THIS IS ANOTHER REISSUANCE OF HER COMMERCIAL PILOT CERTIFICATE. <click> AIRPLANE SINGLE & MULTIENGINE LAND INSTRUMENT - AIRPLANE XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post 2047183 COMMERCIAL PILOT
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. LOIS ANN GARNER 123 NORTH SECOND STREET KIDD, PA V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BROWN F UNITED KINGDOM IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of COMMERCIAL PILOT RATINGS AND LIMITATIONS XII. COMMERCIAL PILOT WITH INSTRUMENT-AIRPLANE/ (AMEL INSTRUMENT RESTRICTED TO CENTER THRUST) LOIS HAD: A COMMERCIAL PILOT CERTIFICATE AIRPLANE SINGLE AND MULTIENGINE LAND INSTRUMENT AIRPLANE AIRPLANE MULTIENGINE LAND VFR ONLY LOIS SCREWED UP! IN ATTEMPTING TO REMOVE THE VFR RESTRICTION FROM HER MULTIENGINE RATING, SHE WOUND UP WITH A RESTRICTION “LIMITED TO CENTER THRUST”. THIS FLIGHT TEST WAS TAKEN IN A CESSNA 337 (NO VMC) AMEL / INSTA FLIGHT TEST REMOVES VFR RESTRICTION BUT CENTER THRUST AIRCRAFT YIELDS A NEW RESTRICTION. LOIS WASN’T AS SMART AS ELAINE! A TEST IN A MULTIENGINE AIRPLANES WITHOUT A PUBLISHED VMC RESULTS IN A LIMITATION - “LIMITED TO CENTER THRUST”. A TEST IN AN AIRPLANE WITHOUT RUDDER CONTROL PEDALS RESULTS IN A LIMITATION TO SPECIFIC MAKE/MODEL AIRPLANE - “LIMITED TO ERCOUPE 415C”. <click> AIRPLANE SINGLE & MULTIENGINE LAND INSTRUMENT - AIRPLANE INSTRUMENT PRIVILEGES IN MULTIENGINE AIRPLANES LIMITED TO CENTER THRUST XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. SW-05-28/ X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE PENDING THIS CERTIFIES THAT IV. JOHN WILLIAMS JONES 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE M USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of COMMERCIAL PILOT RATINGS AND LIMITATIONS XII. COMMERCIAL PILOT WITH INSTRUMENT RATING / (PVT. PRIVILEGES) JOHN ARRIVED FOR THE COMMERCIAL PRACTICAL TEST POSSESSING A PRIVATE PILOT CERTIFICATE ASMEL WITH INSTRUMENT - AIRPLANE. HE OBVIOUSLY DEMONSTRATED INSTRUMENT COMPETENCY WHEN HE TOOK THE MULTIENGINE PRACTICAL TEST AS A PRIVATE PILOT. NOTICE THAT THERE IS NO VFR LIMITATION ON THIS PILOT CERTIFICATE (Therefore he does NOT have to do Tasks IX. A, B, C). FOR THIS COMMERCIAL PRACTICAL TEST (Initial), JOHN USED A MULTIENGINE AIRPLANE(does not have to do 3 IRA tasks). SINCE HE HAS NOT YET TAKEN THE COMMERCIAL SINGLE-ENGINE PRACTICAL TEST, HE STILL RETAINS PRIVATE PRIVILEGES FOR AIRPLANE SINGLE ENGINE LAND. NOTICE THAT THIS IS AN ORIGINAL ISSUANCE. SOME OF YOU MAY HAVE PILOT CERTIFICATES THAT READ PRIVATE PRIVILEGES AMEL, OR SOMETHING LIKE THAT. LETS LOOK AT SOME ATP CERTIFICATES. AIRPLANE MULTIENGINE LAND INSTRUMENT - AIRPLANE PRIVATE PRIVILEGES AIRPLANE SINGLE ENGINE LAND XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of AIRLINE TRANSPORT PILOT RATINGS AND LIMITATIONS XII. ATP WITH TYPE RATINGS / (SECOND-IN-COMMAND REQUIRED) PILOT WAS TESTED USING A SECOND-IN-COMMAND. THAT LIMITATION GOES ON THE PILOT CERTIFICATE. (ONLY APPLICABLE TO AN SFAR 41 AIRCRAFT) Reference: D <click> AIRPLANE SINGLE AND MULTIENGINE LAND LR-JET IA-JET BE-300 BE SECOND-IN-COMMAND REQUIRED XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

Wiley E Post ATP WITH COMMERCIAL PRIVILEGES / 8060-4
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. LOIS ANN GARNER 123 NORTH SECOND STREET KIDD, PA V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BROWN F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of AIRLINE TRANSPORT PILOT RATINGS AND LIMITATIONS XII. ATP WITH COMMERCIAL PRIVILEGES / PILOT HAD: COMMERCIAL PILOT ASMEL RH I-A & H TOOK THE ATP PRACTICAL TEST IN A MULTIENGINE AIRPLANE. GETS A NEW PILOT CERTIFICATE - ATP, ORIGINAL ISSUANCE NOW HAS: ATP - AMEL COMMERCIAL PRIVILEGES ASEL RH IH NOTICE THAT: 1. IA IS “CONTAINED” IN ATP-AMEL. 2. IH REMAINS 3. ASEL & RH ARE STILL COMMERCIAL PRIVILEGES. <click> AIRPLANE MULTIENGINE LAND COMMERCIAL PRIVILEGES ROTORCRAFT - HELICOPTER AIRPLANE SINGLE ENGINE LAND INSTRUMENT HELICOPTER XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. SW-05-28/ X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

ADDED RATINGS 1. Ensure additional rating at the correct grade level.
2. Use appropriate Practical Test Standard(s). 3. Ensure applicant meets minimum flight time requirements. 4. Use caution when issuing temporary airman certificate. (Do not inadvertently add or remove ratings!) ADDED RATINGS (CAUTIONS) REVIEW SLIDE! ENSURE LIMITATIONS ARE INCLUDED AS APPROPRIATE: e.g., CENTER THRUST, MULTIENGINE VFR, ETC. AS OF AUGUST 4, 1997, A THIRD CLASS MEDICAL IS ADEQUATE FOR ANY CERTIFICATION PRACTICAL TEST. NO KNOWLEDGE TEST REQUIRED TO ADD AN ADDITIONAL CATEGORY. (OTHER THAN ATP) (SAME GRADE OF CERTIFICATE) 1. POWER TO POWER EXAMPLE: AIRPLANE TO HELICOPTER 2. POWER TO NON-POWER EXAMPLE: AIRPLANE TO GLIDER Ref. 61.63 (ATP) <click>

Wiley E Post ATP / 8060-4 (VFR TYPE RATINGS)
I. UNITED STATES OF AMERICA III. CERTIFICATE NO. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION ii . TEMPORARY AIRMAN CERTIFICATE THIS CERTIFIES THAT IV. ELAINE SUSAN OLEKSA 419 SECOND STREET LOWELL, CT 01610 V. DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX NATIONALITY VI. BROWN BLUE F USA IN. IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuance on the reverse of this certificate to exercise the privileges of AIRLINE TRANSPORT PILOT RATINGS AND LIMITATIONS XII. ATP / (VFR TYPE RATINGS) APPLICANT MUST PERFORM THE PRACTICAL TEST IN ACTUAL OR SIMULATED INSTRUMENT CONDITIONS UNLESS THE AIRCRAFT’S TYPE CERTIFICATE MAKES THE AIRCRAFT INCAPABLE OF OPERATING UNDER INSTRUMENT FLIGHT RULES. IF THE TEST CANNOT BE ACCOMPLISHED FOR THIS REASON, THE PERSON MAY ADD A TYPE RATING LIMITED TO “VFR ONLY” [ (b)(3)]. Remember there is no provision for taking an initial ATP practical test in an aircraft that would require a VFR limitation. REF.: Order D. <click> AIRPLANE MULTIENGINE LAND L - 300 L B - 707, 720 N-B2 N - B25 VFR ONLY XIII. THIS IS AN ORIGINAL ISSUANCE A REISSUANCE OF THIS GRADE OF CERTIFICATE X DATE OF SUPERSEDED AIRMAN CERTIFICATE BY DIRECTION OF THE ADMINISTRATOR EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO. X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR SW / Wiley E Post DATE DESIGNATION EXPIRES WILEY E. POST FAA FORM (8-79) USE PREVIOUS EDITION

CONDITIONS OF ISSUANCE (8060-4)
XIV. CONDITIONS OF ISSUANCE This is an interim certificate issued subject to the approval of the Federal Aviation Administration pending issuance of a certificate of greater duration. It becomes void- 1. Upon the receipt of a certificate of greater duration to replace it; 2. Upon a finding by the FAA that an error has been made in its issuance; 3. Upon finding by the FAA that is was issued illegally or as the result of fraud or mis- representation; 4. Upon the refusal or failure by the holder to accomplish a flight check by a Flight Standards Inspector if so requested; and 5. In any case, at the expiration of 120 days from the date of issuance. CONDITIONS OF ISSUANCE (8060-4) A DAY TIME LIMIT IS REGULATORY - FAR 61.17 B. DPE MAY NOT “REISSUE” AN EXPIRED (or about to expire) TEMPORARY AIRMAN CERTIFICATE. Unless specifically authorized, an examiner can only issue the original temporary airman certificate. IT WOULD BE A “GOOD” IDEA TO HAVE ALL APPLICANTS READ THESE CONDITIONS WHEN YOU ISSUE A TEMPORARY. LETS LOOK AT SOME TEMPORARY CERTIFICATES! <click>

X Wiley E Post DISAPPROVAL NOTICE / 8060-5 (PRIVATE)
UNITED STATES OF AMERICA NOTE DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION PRESENT THIS FORM NOTICE OF DISAPPROVAL OF APPLICATION UPON APPLICATION FOR REEXAMINATION NAME AND ADDRESS OF APPLICANT CERTIFICATE OR RATING JETHRO LEROY BODINE 3211 RODEO DRIVE BEVERLY HILLS, CA SOUGHT PRIVATE PILOT On the date shown, you failed the examination indicated below: X FLIGHT ORAL PRACTICAL AIRCRAFT USED (Make and Model) FLT. TIME RECORDED IN LOGBOOK DISAPPROVAL NOTICE / (PRIVATE) Prepare NOTICE in duplicate. Applicant gets carbon copy. List all required Areas Of Operation which were unsatisfactorily performed, or not completed. If space permits, list the specific TASK that was performed unsatisfactory. (Specific steps will be covered on next slide.) An applicant for retesting may receive credit for those Areas of Operation satisfactorily completed if retested within 60 days. If more than 60 days have elapsed since the previous test, test on all Areas of Operation! If applicant has lost the Notice of Disapproval, a copy can be obtained from AFS-760 or the Pilot Examiner who conducted the practical test. If applicant has not obtained a copy, he/she must retake the entire practical test. REFERENCE: D. SINCE AUGUST 4, 1997, ANYONE WHO APPLIES FOR A RETEST MUST HAVE AN ENDORSEMENT SHOWING THAT HE/SHE HAS RECEIVED THE NECESSARY TRAINING. (PER FAR 61.49) <click> PILOT-IN-COMM. INSTRUMENT DUAL CESSNA 150 OR SOLO 350 218 630 UPON REAPPLICATION YOU WILL BE REEXAMINED ON THE FOLLOWING: AREAS OF OPERATION - IV, VI, VII, VIII, & X WHILE MANEUVERING AT MINIMUM CONTROLLABLE AIRSPEED THE APPLICANT STALLED UNINTENTIONALLY. I have personally tested this applicant and deem his performance unsatisfactory for the issuance of the certificate or ratting sought DATE OF EXAMINATION SIGNATURE OF EXAMINER OR INSPECTOR Wiley E Post DESIGNATION OR OFFICE NO. WILEY E. POST SW-05-28 FAA Form (4-82)

X Wiley E Post NOTICE OF DISAPPROVAL OF APPLICATION
UNITED STATES OF AMERICA NOTE DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION PRESENT THIS FORM NOTICE OF DISAPPROVAL OF APPLICATION UPON APPLICATION FOR REEXAMINATION NAME AND ADDRESS OF APPLICANT CERTIFICATE OR RATING ARTHUR BANKER DRYSDALE 1023 OSTENTATIOUS WAY BEVERLY HILLS, CA SOUGHT AIRLINE TRANSPORT PILOT On the date shown, you failed the examination indicated below: X FLIGHT ORAL PRACTICAL AIRCRAFT USED (Make and Model) FLT. TIME RECORDED IN LOGBOOK DISAPPROVAL NOTICE / (ATP) 1. Prepare in Duplicate 2. Name & Address (as on application, not superseded pilot certificate!) 3. Cert. or Rating sought 4. Practical 5. Make & Model of Aircraft 6. Flight times as recorded in applicant’s logbook 7. All Areas of Operation that were performed unsatisfactorily or not completed. Applicants other than CFI, specific tasks that were unsatisfactory need not be entered; but if space permits, note the specific deficiencies which caused failure. For CFI applicants, list the specific TASKS that were unsatisfactory as well as the unsatisfactory Areas Of Operation. 8. Date of practical test 9.Sign (in ink) 10.Enter your designation number 11.Applicant gets carbon copy. TEST: Attach TYPED original to certification file. REFERENCE: D. <click> PILOT-IN-COMM. INSTRUMENT DUAL BEECHCRAFT BE - 58 OR SOLO 1400 250 250 UPON REAPPLICATION YOU WILL BE REEXAMINED ON THE FOLLOWING: AREAS OF OPERATION IV, V, VI, VII, VIII APPLICANT PERFORMED STEEP TURNS AT AN ALTITUDE LESS THAN 3000 FEET AGL. I have personally tested this applicant and deem his performance unsatisfactory for the issuance of the certificate or ratting sought DATE OF EXAMINATION SIGNATURE OF EXAMINER OR INSPECTOR Wiley E Post DESIGNATION OR OFFICE NO. WILEY E. POST SW-05-28 FAA Form (4-82)

DISPOSITION OF FILES APPLICANT PRESENTS
Airman Certificate and/or Rating Application for All Practical Tests DISPOSITION OF FILES APPLICANT PRESENTS APPLICATION CHECK FOR ERRORS. CHECK FOR NEATNESS. IF NOT READABLE OR NEAT, HAVE APPLICANT DO IT OVER. ATTACH APPLICATION WITH CFI RECOMMENDATION TO FILE. DO NOT MAKE CHANGES OR CORRECTIONS; HAVE THE APPLICANT DO SO. CHECK IDENTITY WITH PHYSICAL CHARACTERISTICS. <click>

APPLICANT RECEIVES (IF IT’S A PASS) TEMP. AIRMAN CERTIFICATE (copy)
MEDICAL CERTIFICATE LOGBOOK ENDORSEMENT GRADUATION CERTIFICATE <click for SOUND & THE LINE, “IF IT’S A PASS> APPLICANT RECEIVES (WHEN APPROVED) <click> 1. TEMPORARY AIRMAN CERTIFICATE (COPY) <click> 2. MEDICAL CERTIFICATE <click> 3. LOGBOOK ENDORSEMENT <click> 4. GRADUATION CERTIFICATE (IF PRESENTED TO YOU) STRESS: APPLICANT MAY RECEIVE A HANDWRITTEN TEMPORARY CERT., BUT TEST: ORIGINAL TYPED CERTIFICATE TO FSDO IS MANDATORY! (MUST HAVE YOUR SIGNATURE)

IF DISAPPROVED THE APPLICANT RECEIVES.......…
Pilot/Flight Instructor Certificate Medical Certificate Knowledge Test Results Disapproval Notice Logbook Endorsement Graduation Certificate DISPOSITION OF FILES NOTICE OF DISAPPROVAL (PINK SLIP) <click FOR SOUND & THE LINE, “IF DISAPPROVED”> <click> APPLICANT RECEIVES <click> 1. PILOT/FLIGHT INSTRUCTOR CERTIFICATE (THE ONE HE/SHE ARRIVED WITH) <click> 2. MEDICAL CERTIFICATE <click> 3. KNOWLEDGE TEST RESULTS (IF APPLICABLE) <click> 4. NOTICE OF DISAPPROVAL - HANDWRITTEN IS OK, BUT TYPED ORIGINAL TO FSDO IS REQUIRED. <click> 5. LOGBOOK ENDORSEMENT (don’t push this) <click> 6. GRADUATION CERTIFICATE (THE ONE PRESENTED), IF APPLICABLE. <click>

ASI SUBMITS TO AFS-760 1. Completed Application
2. Temporary Airman Certificate or Disapproval Notice (Typed Original) 3. Previous Disapproval Notice 4. Knowledge Test Results (IF PASS) 5. Superseded Airman or Flight Instructor Certificate (IF PASS) DISPOSITION OF FILES EXAMINER SUBMITS TO FSDO 1. COMPLETED, NEAT, CHECKED 2. TEST: TYPED ORIGINAL TEMPORARY AIRMAN CERTIFICATE or NOTICE of DISAPPROVAL 3. PREVIOUS NOTICE OF DISAPPROVAL (IF THERE IS ONE) 4. KNOWLEDGE TEST RESULTS (IF APPLICABLE) 5. SUPERSEDED CERTIFICATE (IF APPLICABLE) <click>

LETTER OF DISCONTINUANCE
Weather, Sickness, Mechanical Difficulty, etc. LETTER OF DISCONTINUANCE <click TO ADD PICTURE & THE SOUND OF BRAKES> A. ISSUE LETTER OF DISCONTINUANCE FOR MECHANICAL, PHYSICAL, OR WEATHER PROBLEMS THAT ARISE DURING THE TEST (if unsatisfactory performance has NOT been observed). SEE D. Even a personality clash! B. MUST LIST ITEMS ACCOMPLISHED. DIFFERS FROM DISAPPROVAL NOTICE. C. RETURN APPLICATION TO APPLICANT ALONG WITH THE LETTER OF DISCONTINUANCE. ALSO RETURN KNOWLEDGE TEST RESULTS AND MEDICAL PLUS ANY OTHER PAPERWORK THAT WAS SUBMITTED. D. EXAMINER SHOULD RETAIN A COPY OF THE LETTER.

FOREIGN BASED CERTIFICATE
61.75 U. S. CERTIFICATE COMBINE FOREIGN BASED CERTIFICATE PROBLEM: EXAMINERS TRY TO COMBINE THE FOREIGN BASED PILOT CERTIFICATE WITH A CLEAR U.S. CERTIFICATE. RESULT: IMPROPER LIMITATIONS ARE USED. FOLLOW 14CFR PART 61 AND TRY TO USE THE PARTS OF THE HANDBOOK THAT APPLY SINCE IT IS OUT OF DATE. ORDER D

Airman Certification Responsibilities
HERE IS THE WEBSITE ADDRESS IN ORDER TO GO TO THE REGISTRY HOME PAGE AGAIN, THIS IS WHERE YOU WILL FIND THE LATEST INFORMATION ON FOREIGN PILOT CERTIFICATION. LET’S SEE WHAT IT LOOKS LIKE. NEXT CLICK ON THE “AIRMAN CERTIFICATION”. Airman Certification Responsibilities

Verify the Authenticity of a Foreign License, Rating, or Medical
Certification ON THE BOTTOM OF THE NEXT PAGE, IF YOU WANT TO SEE THE VERIFICATION OF AUTHENTICITY FORM CLICK AGAIN TO VIEW THE NEXT PAGE.

CLICK TWICE & READ THE SLIDE
CONTINUE TO CHECK FAA ORDER , WITH AFS-760’s WEB SITE, TSA AND THE DOJ FOR NEW GUIDANCE REGARDING FLIGHT TRAINING AND CERTIFICATION OF FOREIGN PILOTS CLICK TWICE & READ THE SLIDE

CO’S MUST SEND PAPERWORK TO FSDO WITHIN WORKING 5 DAYS!
SEND PAPERWORK TO FSDO WITHIN 5 DAYS! DAYS - NOT WORKING DAYS!!!! CO’S MUST SEND PAPERWORK TO FSDO WITHIN WORKING 5 DAYS!

ANY QUESTIONS SUMMARIZE IF TIME PERMITS ------
1. DRUGS? REFER TO D AND FAR 2. RETURN APPLICATION, KNOWLEDGE TEST RESULTS, ETC. WITH LETTER OF DISCONTINUANCE. 3. STUDENT PILOTS & MEDICALS - GLIDERS & BALLOONS MED. N/A AIRPLANES/ROTORCRAFT/POWERED LIFT, AND AIRSHIP - NEED MEDICAL 4. REC PILOT NEEDS LIMITATION - HOLDER DOES NOT MEET ICAO REQ. 5. PRIVATE PILOT - AIRPLANE & ROTORCRAFT - 3HRS. NIGHT INSTRUCTION INC. 10 T.O. & LDGS. OVER 100 NM - OVER 50 NM 6. PRIVATE PILOT - AIRPLANE - NEEDS AT LEAST 3 HOURS OF FLIGHT TRAINING IN A SINGLE ENGINE AIRPLANE ON THE CONTROL AND MANEUVERING OF AN AIRPLANE SOLELY BY REFERENCE TO INSTRUMENTS 7. COMMERCIAL AIRPLANE- RESTRICTION WITH NO INSTRUMENT RATING (XC OVER 50 NM AND NIGHT FLIGHT) 8. ATP - CHECK FLIGHT TIME! 9. TEST TO REMOVE INSTRUMENT RESTRICTION FOR MULTIENGINE - INSTRUMENT PTS! 10. KNOWLEDGE TESTS: POWER TO POWER, POWER TO NON-POWER 11. CFI MUST PROVIDE “NECESSARY TRAINING” FOR ANY RETEST. 12. IF APPLICANT IS NOT HAPPY WITH PRACTICAL TEST RESULTS, SEND HIM/HER TO FSDO. <click>

FILES APPROVED PROGRAM MANAGER FEBRUARY 10, 2005

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FILES APPROVED PROGRAM MANAGER FEBRUARY 10, 2005

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