Atpl Checklist
Atpl Checklist
Atpl Checklist
A/c Details Crew Details Flight Details Single Engine Multi Engine Aircraft IF
Day Night Day Night
Distance in
Simulated
Actual
A/c Co - Departu Arrival
NM
Date Regn. Pilot In Command From To P1 Co- P1 Co-
Type Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
(U/S) Pilot (U/S) Pilot
Distance in
Simulated
Actual
A/c Co - Departu Arrival
NM
Date Regn. Pilot In Command From To P1 Co- P1 Co-
Type Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
(U/S) Pilot (U/S) Pilot
I CERTIFY THAT ALL ENTRIES IN THIS STATEMENT ARE CORRECT Total X Counrty Flying by Day P1 (U/S)
Total X Counrty Flying by Night P1 (U/S)
F/O Arish Adil Daver CPL - Total X Counrty Flying by Day & Night P1(U/S)
Total PIC X Counrty Flying by Day & Night
PIC Flying by Day & Night
SIGNATURE Effective PIC Flying by Day & Night
NAME: CPL No:
A/c Details Crew Details Flight Details Single Engine Multi Engine Aircraft IF
Day Night Day Night
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To Co- P1 Co- P1
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
Pilot (U/S) Pilot (U/S)
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To Co- P1 Co- P1
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
Pilot (U/S) Pilot (U/S)
SIGNATURE
NAME: CPL No:
A/c Details Crew Details Flight Details Single Engine Multi Engine Aircraft IF
Day Night Day Night
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To Co- P1 Co- P1
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
Pilot (U/S) Pilot (U/S)
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To Co- P1 Co- P1
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
Pilot (U/S) Pilot (U/S)
SIGNATURE
NAME: CPL No:
Sortie wise list of PIC X - Country Flying by Night ( more than 100 nm )
A/c Details Crew Details Flight Details Single Engine Multi Engine Aircraft IF
Day Night Day Night
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To P1 Co- P1 Co-
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
(U/S) Pilot (U/S) Pilot
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To P1 Co- P1 Co-
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
(U/S) Pilot (U/S) Pilot
SIGNATURE
NAME: CPL No:
Sortie wise list of PIC X - Country Flying by Day & Night ( more than 100 nm )
A/c Details Crew Details Flight Details Single Engine Multi Engine Aircraft IF
Day Night Day Night
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To P1 Co- P1 Co-
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
(U/S) Pilot (U/S) Pilot
Distance in
Simulated
Actual
Co - Departu Arrival
NM
Date A/c Type Regn. Pilot In Command From To P1 Co- P1 Co-
Pilot re Time Time Dual PIC Dual PIC U/T PIC U/T PIC
(U/S) Pilot (U/S) Pilot
Aircrafts flown
TOTAL
Note: write P1 U/s experience separately and do not include in Co-pilot column.
Note: fill up separate CA-39 for total flying, flying in preceding one year and preceding 6 month (total 3
CA-39)
CA-39
For a period FROM TO
Name of Licence Holder
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
TOTAL - - - -
Note: write P1 U/s experience separately and do not include in Co-pilot column.
Note: fill up separate CA-39 for total flying, flying in preceding one year and preceding 6 month (total 3
CA-39)
CA-39
For a period FROM TO
Name of Licence Holder
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
TOTAL - - - -
Note: write P1 U/s experience separately and do not include in Co-pilot column.
Note: fill up separate CA-39 for total flying, flying in preceding one year and preceding 6 month (total 3
CA-39)
ENCLOSED STATEMENT CONTAINING 1000 HRS OF X COUNTRY FLYING BY DAY &
NIGHT
IN RESPECT OF
CPL –
(FOR ALTP ISSUE)
X COUNTRY BY DAY
X COUNTRY BY NIGHT
TOTAL X COUNTRY HOURS
AUTHORISED SIGNATORY
DATE DATE
ENCLOSED STATEMENT CONTAINING 500 HRS OF PIC
BY DAY & NIGHT
IN RESPECT OF
CPL –
(FOR ALTP ISSUE)
BY DAY
(50% OF P1 U/S )
BY NIGHT
(50% OF P1 U/S )
PIC HOURS
TOTAL PIC HOURS
AUTHORISED SIGNATORY
DATE DATE
ENCLOSED STATEMENT CONTAINING 200 HRS OF PIC
BY DAY & NIGHT
IN RESPECT OF
CPL –
(FOR ALTP ISSUE)
BY DAY
(50% OF P1 U/S )
BY NIGHT
(50% OF P1 U/S )
TOTAL PIC HOURS
AUTHORISED SIGNATORY
DATE DATE
ENCLOSED STATEMENT CONTAINING 50 HRS OF PIC
BY NIGHT
IN RESPECT OF
CPL –
(FOR ALTP ISSUE)
BY NIGHT
(50% OF P1 U/S )
TOTAL PIC HOURS
AUTHORISED SIGNATORY
DATE DATE
ENCLOSED STATEMENT CONTAINING 100 HRS OF ACTUAL INSTRUMENT
IN RESPECT OF
CPL -
(FOR ALTP ISSUE)
TOTAL INSTRUMENT HOURS
AUTHORISED SIGNATORY
DATE DATE
Date:
Ref. IGOPS/DGCA/15/
Director General of Civil Aviation,
Opp. Safdarjung Airport,
New Delhi – 110003
Kind Attention: Directorate of Training & Licensing
SUB: ISSUE OF INDIAN ATPL & IR ENDORSEMENT IN RESPECT OF
F/O CPL NO.
Dear Sir,
Enclosed please find the application of F/O… .CPL …. for issue of ATPL, Sorties& flying hours of
CA-39 & hours logged in log book certified by F/O …. CPL NO- with the following documents:
7. Result card for written / oral examination ( Printout from the DGCA website)
8. Certificates, Marks Statement of 10th & 12th
9. CA 39 (Total flying,12 months and 6 months )
10. Incident/Accident –Certificate attached
11. Certificate of Under Supervision Flying
12. Total Cross Country by Day & Night -
Total PIC Cross Country by Day & Night - .
13. Total PIC Cross Country by Night -
14. Under Supervision Flying –
15. Instrument Flying Statement –.
16. Pilots Proficiency Check/IR report dated & and last two license renewal
Route Checks &
Yours truly,
Date:
Certificate
Certificate
declare and certify, that the attached sorties, flying hours and details as
responsible for any discrepancies’ arising in the same at any point of time.
Signature: ______________________