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FILES! Processing Pilot & Flight Instructor Certification Files

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Page 1: FILES! Processing Pilot & Flight Instructor Certification Files

FILES!

Page 2: FILES! Processing Pilot & Flight Instructor Certification Files

Processing Pilot &Flight Instructor Certification Files

Page 3: FILES! Processing Pilot & Flight Instructor Certification Files

OBJECTIVE:

PILOT EXAMINERS WILL BE ABLE TO DEMONSTRATE THEIR ABILITY TO ACCURATELY PROCESS THE AIRMAN APPLICATION (4-00)

Page 4: FILES! Processing Pilot & Flight Instructor Certification Files

A File return rate greater than 10 percent is

UNACCEPTABLE!!!

Page 5: FILES! Processing Pilot & Flight Instructor Certification Files

FAA FORM 8710-1

4-00

NumberofFreeFlights

agree that they are to be considered as part of the basis for issuance of any FAA certificate to me. I have read and understand the Privacy Act statement that accompanies this form.

TYPE OR PRINT ALL ENTRIES IN INK Form Approved OMB No: 2120-0021

Airman Certificate and/or Rating ApplicationDEPARTMENT OF TRANSPORTATIONFEDERAL AVIATION ADMINISTRATION

I Application Information Student Private Commercial Instrument

Other ___________________

Additional Rating Rotorcraft

Reexamination

Additional Instructor Rating

Reissuance of ____________CertificateMedical Flight Test

Powered-LiftBalloonAirplane MultiengineAirplane Single-Engine

Ground InstructorFlight 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

Q. Do you hold a Medical Certificate?

Yes

No

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? NoYes

C. Date of BirthMonth 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? Yes No

L. SexMaleFemale

P. Date Issued

V. Date of Final Conviction

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) 2a. Total time in this aircraft/SIM/FTD

1. Service 2. Date Rated

4a. Flown 10 hours as pilot in command in last 12 months in the following Military Aircraft.

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

hours

3. Rank or Grade and Service Number

1a. Certificate Number

3. Date

3. Number

E. Completion of AirCarrier’s ApprovedTraining Program

1. Name of Air Carrier 2. Date 3. Which Curriculum

Initial Upgrade Transition

Instrument Cross Country PIC

CrossCountrySolo

NightInstr.Rec’d

Night Take-off/Landing

Night PIC

Night Takeoff/ Landing PIC

Number of Flights

Number ofAero-tows

Number of Ground Launches

Number of Powered Launches

Cross Country Instruction Received

Pilot in Comand (PIC)

Total Instruction Received

III Record of Pilot time ( Do not write in the shaded areas. )

Airplanes

Rotorcraft

Powered Lift

Gliders

Lighter Than Air Simulator

IV. Have you failed a test for this certificate or rating ? Yes No

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 knowledgeand 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 statementthat accompanies this form.

Signature of Applicant Date

TrainingDevice

PCATD

FAA Form 8710-1 (4-00) Supersedes Previous Edition NSN: 0052-00-682-5007

Airship Glider

4b. US Military PIC & Instrument check in last 12 months (List Aircraft.

S o l o

PIC SIC PIC SIC PIC SIC

PIC SIC PIC SIC PIC SIC

PIC SIC PIC SIC PIC SIC

PIC SIC PIC SIC PIC SIC

Page 6: FILES! Processing Pilot & Flight Instructor Certification Files

APPLICATION INFORMATION

TYPE OR PRINT ALL ENTRIES IN INK Form Approved OMB No: 2120-0021

Airman Certificate and/or Rating ApplicationDEPARTMENT OF TRANSPORTATION

FEDERAL AVIATION ADMINISTRATION

I Application Information Student Private Commercial Instrument

Other _______________________

Additional Rating Rotorcraft

Reexamination

Additional Instructor Rating

Reissuance of _______________CertificateMedical Flight Test

Powered LiftGliderAirplane MultiengineAirplane Single-Engine

Ground InstructorFlight Instructor ____ Initial _____ Renewal ____ Reinstatement

Recreational Airline Transport

AirshipBalloon

Lighter Than AirAircraft

Page 7: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

PERSONAL INFORMATION AND

IDENTIFICATION DATA

W

Page 8: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

A. Name

A. Name (Last, First, Middle)•Legal name -- Maximum 3 names•No Middle Name -- “NMN”• Middle Initial Only -- “ Initial Only”• Jr. , II, etc. -- Indicate

A. Name (Last, First, Middle)

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 9: FILES! Processing Pilot & Flight Instructor Certification Files

A. Name (Last, First, Middle)

E. Address

City, State, Zip Code

M. Do you now hold, or have you ever held an FAA Pilot Certificate?

Yes No

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

PERSONAL INFORMATION AND

IDENTIFICATION DATA

B. SSN (US Only)

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. SSN (US Only)

Page 10: FILES! Processing Pilot & Flight Instructor Certification Files

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.

HOWEVERALL 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)

Page 11: FILES! Processing Pilot & Flight Instructor Certification Files

NEW AIRMAN CERTIFICATE(FRONT)

Page 12: FILES! Processing Pilot & Flight Instructor Certification Files

NEW AIRMAN CERTIFICATE(BACK)

Page 13: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

PERSONAL INFORMATION AND

IDENTIFICATION DATA

C. Date of Birth Month Day Year

C. DATE OF BIRTH • EIGHT DIGITS • MONTH FIRST • AGREES WITH OTHER DOCUMENTS

Page 14: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth Day Year

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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

D. Place of Birth

D. Place of Birth

• CITY & STATE• COUNTY & STATE IF CITY IS UNKNOWN• CITY & COUNTRY IF OUTSIDE THE USA

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 15: FILES! Processing Pilot & Flight Instructor Certification Files

A. Name (Last, First, Middle) B . SSN (US Only)

E. Address (Please See Instructions Before Completing)

City, State, Zip Code

M. Do you now hold, or have you ever held an FAA Pilot Certificate?

Yes No

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

E. Address

City, State, Zip Code

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.

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 16: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

U. Have you ever been convicted for violation of any Federal or State statutes pertaining to narcotic drugs, marijuana, or depressant

NoYes

Signature

C. Date of BirthMonth Day Year

D. Place of Birth

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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Other____________USA

F. Citizenship Specify

F. Citizenship

• USA CHECKED OR•CHECK OTHER & SHOW•COUNTRY OF CITIZENSHIP

Page 17: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth 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

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

Yes No

G. Do you read, speak, write & understand the English Language?

G. Do you read, speak, write, & understand the English Language?

• MAKE SURE EITHER “YES” OR “NO” HAS BEEN MARKED• THE APPLICANT’S OPINION

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 18: FILES! Processing Pilot & Flight Instructor Certification Files

PERSONAL INFORMATION AND

IDENTIFICATION DATA

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth Day Year

D. Place of Birth

F. Citizenship Specify

USA Other____________

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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

H. Height

H. Height

• WHOLE INCHES• CONVERT FROM METERS, ETC.

Page 19: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth Day Year

D. Place of Birth

F. Citizenship Specify

USA Other____________

H. Height 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

I. Weight

I. Weight

• WHOLE POUNDS• CONVERT WHEN NECESSARY

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 20: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

PERSONAL INFORMATION AND

IDENTIFICATION DATA

J. Hair

J. Hair

• SPELLED OUT• BLACK, RED, BROWN, BLOND, GRAY, or BALD

Page 21: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

K. Eyes

K. Eyes• SPELLED OUT• BLUE, BROWN, BLACK, HAZEL, GREEN, or GRAY

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 22: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

PERSONAL INFORMATION AND

IDENTIFICATION DATA

L. Sex

Male

Female

L. Sex

• MAKE SURE AN ANSWER IS MARKED

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 23: FILES! Processing Pilot & Flight Instructor Certification Files

A. Name (Last, First, Middle) B . SSN (US Only)

E. Address

City, State, Zip Code

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

PERSONAL INFORMATION AND

IDENTIFICATION DATA

M. Do you now hold, or have you ever held an FAA Pilot Certificate?

Yes No

M. Do you now hold, or have you ever held an FAA Pilot Certificate?

• ANSWER IS “NO” IF APPLICATION IS ON BASIS OF FOREIGN LICENSE OR MILITARY COMPETENCE.

Page 24: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth 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

O. Certificate Number

G. Do you read, speak, write & understand the English Language?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

N. Grade Pilot Certificate

N. Grade Pilot Certificate

STUDENT, RECREATIONAL, PRIVATE, COMMERCIAL, OR ATP

NOT FLIGHT INSTRUCTOR

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Page 25: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth 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

G. Do you read, speak, write & understand the English Language?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

X. Date

PERSONAL INFORMATION AND

IDENTIFICATION DATA

O. Certificate Number

• COMPARE WITH THE APPLICANT’S CERTIFICATE.

O. Certificate Number

Page 26: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

V. Date of Final Conviction

PERSONAL INFORMATION AND

IDENTIFICATION DATA

P. Date Issued

P. Date Issued

• AS SHOWN ON THE CERTIFICATE.

Page 27: FILES! Processing Pilot & Flight Instructor Certification Files

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

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

PERSONAL INFORMATION AND

IDENTIFICATION DATA

Q. Do you hold a Medical Certificate?

Yes

No

Q. Do you hold a Medical Certificate?

• ASSURE THAT AN ANSWER IS MARKED.

Page 28: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

Medical Statement: I have no known physical defect which makes me unable to pilot a glider or free balloon

Signature

C. Date of BirthMonth Day Year

D. Place of Birth

F. Citizenship Specify

USA Other____________

H. Height I. Weight J. Hair K. Eyes

S. Date Issued T. Name of Examiner

N. Grade Pilot Certificate O. Certificate Number

G. Do you read, speak, write & understand the English Language?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

PERSONAL INFORMATION AND

IDENTIFICATION DATA

R. Class of Certificate

R. Class of Certificate

• ENTRY MUST BE CLASS SHOWN ON CERTIFICATE (FIRST/1st, SECOND/ 2nd, or THIRD/3rd)

Page 29: FILES! Processing Pilot & Flight Instructor Certification Files

Minimum Medical Certificate Class

1. Glider or Balloon - None2. Recreational Pilot - Third3. Private Pilot - Third4. Commercial Pilot - Third

(cont)

Page 30: FILES! Processing Pilot & Flight Instructor Certification Files

Minimum Medical Certificate Class

5.Airline Transport Pilot - Third6. Instrument Rating - Third7. Additional Category/Class - Third8. Flight Instructor - None?

Page 31: FILES! Processing Pilot & Flight Instructor Certification Files

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

Q. Do you hold a Medical Certificate?

Yes

No

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?

NoYes

C. Date of BirthMonth Day Year

D. Place of Birth

F. Citizenship Specify

USA Other____________

H. Height I. Weight J. Hair K. Eyes

R. Class of Certificate

N. Grade Pilot Certificate O. Certificate Number

G. Do you read, speak, write & understand the English Language?

Yes No

L. Sex

Male

Female

P. Date Issued

V. Date of Final Conviction

PERSONAL INFORMATION AND

IDENTIFICATION DATA

S. Date Issued T. Name of Examiner

S. Date Issued T. Name of Examiner

• MAKE SURE ENTRIES MATCH CERTIFICATE

Page 32: FILES! Processing Pilot & Flight Instructor Certification Files

A. Name (Last, First, Middle) B . SSN (US Only)

E. Address (Please See Instructions Before Completing)

City, State, Zip Code

M. Do you now hold, or have you ever held an FAA Pilot Certificate?

Yes No

Q. Do you hold a Medical Certificate?

Yes

No

C. Date of BirthMonth 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?

Yes No

L. Sex

Male

Female

P. Date Issued

PERSONAL INFORMATION AND

IDENTIFICATION DATA

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?

Yes No

U. Have you ever been convicted ... ?

• NOT ALCOHOL RELATED• ASSURE THAT EITHER YES OR NO HAS BEEN MARKED.• DATE OF FINAL CONVICTION.

V. Date of Final Conviction

V. Date ...

Page 33: FILES! Processing Pilot & Flight Instructor Certification Files

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

hours

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

CERTIFICATE OR RATINGAPPLIED FOR ON BASIS OF:

4b. US Military PIC & Instrument check in last 12 months(List Aircraft)

2a. Total time in this aircraft / SIM / FTD

Page 34: FILES! Processing Pilot & Flight Instructor Certification Files

III RECORD OF PILOT TIME

Instrument Cross Country PIC

Cross CountrySolo

Night Instruction Received

Night Take-off/Landing

Night PIC Night

Takeoff/ Landing PIC

Number of Flights

Number ofAero-Tows

Number ofGround

Launches

Number of Powered Launches

Cross CountryInstructionReceived

Pilot in

Command(PIC)

SoloInstruction Received

Total

III Record of Pilot time (Do not write in the shaded areas.)

Airplane

Lighterthan Air

Rotor-craft

IV. Have you failed a test for this certificate or rating ? Yes No

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 knowledgeand 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 statementthat accompanies this form. Signature of Applicant

FAA Form 8710-1 (4-00) Supersedes Previous Edition NSN: 0052-00-682-5007

Date

TrainingDevice

Simulator

PIC

PIC

PIC

SIC

SIC

SIC

PIC

PIC

PIC

SIC

SIC

SIC

PIC

PIC

PIC

SIC

SIC

SIC

PIC

PIC

PIC

SIC

SIC

SIC

Gliders

PoweredLift

PCATD

Page 35: FILES! Processing Pilot & Flight Instructor Certification Files

CHECK FLIGHT TIME!

Page 36: FILES! Processing Pilot & Flight Instructor Certification Files

CHECK FLIGHT TIME!

Page 37: FILES! Processing Pilot & Flight Instructor Certification Files

Let’s not forget IV and V!I

DON’T

FORGET!

Page 38: FILES! Processing Pilot & Flight Instructor Certification Files

Instructor’s RecommendationI have personally instructed the applicant and consider this person ready to take the test.

Date Certificate No: Certificate Expires

INSTRUCTOR’SRECOMMENDATION

Instructor’s Signature (Print Name & Sign)

Page 39: FILES! Processing Pilot & Flight Instructor Certification Files

DESIGNATED EXAMINER’S 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 requirementsof 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 TestGround 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 Date

Simulator/FTD

Advanced Qualification Program

Designated Examiner or Airman Certification Representative Report

Signature and Certificate Number

Examiner’s Signature (Print Name & Sign)

Page 40: FILES! Processing Pilot & Flight Instructor Certification Files

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 requirementsof 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 TestGround Flight

Designation No. Designation Expires

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

DESIGNATED EXAMINER’S REPORT

Designated Examiner or Airman Certification Representative Report

Evaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Examiner’s Signature (Print Name & Sign)

Signature and Certificate Number

Simulator/FTD

Page 41: FILES! Processing Pilot & Flight Instructor Certification Files

Student Pilot Certificate Issued ( Copy attached )

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 TestGround Flight

Designation No. Designation Expires

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

‘I have personally reviewed … and certify…meets…requirements for FAR 61

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

Designated Examiner or Airman Certification Representative Report

Simulator/FTD

Examiner’s Signature (Print Name & Sign)

Signature and Certificate NumberEvaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Page 42: FILES! Processing Pilot & Flight Instructor Certification Files

Student Pilot Certificate Issued ( Copy attached )

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 TestGround Flight

Designation No.

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

Designated Examiner or Airman Certification Representative Report

Simulator/FTD

Examiner’s Signature (Print Name & Sign)

Signature and Certificate NumberEvaluator’s Record (Use For ATP Certificate and/or Type Ratings)

“I have personally tested...in accordance with...procedures and standards...”

Designation Expires

Page 43: FILES! Processing Pilot & Flight Instructor Certification Files

“Location of Test (Facility, City, State”Facility=Airport Name

Student Pilot Certificate Issued ( Copy attached )

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 )

Certificate or Rating for Which Tested

Date

Type(s) of Aircraft Used

Certificate No.

Registration No.(s)

Duration of TestGround Flight

Designation No.

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

Designated Examiner or Airman Certification Representative Report

Simulator/FTD

Examiner’s Signature (Print Name & Sign)

Signature and Certificate NumberEvaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Location of Test ( Facility, City, State )

Designation Expires

Page 44: FILES! Processing Pilot & Flight Instructor Certification Files

“Test Duration (Gnd / Sim/FTD / Aircraft), Cert or Rating, Type Aircraft, N#!

Student Pilot Certificate Issued ( Copy attached )

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)

Designation No.

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

Designated Examiner or Airman Certification Representative Report

Simulator/FTD

Examiner’s Signature (Print Name & Sign)

Signature and Certificate NumberEvaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Duration of TestGround Flight

Designation Expires

Page 45: FILES! Processing Pilot & Flight Instructor Certification Files

BE COMPLETE AND EXACT IN THETYPE OF TEST GIVEN

Student Pilot Certificate Issued ( Copy attached )

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 )

Date Certificate No.

Duration of TestGround Flight

Designation No.

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

Designated Examiner or Airman Certification Representative Report

Simulator/FTD

Examiner’s Signature (Print Name & Sign)

Signature and Certificate NumberEvaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Certificate or Rating for Which Tested Type(s) of Aircraft Used Registration No.(s)

Designation Expires

Page 46: FILES! Processing Pilot & Flight Instructor Certification Files

“Date” -- This is ALWAYS the date of completion of the Practical Test!

Student Pilot Certificate Issued ( Copy attached )

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 ) Duration of TestGround Flight

OralApproved Simulator /Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Advanced Qualification Program

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

Designated Examiner or Airman Certification Representative Report

Simulator/FTD

Signature and Certificate NumberEvaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Certificate or Rating for Which Tested Type(s) of Aircraft Used Registration No.(s)

Date Certificate No. Designation No.Examiner’s Signature (Print Name & Sign) Designation Expires

Page 47: FILES! Processing Pilot & Flight Instructor Certification Files

ATP/TYPE RATING - COMPLETE BOTH SECTIONS

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 requirementsof 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 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 Examiner’s Signature (Print Name & Sign)

Type(s) of Aircraft Used

Certificate No.

Registration No.(s)

Duration of TestGround 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 Signature and Certificate Number Date

Simulator/FTD

Advanced Qualification Program

Designated Examiner or Airman Certification Representative Report

Page 48: FILES! Processing Pilot & Flight Instructor Certification Files

INSPECTOR’S SIGNATURE

ORIGINAL CFI APPLICATIONS

Page 49: FILES! Processing Pilot & Flight Instructor Certification Files

Student Pilot Certificate ( copy )

Knowledge Test Report

Temporary Airman Certificate

Airman’s Identification ( ID ) ID:Name:

Date of Birth:

Certificate Number:

E-mail Address

Attachments:

X

X

PENNSYLVANIA DRIVER’S LICENSE

271346273

12-13-2000

ATTACHMENTS

Notice of Disapproval

Superseded Airman Certificate

X

Form of ID

Number

Expiration Date

X Telephone Number940-484-9082

FAA Form 8710-1 (4-00) Supersedes Previous Edition NSN: 0052-00-682-5007 U.S.GPO:2000 520-137/95006

Page 50: FILES! Processing Pilot & Flight Instructor Certification Files

05-15-2000 05-31-2002

1. PASSENGER CARRYING IS PROHIBITED

CERTIFICATE NO.

ZZ-174727UNITED STATES OF AMERICA

DEPARTMENT OF TRANSPORTATIONFEDERAL AVIATION ADMINISTRATION

STUDENT PILOT CERTIFICATETHIS CERTIFIES THAT ( Full name and address )

ZIP CODE

BIRTH DATE HEIGHT

IN

WEIGHT HAIR EYES SEX

Has met the standards prescribed in Part 61 of the Fed-eral Aviation Regulations for a Student Pilot Certificate.

ISSUANCE DATE EXPIRATION DATE

SIGNATURE OF EXAMINER OR INSPECTOR EXAM. DESIG. NO. OR INSPECTOR’S

REG. NO.

DATE EXAMINER’S DESIG. EXPIRES:

STUDENT PILOT’SSIGNATURE

FAA Form 8710-2 (2-77) FORMERLY FAA FORM 8420-1

JETHRO BODINE3211 RODEO DRIVEBEVERLY HILLS, CA 96002

WILEY E. POST SW-05-28

03-31-2001

Jethro Bodine

07-16-1950 76 200 BLACK BLUE M

Wiley E Post

Page 51: FILES! Processing Pilot & Flight Instructor Certification Files

I. UNITED STATES OF AMERICADEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

TEMPORARY AIRMAN CERTIFICATEii .

III. CERTIFICATE NO.

THIS CERTIFIES THAT IV.

V.

DATE OF BIRTH HEIGHT

IN.

WEIGHT HAIR EYES SEX NATIONALITY VI.

IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuanceon the reverse of this certificate to exercise the privileges of

RATINGS AND LIMITATIONS

XII .

XIII .

THIS IS AN ORIGINAL ISSUANCE A REISSUANCEOF THIS GRADE OF CERTIFICATE

DATE OF SUPERSEDED AIRMAN CERTIFICATE

X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR

EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO.

DATE DESIGNATION EXPIRES

USE PREVIOUS EDITIONFAA FORM 8060-4 (8-79)

BY DIRECTION OF THE ADMINISTRATOR

284439812

ELAINE SUSAN OLEKSA419 SECOND STREETLOWELL, CT 01610

09-03-1946 68 126 BROWN BLUE F USA

07-16-1998

06-20-2000 WILEY E. POST 03-31-2001

RECREATIONAL PILOT

ROTORCRAFT - GYROPLANE

X

HOLDER DOES NOT MEET ICAO REQUIREMENTS

Wiley E PostSW-05-28 / 255124567

Page 52: FILES! Processing Pilot & Flight Instructor Certification Files

I. UNITED STATES OF AMERICADEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

TEMPORARY AIRMAN CERTIFICATEii .

III. CERTIFICATE NO.

THIS CERTIFIES THAT IV.

V.

DATE OF BIRTH HEIGHT

IN.

WEIGHT HAIR EYES SEX NATIONALITY VI.

IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuanceon the reverse of this certificate to exercise the privileges of

RATINGS AND LIMITATIONS

XII .

XIII .

THIS IS AN ORIGINAL ISSUANCE A REISSUANCEOF THIS GRADE OF CERTIFICATE

DATE OF SUPERSEDED AIRMAN CERTIFICATE

X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR

EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO.

DATE DESIGNATION EXPIRES

USE PREVIOUS EDITIONFAA FORM 8060-4 (8-79)

BY DIRECTION OF THE ADMINISTRATOR

173239702

LOIS ANN GARNER123 NORTH SECOND STREETKIDD, PA 16236

07-27-1960 70 135 BROWN BROWN F USA

07-16-1997

03-31-2001

SW-05-28

PRIVATE PILOT

AIRPLANE SINGLE ENGINE LAND

X

RECREATIONAL PRIVILEGESROTORCRAFT - HELICOPTER

06-11-2000 WILEY E. POSTWiley E Post

2234167

Page 53: FILES! Processing Pilot & Flight Instructor Certification Files

61.75U. S. CERTIFICATE

COMBINE

FOREIGN BASED CERTIFICATE

Page 54: FILES! Processing Pilot & Flight Instructor Certification Files

Home Site Map DOT AskSearch

About The Registry

Aircraft Registration

Airmen Certification

FAQ

Home

Search

Site Map

UsefulLinks

Registry

The Federal Aviation Administration’s (FAA’s) Civil Registration (AFS-700) is responsible for developing, maintaining, and operating national programs for the registration of United States civil aircraft certification of airmen.

The Registry’s Aircraft Registration Branch (AFS-750) issues approximately 70,000 aircraft registration certificates and processes approximately 225,000 documents affecting title to or interest in aircraft engines, propellers, and air carrier spare part locations annually. Registry reserves and assigns all U.S. civil aircraft.

The Registry maintains the permanent records of over

Civil Aviation RegistryOnline N-Number Reservation Renewal

Page 55: FILES! Processing Pilot & Flight Instructor Certification Files

Home Site Map DOT Ask FAA Search

About The Registry

Aircraft Registration

Airmen Certification

FAQ

Home

Search

Site Map

UsefulLinks

RegistryAirmen Certification

General Airmen Certification Information:

PLEASE NOTE:

We are currently processing permanent Airmen Certificates with an approximate issue date of September 25th, 2003.

Customer Service:

ON-LINE SERVICES (establish your account, change your address

Interactive Airmen Inquiry Web Site

Hours of Operation

Change Releasability Status of your Mailing Address

Application for Replacement of Lost, Destroyed, or Paper Airman Certificate(s) and Knowledge Test Report(s)

Copy of Your Airman Certification Records

Update Your Address with FAA

Replacement of Your Lost or Destroyed Knowledge Test Report

Report a Change in Your Name, Nationality/Citizenship, Gender, or

Verification of Authenticity of Foreign License, Rating, and Medical

Page 56: FILES! Processing Pilot & Flight Instructor Certification Files

Effective July 23, 2002, persons applying for a certificate issued on the basis of a foreign license under the provisions of 14 CFR Part 61, Section 61.75, special purpose pilot authorizations under Section 61.77, using a pilot certificate issued under Section 61.75 to apply for a commercial pilot certificate under Section 61.123 (h), applying for an airline transport pilot certificate issued under Section 61.153 (d) (3), and applying for a certificate issued on the basis of a foreign license under the provisions of 14 CFR Part 63, Sections 63.23 and 63.42, must have the validity and currency of the foreign license and medical certificate or endorsement verified by the Civil Aviation Authority (CAA) that issued those certificates, before making application for an FAA certificate or authorization.

Please submit the required information using the optional FORM.   Send the completed form with the preferred documents to the Airmen Certification Branch, AFS-760, PO BOX 25082, Oklahoma City, OK 73125-0082 or fax the form and documents to (405) 954-9922.  The pre-application documents cannot be sent electronically.

A person who is applying for a U.S. pilot certificate/rating on the basis of a foreign pilot license must apply for that pilot certificate at least 90 days before arriving at the designated FAA FSDO where the applicant intends to receive the U.S. pilot certificate.  This initial application step is the responsibility of the applicantThe information submitted to the Airman Certification Branch by the applicant must include the following information:

a. The name and date of birth of the applicant.

Verification of Authenticity of Foreign License,Rating, and Medical Certificate

Page 57: FILES! Processing Pilot & Flight Instructor Certification Files

CONTINUE TO CHECK THE WEB SITE

AND WITH YOU LOCAL FSDO FOR

NEW GUIDANCE REGARDING FLIGHT

TRAINING AND CERTIFICATION OF

FOREIGN PILOTS

Page 58: FILES! Processing Pilot & Flight Instructor Certification Files

SEND PAPERWORK TOFSDO WITHIN 5 DAYS!

Page 59: FILES! Processing Pilot & Flight Instructor Certification Files

?????????

Page 60: FILES! Processing Pilot & Flight Instructor Certification Files

That’s all folks!