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ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)]
TOTALS BROUGHT FORWARD
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR CO- PILOT ,
AIRCRAFT PILOT IN REMARKS
STU DEN T O R
COMMAND
MONTH DATE MAKE/MODEL REGISTRATION PAS SE NG ER ROUTE, EXERCISE, MISSION OR OTHER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
YEAR CO- PILOT ,
AIRCRAFT PILOT IN REMARKS
2007 STU DEN T O R
COMMAND
MONTH DATE MAKE/MODEL REGISTRATION PAS SE NG ER ROUTE, EXERCISE, MISSION OR OTHER
ALL TIME AND ENTRIES ON THIS PAGE ARE CERTIFIED CORRECT. GRAND TOTAL PAGE TOTALS
[COLUMNS (1) TO (10)] TOTALS BROUGHT FORWARD
(SIGNATURE OF PILOT IN COMMAND) DATE 0 Hrs 0 Mins TOTALS TO DATE
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
0.0 0.0
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFT TAKE-OFFS &
CROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHT LANDINGS
DUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT # IFR
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Approaches Float Instr.
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
SINGLE ENGINE AIRCRAFT MULTI-ENGINE AIRCRAFT TAKE-OFFS &
CROSS COUNTRY INSTRUMENT
DAY NIGHT DAY NIGHT LANDINGS
DUAL P.I.C. DUAL P.I.C. DUAL P.I.C. CO-PILOT DUAL P.I.C. CO-PILOT # IFR
DUAL P.I.C. NIGHT DAY NIGHT ACTUAL HOOD SIM. Approaches Float
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED ->
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR PILOT TRAINING TIME INSTRUMENT CROSS-COUNTRY
AIRCRAFT
IN COMMAND
2003 DAY NIGHT
DUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR PILOT TRAINING TIME INSTRUMENT CROSS-COUNTRY
AIRCRAFT
IN COMMAND
2004 DAY NIGHT
DUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR PILOT TRAINING TIME INSTRUMENT CROSS-COUNTRY
AIRCRAFT
IN COMMAND
2004 DAY NIGHT
DUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR PILOT TRAINING TIME INSTRUMENT CROSS-COUNTRY
AIRCRAFT
IN COMMAND
2004 DAY NIGHT
DUAL SIMUL.
DAY NIGHT
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
L.P. YEAR PILOT TRAINING TIME INSTRUMENT CROSS-COUNTRY
AIRCRAFT
2004 IN COMMAND DAY NIGHT DAY NIGHT
DUAL SIMUL.
MONTH DAY TYPE REGISTRATION NAME DUAL PIC DUAL PIC DUAL PIC DUAL PIC
GRAND PAGE TOTALS -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
GRAND TOTAL INCLUDES
COLUMNS 1 TO 4 TOTAL TOTALS FORWARDED -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
0.0 <- TOTALS TO DATE -> 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
OSS-COUNTRY
OSS-COUNTRY
FROM
FROM
EXERCISE
EXERCISE
COVERED ON
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RECORD EACH
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TO
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ROUTE OF FLIGHT
ROUTE OF FLIGHT
TAXIING TAXIING
T & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT
(SIGNATURE)
(SIGNATURE)
G CLIMBING CLIMBING
STALL STALL
SPIN SPIN
DATE
DATE
SPIRAL SPIRAL
SIDESLIP SIDESLIP
NORMAL NORMAL
SHORT/MINIMUM SHORT/MINIMUM
SOFT/ROUGH SOFT/ROUGH
TAKE-OFF
TAKE-OFF
TAKE-OFF
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
CIRCUIT CIRCUIT
(SIGNATURE)
(SIGNATURE)
NORMAL NORMAL
SHORT SHORT
SOFT/ROUGH SOFT/ROUGH
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
S ILLUSIONS ILLUSIONS
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE
DIVERSIONS DIVERSIONS
NAVIGATION
NAVIGATION
NAVIGATION
PREP
PREP
DUAL
DUAL
INSTRUMENT
INSTRUMENT
INSTRUMENT
LEGEND
LEGEND
SOLO
SOLO
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EXERCISE
EXERCISE
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ROUTE OF FLIGHT
ROUTE OF FLIGHT
AIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT
(SIGNATURE)
(SIGNATURE)
BING CLIMBING CLIMBING
L STALL STALL
SPIN SPIN
DATE
DATE
AL SPIRAL SPIRAL
NORMAL NORMAL
SHORT/MINIMUM SHORT/MINIMUM
SOFT/ROUGH SOFT/ROUGH
TAKE-OFF
TAKE-OFF
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
(SIGNATURE)
(SIGNATURE)
NORMAL NORMAL
SHORT SHORT
SOFT/ROUGH SOFT/ROUGH
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
DIVERSIONS DIVERSIONS
NAVIGATION
NAVIGATION
PREP
PREP
DUAL
DUAL
INSTRUMENT
INSTRUMENT
LEGEND
LEGEND
SOLO
SOLO
FROM
FROM
EXERCISE
EXERCISE
COVERED ON
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RECORD EACH
RECORD EACH
TO
TO
OPPOSITE PAGE
OPPOSITE PAGE
ROUTE OF FLIGHT
ROUTE OF FLIGHT
AIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT
(SIGNATURE)
(SIGNATURE)
BING CLIMBING CLIMBING
L STALL STALL
SPIN SPIN
DATE
DATE
AL SPIRAL SPIRAL
NORMAL NORMAL
SHORT/MINIMUM SHORT/MINIMUM
SOFT/ROUGH SOFT/ROUGH
TAKE-OFF
TAKE-OFF
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
(SIGNATURE)
(SIGNATURE)
NORMAL NORMAL
SHORT SHORT
SOFT/ROUGH SOFT/ROUGH
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
DIVERSIONS DIVERSIONS
NAVIGATION
NAVIGATION
PREP
PREP
DUAL
DUAL
INSTRUMENT
INSTRUMENT
LEGEND
LEGEND
SOLO
SOLO
FROM
FROM
EXERCISE
EXERCISE
COVERED ON
COVERED ON
RECORD EACH
RECORD EACH
TO
TO
OPPOSITE PAGE
OPPOSITE PAGE
ROUTE OF FLIGHT
ROUTE OF FLIGHT
AIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT
(SIGNATURE)
(SIGNATURE)
BING CLIMBING CLIMBING
L STALL STALL
SPIN SPIN
DATE
DATE
AL SPIRAL SPIRAL
NORMAL NORMAL
SHORT/MINIMUM SHORT/MINIMUM
SOFT/ROUGH SOFT/ROUGH
TAKE-OFF
TAKE-OFF
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
(SIGNATURE)
(SIGNATURE)
NORMAL NORMAL
SHORT SHORT
SOFT/ROUGH SOFT/ROUGH
OBSTACLE OBSTACLE
CROSSWIND CROSSWIND
DIVERSIONS DIVERSIONS
NAVIGATION
NAVIGATION
PREP
PREP
DUAL
DUAL
INSTRUMENT
INSTRUMENT
LEGEND
LEGEND
SOLO
SOLO
FROM
FROM
EXERCISE
EXERCISE
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RECORD EACH
RECORD EACH
TO
TO
OPPOSITE PAGE
OPPOSITE PAGE
ROUTE OF FLIGHT
ROUTE OF FLIGHT
STRAIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT STRAIGHT & LEVEL FLIGHT
(SIGNATURE)
(SIGNATURE)
CLIMBING CLIMBING CLIMBING
DATE
DATE
TAKE-OFF
TAKE-OFF
(SIGNATURE)
(SIGNATURE)
PREP
PREP
DUAL
DUAL
INSTRUMENT
INSTRUMENT
LEGEND
LEGEND
SOLO
SOLO
FROM
EXERCISE
COVERED ON
RECORD EACH
TO
OPPOSITE PAGE
ROUTE OF FLIGHT
FAMILIARIZATION
PREPARATION FOR
ANCILLARY CONTR
TAXIING
(SIGNATURE)
CLIMBING
DESCENDING
TURNS/STEEP TUR
SLOW FLIGHT
STALL
SPIN
DATE
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CFI OR DELEGATE
SPIRAL
SIDESLIP
NORMAL
SHORT/MINIMUM
SOFT/ROUGH
OBSTACLE
CROSSWIND
CIRCUIT
(SIGNATURE)
NORMAL
SHORT
SOFT/ROUGH
OBSTACLE
CROSSWIND
ILLUSIONS
ENTRIES ON THIS PAGE CERTIFIED CORRECT - CANDIDATE
PRECAUTIONARY
DATE
FORCED LANDING
DEPARTURE PRO
ENROUTE PRO
DIVERSIONS
FULL PANEL
P
PREP
LIMITED PANEL
UNUSUAL ATTITUD
D
DUAL
LEGEND
RADIO AIDS
EMERGENCY PRO
S
SOLO
RADIO COMMUNICA
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