Aircraft Type Rating Extension Form
Aircraft Type Rating Extension Form
Aircraft Type Rating Extension Form
1.NAME
2.MAILING ADDRESS
3.CATEGORY OF LICENCE(S)
4. DETAILS OF LICENCE(S)
LICENCE NAME
CLASS OF LICENCE(S)
LICENCE NUMBER
LICENCE VALIDITY
AIRCRAFT SERIES
9.(A). SIMULATOR
TYPE
FLIGHT
TRAINING
DEVICE ( FTD)
FIXED BASE
SIMULATOR
(FBS)
FREE FLIGHT
SIMULATOR
(FFS)
SIMULATOR
CHECK RIDE
CIRCUITS &
LANDINGS
TRAINING DETAILS
PNF(HRS)
PF(HRS)
TOTAL(HRS)
DATE
BRANCH
AMOUNT(RS)
14. AUTHORISATION FOR DEBITING THE OPERATORS REVOLVING DEPOSIT BY FEE AMOUNT,
IF APPLICABLE, UNDER STAMP AND SIGNATURE OF AUTHORISED SIGNATORY
DECLARATION
CERTIFIED THAT ALL ENTRIES MADE HEREIN ARE TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND BELIEF AND THAT NO MATERIAL INFORMATION HAS BEEN
SURPRESSED OR WITHHELD BY ME. IN THE EVENT OF ANY INFORMATION BEING FOUND FALSE
OR INCORRECT, I HOLD MYSELF LIABLE TO BE PROCEEDED AGAINST, AS APPLICABLE.
PLACE:
DATE :
LIST OF ENCLOSURES
SIGNATURE OF APPLICANT