CIVIL AVIATION AUTHORITY

PILOT’S LOG BOOK CERTIFICATE C AAF - 02 5- L C X X- 1 . 0

Personnel Li censi ng Directorate

Ref:

Certified that I have checked the pilot’s Log Book of Ms.

holder of No. and found it to be properly maintained.
The summary extract appended below is correct the best of my knowledge and belief.

a) LAST SIX MONTHS DAY NIGHT

TOTAL
Multi Engine Aircraft (Type) P-1 P-2 P-3 P-1 P-2 P-3
1.
2.
3.
4.
LAST SIX MONTHS DAY NIGHT
TOTAL
Single Engine Aircraft (Type) P-1 P-2 P-3 P-1 P-2 P-3
1.
2.
3.
4.
TOTAL
UPTO DATE

Last 6 Months Up to date

b) INSTRUMENT FLYING Dual Dual
Sim Act Sim Act
Instruction Instruction

c) SIMULATOR / LINK
Fixed Rotary Fixed Rotary
d) INSTRUMENT FLYING

P-1 (u/s) Mutual P-1 (u/s) Mutual

e) AFI PATTER TRAINING

f) CROSS COUNTRY (UPTO DATE) Day P-1 P3 Night P-1 P3

g) TRIANGULAR CROSS COUNTRY Date Duration

h) Date last flown Route

SIGNATURE OF APPLICANT (NAME & SIGNATURE OF CFI / CP

Date Date