Airman Records For Alleged 9/11 Hijacker Ziad Jarrah

FEDERAL AVIATION ADMINISTRATION

CERTIFICATE OF TRUE COPY Y CERTIFY that the attached is a true copy of the complete airman file pertaining to , date of birth May 11, 1975. Supporting documents are on file in the Airmen ition Branch, Federal Aviation Administration, and I am the legal custodian thereof.

Signed and dated at Oklahoma City, Oklahoma _

this 25th day of April. 2002

_

by Mae McGary

i****j

Supervisor, Certification Section C (Title) I HEREBY CERTIFY that Mae McGary

icdthl |C,the| ate as sv

going certificate is now, and was, at the time of signing Supervisor, Certification :ustodian of the aforesaid records, and that full faith and credit should be given this

IN WITNESS WHEREOF, I have hereunto subscribed my name and caused the seal of the U.S. Department of Transportation to be affixed this 25th day of April, 2002 at Oklahoma City, Oklahoma

(Signature) Manager, Airmen Certification Branch (Title) Civil Aviation Registry U. S. Department of Transportation Foil

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2100.1 110.94)

NCTA000010956

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NCTA000010958

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TEMPORARY AIRMAN CERTJRCATC

NCTA000010959

Air Ag«ncy*a Recommendation

Dealgnattd Examiner or Airman Certification RepraeentaUv* Report

Eviluator'* R*cord (UM For ATP Ritlna and/or Tvo» RaUngtl

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LEBANON PASSPORT r«tnMD

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NCTA000010961

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Airman Certificate and/or Rating Application

ADDITIONAL ADDRESS INFORMATION Nartw (Latt. Pint MMdto) SocM Security Numbtr CarWtart* Number MtelMIMd

JARRAH. ZIAD NMN.

Ptmtiwnt MtllfoQ Addn**

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HANSASTR40 20144 HAMBURG GERMANY

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••;. 800-211-2753'Box84245. Vancouver. Washington98684• www.lasergrade.com

Federal Aviation Administration Airman Computer Test Report.. ; EXAM TITLE: Instrument Rating Airplane (IRA)

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NAME: JARRAH ZIAD SAMIR ID NUMBER: B05111975

TAKE: 2

DATE: 11/10/2000

SCORE: 73

GRADE:-

ingle code may represent A20 BIO 105 108 125 128 J01 J14 J35 \

EXPIRATION DATE:

11/30/2002

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DO NOT LOSE THIS REPORT-^M

Last name_ (Print clearly) Signature

LaaerGrade Computer Testing P O Box 87245 Vancouver, WA 98687-7245 800-211-2754 or 360-895-9111 www.lasergrade.com

NCTA000010963

NCTA000010964

form Apprev-d OMB No: 21200021

TYPE OR PRWr XtL ENTRIES IN INK

Airman Certificate and/or Rating Application Ft«*ral AvUOgn Mmmnmaon I Application MormaOnn | ] Student | ) Reeretttorwl [X)Prtvata [ ] Commercial ( | AJrtha Tianaport I ] AdeWonal Aircraft Rrtrvg [X I .Anplarw 3>ngl«-Eiiglrw I | Atrplam MuHengtna ( ] Rotorcnft [ 1 GMer | J UgMor-Than-Ali j ftyv Iratructor [ | Initial ( ] Renewal [ ) RerWa'ament [ ] AddKkmal Instructor RaOng ' . ( ] Ground Inatructor j 1 Meetcal Fbgnt Tm I ] Renamination j j Reaauann of C«roncata O«Mr ' A. N*n»

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9 0 ! Instructor's Recommendation I have pcnwnslry imjrocted tie applicant and consider jtiji penon ready to take the teat. j Instructor-\t ~ ] Certirkaie No:, "" ' ~7 Certificate ExpVes ~ ! ANKE HEIDECKE _ | _ _2S9«659CFI ] 05/31(2002

6a« 08/04/7000

Air Agency's Recommendation COUTM. and la

TNt applicant hat succetsfuOy completed our racommeoded fof certification or mting without furtrwir Dale

! Officiate Signature

Agency Name nn4 Numb**

I rai' Designated Examiner's Report [ | Srudenl Plot CertnVaie Itaiied /Co/if aitudml} [x j 1 have personally reviewed thtt applicant'e pact logtooh. and certify that Ihe Individual mteti tfie perttncnt requirements of FAR 61 for the piol cemftcata or rating aought. [ } I have peraonaffy reviewed thia A[ipBcint'> graduation certificate, and found it to be appropriate and in order, and have returned Bw certrfcate. j X I I have penonaty tented and/or verified Inn. appHcam in accordance wrih yertnent procedui ea and atandarda wWi tie reault Indicated below. [X | Approved - Temporary Ceinfkato laeued (Copy AHachatl) [ j Disapproved - D*a«pproval Notice Ittued ' Locaton of Toil (Facility. City. Slnlo> Tail^typ* Oral VENICE. Ft Simulator

Tralnng Device I . . , VENICE, FL .«** Certkate or Ruing for Which Taated Private _ .ASEi, ^— .Initial T M> Typo' " :Date ' Enmnar'a Signature ) Oral i 0*T»«000 ; WHITMAN pXviD s /

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Oral Appravad Slmulalor/Trwnlng Ofivkn Check Aircraft Fight Check Advanced OualVaOon Program

Inepcctor 1 1 ( ) j j j )

Eumlnar 1 1 | ) j ) | j

Data

Inspector's Report I have pcraonaly tattttj mta applcant hi accordance with or have ottorvrte vtrrted rot M* ippacant comptn with partkwt prooeduret, atandarda, eotcln, and or necaaaary requkementi wiffi Oe raatil InoVatM below t

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.._.... . - . CarMotn Of Rait g tor Which Tetted

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I 1 Examtnat't RaconimandaMn ( 1 ACCEPTED 1 ! REJECTED ( ) Rafeau* or Exchange of Piol Cartfflcaja t 1 Special made* (a«t conducted • report forwarded to Aaromedtcal CarBflcaBon Branch. AAM-110 Tralrang Cour»T(FIRCj Rama

j cSflftcale'or SaSg aaUB Mi " MiHary Competence | Foreign (jcera* ] Approved Cour»e Graduate ) Other Approved FAA OualificaBor CrSerta ) Cam«cata (eaua
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ineipector't Slgnatura ' Oral Slmulatar TraHneDevka Fight Other ISJgnofp

Attachments: f J Student Plot Cartfieata (copy) [ X ) Report Of WrAanExamlnaten [ X J Temporary Pfot Certfteete (copy)

[X [ Airmam IdenMcaOon (ID) LEBANON PASSPORT Form ol iO" Number 03/07/2005

ACRA Equlv«le>nt

( JARRAH. ZAD

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NCTA000010966

--.' TYPE OR PR/WT ALL EWTWES IN INK

Airman Certificate and/or Rating Application ADDITIONAL ADDRESS INFORMATION • ;

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NCTA000010967

NCTA000010968

Instructor'! Recommendation 1 n.ive personally instructed !he apnlir. wit and consider Inis person ready to lake tr* test lnsi

Certificate No.

A.K

i Certif-cato Expires

Air Agency's Recommendation

The applicant nas successfully ccompleted 01^ fiXomnicndnd fof certification or rnting withuul Aguitcy N^nMi antl Mumber

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OtticiaVs Title

Designated Examiner's Report

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D SluOont Piioi CcMilic.no IssuL-d fCopy auachetti . / K 1 hrwe personally reviewed this applicants pilot lognook. and cc-nty mat me Individual meals tho pertinent requirements ol FAR 61 for.tho pilot certificate o* rating sought. ' .--..- . • - - . »*,-:.r*- : Q 1 navo personally reviewed this applicant's graduation certificate. n d found it to bo appropriate and in order, and have returned the certificate. : ' ." .u.. 18 i havo porsonnlly tested and/or vcrtilicd Ihta applicant in accordance with pertinent procedures and standards with the result indicated betow. '^*"t\"^ ik^

pr Approved— Temporary Certificate Issued Copy Aitachoti) D OisnpproveO— Disoppfovnl Notice Issued 'Copy/»fracft«d) LOCilion ol Ttsl Iftcilily. City. Sltlttt

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Cartiteale or Rating lor Which firttcd

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Registration No.(s) -iieii

Type(s) ol Aircraft Used

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Exominor's Sigruuuro

Designation No..

Cenillcata No. —

Designation; Expires -^

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Evaluator's Record For Airline Transport Certltlcate/Rating Only.^.i^Sy^tSsS^V? Inspector E>ammer ' Signature . • '.-.;••'-,•<,,? .'•'*?. fc'.JDttt^fig'Z'jfi

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1 riavo personally lusted this ipplicflnt In rnxordnnco with or havo athonviso voiitiort thai thli applicant complies with pertinent procedures; standards, 7":-': policies. «n<J of nocsaanry roquiramentai with the result indicated balow. . .. ... ; :'•- ;. '.'... :;-V.:!l: D Approved- Tarr.oor,iry Corti'icatB iwued D Olupprovcd— Disapproval Nolle* Issued ' "y"">""!:" :_^''fi^' locution ol Tail (FtcUily. City, State 1 . Duration of Test v| •"•. '?"V:5J!v.K

- Ground ,.. - .-^Smulator ,j .'xiiBii Cerulicata or Rating for Which Tasted D Student Pilot Certificate Issued

Typo(s) ol Aircraft Used

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O Certificate o> Rating Based on D Military Competence

0[ Ertmlner-i Recomrri»nd*t(bn .":•;••' :j

•S-O ACCEPTED..D.BEJECTEDX;:

D ForeignL^nse

D Reissue or Exchange of Pilot Certificate D Special medical test conducted—retort forwardoa to Aeromedical Certificate Branch. AAM-,30

D Approved Course Graduate D Other Aporoved FAA Qualification Criteria D Certificate Issued

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D ReiratateVi^tV-D^^pproyedl Instructor Renewal 8«wd on . . _ , , . ; - • , „ « C Aclivity • • - D Training Course D Acquaintance D.f<x<" 1'^

a framing Course (FIRC) Name Dole

G'aciuation CcrtiiicaieNo Inspector s Signauu

Date FAA DiStrictOmc* >.r« ''; :T. • . ^"r .J -<, >i->i'v

Attachments: D Student Pilot Certificate (copy) f? Report of Written Examination ' • - QjjTemporary P'kM C«rtificat» (copy)

] . Airman: Identification (IO) •-' '.'•-'.'i'fj.-.'.-.O Si^rs^ed'i5iotCi»rtifciiei!f -"

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Federal Aviation Administration Airman Computer Test Report EXAM TITLE: Private Pilot Airplane (PAR) NAME: JARRAH ZIAD SAMIR

50080120004648473 ;^fcfc^.^ ••;•:••. -.•:i:"--^^Lr---^ff^i^-^

ID NUMBER: B05111975

TAKE: 1

DATE: 08/01/2000

SCORE: 83'

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Knowledge area codes in which questions See appropriate Advisory Circular —' ' available via the internet: -http-:y/a£s600'. f aa .•gov/data/advTsoi ,A single code may represent more ' B09 H308 H316 H317 H340 121 125 131 158

EXPIRATION DATE:

00/31/2002

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DO NOT LOSE THIS REPORT Authorized instructor's statement. (If applicable) I have given Mr./Ma.

Signature

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Applicant Locator:! _JAPA0239 ',-.;;••.'. Testing provided by::IAS34201-* JS Florida Flight .Training. Center • >-:"; ? •ISO Airnort Avenue^•:a:..:.jAv:-i^':«•;"-;.:•'

NCTA000010970

DEPARTMENT OF TRANSPORTATION

CERTIFICATE OF TRUE COPY I HEREBY CERTIFY that the attached is a true copy of the original medical record of ZIAD JARRAH dated July 11, 2000, i file in the Aerospace Medical Certification Division [ that I am the legal custodian thereof. Signed and dated at this by

25th

Oklahoma City, Oklahoma day of

April, 2002

JERRY K BOWEN Supervisor, Medical Records Section Aerospace Medical Certification Division (fiikj Civil Aerospace Medical Institute

**************************************************************************************

JERRY K BOWEN

I HEREBY CERTIFY that

d the foregoing certificate is now, and was, at the time of signing ;ustodian of the aforesaid records, 1 faith and credit should be given his certificate as such. IN WITNESS WHEREOF, I have hereunto subscribed my name and caused the seal of the Department of Transportation to be affixed this day of at

25th

April, 2002 Oklahoma City, Oklahoma WARREN S. SILBERMAN, P.O., M.P.K ' (Signature)

Manager, Aerospace Medical Certification Division (Title)

Civil Aerospace Medical Institute Department of Transportation

Form

1 (9-69)

NCTA000010971

Complete ALL

tdArM3> PLEASE

2. Claaa o( MjdtcaJ Certificate AppifefFor fP*<st D Znd Q 3«j

4. Social Security Number

to. Type of A/rman CertfBcate<s| You Hold:

«lNona C? Airline Transport O Commercial

CJ ATC Specialist O Right Engineer D Flight Navigator

D Flight Instructor d Private D Student

D Recreational D Other

3. Haa Your FAA Airman Medkeai Certificate Ever Bern OK**. Suspended, or Revoked 7 D Yet H No If ye». gr« date '

Total Pilot Time (CKntan Only) 14.TeData

1«. Date of La»t FAA Medical Application

J-a. Oo Yo« Currently Ute Any Medication (Preacrlptlon or Konpr»»cr)p«on)7 4. No D YM (IT yea. below tat medication(s) used and ctwck appropriate box).

T.D. Do YOU Ever Uie Near Vlalon Contact LenajMlWiaap^nfl?-"^ Q Yea 18. Medical History - HAVt YOU EVER IN YOUR LIFE BEEN DIAGNOSED WITH, HAD, OR OO YOU PRESENTLY HAVE ANTOF THE F< S?: Answer Ve»" or 'nor tor every condition listed betow. In the EXPLANATIONS box below, you may note "PREVIOUSLY REPORTEQJNO ~~ " >of«wcondibonw»s reported on a previous application «or an ain B end (here has been no change in your condition;,; See IneO CondrCon Ye« Me Yea No 'CondMoo H Frequent or tevere headaches 9-D B Heart or vaacUartroubte gjj*»acy medical dMcharge 01 Ouzlneu or (Writing ipeU

^ Hferi or kw blood prewure

c-D ^ Unconadouaneaa ror any reason

Stomach, liver, or

B. Substancefependanc*or failed a

B Eye or vision trouble except glasses I-D (1 KMney stone Of Wgodjn urine-\e oratxise P. Hay rever or allergy

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Q Medical nsjectwn by notary service

satatano abuse *1? T* OHM iMfauertK •-• to the V yam.

pg Rejection tor *• or health Insurance

U.D ^Adrruslon to hospital iuidde attempt

illness, disability, or surgery

x-D

SlMotion sidviess requiring medication

r.Q [p^Asthma or lung disease

Conviction and/or Admtnlatratlve>Ae8Bn Ht«tti»y----S»» Instructions Page Yea]

n ttx History of (1) any!cenvicUon(s) Mvprvfeo dfwfeg while intoxicated by, while impaired by. or while under the r tnfluencerjjf.alcofXil or a drug; ipr<2):h6»tory- of any eonviction(s) or administrative action(s) involving an -— * ':*> iresuted irfcthe^OehTaf. suspension, cancenatian. or revocation of driving privileges or in attendance at an educational or a rehabilitation program.

History of nontraffic conviction(s) (misdemeanors or felonies). FOR FAA USE

D Yes (Explain Below) Name. AddreM. and Type cf Health Professional Consulted

19. Visit* to Health Professional Within Last 3 Years. Date

— NOTICE — Wnoever In any matter vAMn the juiisdidion of any department or agency of the United States knowingly and wititulty falsWes, conceals or covers up by any trick. ccheme. or device a material fact, *no makes any false, fictitious _, fraudulent statements or mpresentaflcns, or entry, may Be lined up to $250,000 or imprisoned not more than 5 years, or both.

Se« Instruction* Page

Reason

20. Applicants National Driver Register and Certifying Declaration* I hereby authorize *>« National Driver Register (NOR), through a designated State Department of Motor Vehidee. to tumsn D the FAA information pertaining to my driving record. This consent commutes authorizatton tor • aingl* wxeu to«« WonneBon contained in 9* NDfl to verify information provided in Ihis application. Upon my request, the FAA shall mane the Information received from the NOR, if any. cvaUaMe far my review and written comment Authority: 23 U.S. Code 401. Note. MOTE: ALL persons using this form must sign «. NOR consent however, does not apply untesa this form le ueed aa an application for Medical Certificate or Medical Certificate and Student Pilot Certificate. I hwebw certttv that all statements and answers provided Oy T« on Uiis application form are complete and (rue to the best of my Knowledge, and I asreethat»ey are to be considered part of the basis for issuance of any FAA certificate us me. I have also read and understand the Privacy Act statement mat accompanies mis form. •_ Data, // fQJ-f I O D / V Y YY

FAA Form 8500-8 (3-98) Supersedes Previous Edition

NCTA000010972

NOTE; FAA/Qriginal Copy of tha Report of Medical ExaminatlqfrMust ba TYPEn REPORT Of MEDICAL EXAMINATION 23.StatMMntofO*i»oni«ralM>AblH|y(SOOA)

23. Weight (pounds)

DYES

-

Duo

c»i«ia etmnatr. m*. 37. Vascular aystem 38. Abdomen and viscera (induaino mm 39. AnU5 40. Skin 41. 6-U »y«tam 42. Upper and tower extremities (Sung* «x> »r^» A3. Spine, other mmcutoslceletal 44. Identifying body marks, scars, tattoos (gin* 45. Lymphattca m. unaM. owiW n*n

CHECK EACH ITEM IN APPROPRIATE COLUMN. 25. Head, face, neck, and scalp 26. Nose 27. Sinuses, 28. Moum and thro'al 29. Ears, general ilni«tiil»ii)«rt»m«le«n«lKft«arinaun»v 32. Ophthalmoscopic . 33. PUpll» (Equiny md mate")

34. Ocular motlllty (

47. Psychiatric lApoMnm* b«ti»»lcr. meet. eammunJoUon md imoiay) 35. Lungs and chest (MM inaxanq t»«»* «««min«t«»v) . General systemic , »d munm*m) ^ 38. Heart (P NOTES: Describe every abnormality in detail. Enter applicable item number before each comment Use additional sheets If necessary and attach to this form.

49. Hearing

Nnml Audknmrie SpMth

Camaatfonal VofceTMlateFMt D Pata D FaH M. Distant VUton Right 201 Corrected to 2DI 2CU L»n Corrected to 201 Corrected to 201 Both 201

ten Ear

Right Ear Audiometer •

500

S1.a. N«»rVT»Ioo Right 201 Left 201 Both 20/

1000

2000

3000

4000

500

2000

1000

Sl.b. intennedlato Vision - 32 Inchee Corrected to 201 Correctedto20/ Corrected to 20/

Right Ufl Both

S3. Field of VTalon J 54. Heteropnorla 21T on prm, dcow.) Eaophoria P ^ormal D Abnormal oodPraesure S«.Puiee 57. UrtnaJvvJa or abnormal, ghensutts) ,«,„ I Systolic 1 Dtestoflc (SMang. . • • - - - - - -mmorMwcuty) I O Normal D Abnormal

207

Exopriorta

O Fait .

Right Hyperphoria

Albumin

Sugar

4000

C2.Color VUton D Pass

Corrected to 301 Corrected to 207 Corrected to 2
301 201

3000

Left Hyperphoria

68. ECO (Patt> M M I DO I YYYY

St. Other Ti

60. Conunecit* on History and Findings; AME shall comment on all "YES* answers In (he Medical History section and fof abnormal findings of the examination. (Attach all conauttatlon reports. ECGs, X-rays, etc. to this report before malfing.)

Significant Medical History

O YES

OHO " • _

>-i»*iy»»ii«»»-»-uyot^
i—iYES TCJ D

•

u no OHO

FOR FAX USE

*

-"

S2. Has Been Issued- O Medical CerStote ^^Medkal & Student P.tot Certfficato U No Certificate Issued —Deferred for Further Evaluation n Has Been Denied — Letter of Denial Issued (Copy Attached) ;l Disqualifying Defects (List by.9ani.mim.pcr).

.tg-aaga,^^ ata of Examination

Aviation Medical Examiner's Name

M M | D O | Y Y YY

Street Address

" ".

Aviation Medical Examiner's Signature

AME Serial Number , Form 85004 (3-M) SupeiMdw Pntviou* Edition HSN: OO52-00-870-800a

NCTA000010973

J" 200000251458

Appl. ID:

of med. Cert. Applied

1999247521

[X]1stQ2ndQ3rd

1. Appl. for

5. 1..J-: 4641 BOUGAINVILLA DR 6. DOB: 05/11/1975

0 Airman Med. Cert.

3. Last: JARRAH City LAUD BY SEA

Citizenship:

Middle:

St: FL/Cou.:USA

7. HairClr,: BLONDE

10. Type of Airman Certificate(s) You Hold:

[X] Airman Med. and Student Pilot Cert.

FifSt: ZIAD

Zip: 33308-3616

4. SSN: 888-00-7106

Tel.:

8. EyeClr: GREEN

9. Sex: male

[X] None

0 Student

D Other

rj Airline Transport

D ATC Specialist

f] Flight Instructor

[] Recreational

U Commercial

Q Flight Navigator

D Flight Engineer

[J Private

11. Occupation:

STUDENT

12. Employer. uYes|X]No

13. Has Your FAA Airman Medical Certificate Ever Been Denied. Suspended, or revoked? Total Pilot Time (Civilian Only)

14. To Date: 11.6

15. Past 6 months:

11.6

17.a. Do You Currently Use Any Meds. (Prescription or Nonprescription)? 17.b 18.

If yes, give Date:

16. Last FAA Med. App Date:

[X] No Prior App. Prev Reported

[X]NoQYes (If yes. list medication(s) used below.)

Do You Ever Use Near Vision Contact Lens(es) While Flying?

QYes[X]No

Medical History - HAVE YOU EVER IN YOUR LIFE BEEN DIAGNOSED WITH. HAD, OR DO YOU PRESENTLY HAVE ANY OF THE FOLLOWING? Answer •yes" or "no" for every condition listed below. In the EXPLANATIONS box below, you may note 'PREVIOUSLY REPORTED. NO CHANGE' only if the explanation of the condition was reported on a previous application for an airman medical certificate and there has been no change in your condition.

Yes D 0 Q 0 D 0

Condition a Frequent or severe headaches b Dizziness or fainting spell c Unconsciousness for any d Eye or vision trouble, except e Hay fever or allergy f Asthma or lung diseases

Condition

Yes

Condition

Condition

Yes

Yes

g Heart or vascular

D

m Mental disorders of any sort;

Q

r

h High or low blood

D

n Substance dependence or failed

Q

s Medical rejection by

D

o Alcohol dependence or abuse

Q

t

Rejection for life or

a

j Kidney stone or

D Q

p Suicide attempt

Q

u Admission to hospital

Q

k Diabetes

D

q Motion sickness requiring

rj

x Other illness, or

D

i Stomach, liver, or

Military medical

Q

I Neurological disorders. epilep:

D

Conviction and/or Administrative Action History

Yes

v History of (1) any conviction(s) involving driving while intoxicated by, while impaired by. or while under the influence of alcohol or a drug; or (2) history of any conviction(s) or administrative action(s) involving an offense(s) which resulted in the denial, suspension, cancellation, or revocation of driving privileges or which resulted in attendance at an educational or a rehabilitation program.

D

w Non-traffic conviction(s) (misdemeanors or felonies). Explanations:

Visits to Heallti Professional Within Last 3 Years te

20

Name

Street

City

St

Zip

Country

Type Date:

Applicant's National Driver Register and Certifying Declarations:

Reason 07/11/2000

REPORT OF MEDICAL EXAMINATION 21.

Height (Inches)

22.

70

Weight (Ibs)

23.

174

Check Each Item in Appropriate Column

Statement ol Demonstrated Ability (SODA)

24.

SODA Serial Number

IblSOOA Abnorm / Norm

Check Each Item in Appropriate Column

Abnorm / Norm

25

Head. Face, Neck, and Scalp

X

37.

Vascular system

X

26

Nose

X

38

Abdomen and viscera (including hernia)

X

27

Sinuses

X

39

Anus (Not including digital examination)

X

28.

Mouth and throat

X

40.

Skin

x

29.

Ears, general (internal and external canals: hearing under item 49)

X

41

G-U system (Not including pelvic examination)

X

42.

Upper and lower extremities (Strength and range of

X

30.

Ear drums (Perforation)

X

31

Eyes, general (Vision under item 50 to 54)

X

43

Spine, other musculoskeletal

X

32

Ophthalmoscope

X

44

Identifying body marks, scar, tattoos (Size and

X

33.

Pupiis ( Equality and reaction)

34

Ocular motility (Associated parallel movement,

X X

35.

Lungs and chest (Not including breast examination)

36.

Hear (Precordial activity, rhythm, sounds, and

45.

Lymphatics

X

46.

Neurologic (Tendon reflexes, equilibrium, senses,

X

47

Psychiatric (Appearance, behavior, mood, comm.,

46.

General systemic

NOTES.Describe every abnormality in detail. Enter applicable item nbr before each comment.

04/24/2002

MID: 200000251458

Page #;

1

NCTA000010974

Conversational Voice Test at 6 feet

[XJPassrjFail

Record Audiometric Speech Discrimination Score

Right Ear 500

1000

Distant Vision Right 20/ 70

2000

51. a

Left Ear 3000

4000

Near Vision

Corrected to 20/

20

70

Corrected to 20/

20

Left 207 30

Corrected to 20/

Bolh 20/ 70

Con-ected to 20/

20

Both 20/ 30

Corrected to 20/

Left20/

53. Field of Vision

500

Right 20/ 30

Corrected to 20/

54. Heterophoria 20' (in prism diopters)

[XJNormalQAbnormal 55 Blood Pressure Sitting, mm Systolic 130

1000

2000

3000

4000

51.b. Intermediate Vision - 32 inches

52. Color Vision

Right 20/

Corrected to 20/

fX) pass

Left 20/

Corrected to 20/

g Fail

Both 20V

Corrected to 20/

Esophoria

Exophoria

0

0

Diastolic

56. Pulse (Resting)

57. Urinalysis (If abnormal, give results)

88

72

rx]Normal QAbnormal

Right Hyperphoria 0

58 Albumin

Left Hyperphoria 0

ECG (Date)

Sugar

59.

Other Tests Given

60.

Comments on History and Findings: AME shall comment on all "YES" answers in the Medical History section and for abnormal findings of the examination. (Attach all consultation reports, ECGs, X-rays, etc to this report before mailing ).

Limitation 1: Must wear corrective lenses. Significant Medical History 61.

QYes [X]No

Applicant's Name

Abnormal Physical Findings 62.

Has been Issued -

JARRAH.ZIAD

fJMed. Cert.

ffYes

[X]No

(XJMed. and Student Pilot Cert.

gNo Certificate Issued - Deferred for Further Evaluation QHas Been Denied - Letter of Denial Issued (Copy attached)

63.

Disqualifying Defects (list by item number)

64 Medical Examiner's Declaration - I hereby certify that I have personally reviewed the medical history and personally examined the applicant named on this Date of Examination

Aviation Medical Examiner's Name

Certificate/Form Nbr

07/11/2000

DROBA.ARTHUR R,

FF1409528

34/24/2002

Street:

1020 HONORE AVENUE

City.

SARASOTA

AME Serial N umber State

FL

Zip

MID 200000251458

34232-0000

AME Telephone:

19175 941-377-6674

Page #.

NCTA000010975

JARRAH, ZIAD

SSN: 888007106

Applld: 1999247521

Pl#:

[MROWLANO : 04/11/2002 9:00:25 AMJ 7-11-00 EXAM. NO ACTIONS/CORRESPONDENCE SHOULD BE GENERATED WITHOUT CLEARANCE FROM DR. SILBERMAN. [KHATCHER : 10/04/2001 10:11.49 AM] AMC-730 REQUESTING CERTIFIED COPY OF FILE, REQUEST IS COMPLETE, SENDING TO SCANNING.

3:35 PM

Page#: 1

NCTA000010976

DEPARTMENT OF TRANSPORTATION

CERTIFICATE OF TRUE COPY I HEREBY CERTIFY that the attached is a true copy of the original medical record of ZIAD JARRAH dated July 11,2000, on file in the Aeromedical Certification Division and that I am the legal custodian thereof. Signed and dated at this by

4th

Oklahoma City, Oklahoma day of

October

,20

01

JOYCE YOUELL Acting Supervisor, Medical Records Section Aeromedical Certification Division Civil Aeromedical Institute

* * » * * • # * *********•*•******•»»•»**»•***«••»•»*»*** ****••**«*** ******** ******* ***********«•«»*

I HEREBY CERTIFY that

JOYCE YOUELL

who signed the foregoing certificate is now, and was, at the time of signing the legal custodian of the aforesaid records, and that full faith and credit should be given his certificate as such.. IN WITNESS WHEREOF, I have hereunto subscribed my name and caused the seal of the Department of Transportation to be affixed this day of at

October

4th ,20 01

Oklahoma City, Oklahoma

HENRY K. BOREN, D.O. (Signature)

Acting Manager, Aeromedical Certification Division — Civil Aeromedical Institute Department a/Transportation

Form DOT F 2100.1 (9-69>

NCTA000010977

FROM: U.S. DEPARTMENT OF TRANSPORATION __ FEDERAL AVIATION ADMINISTRATION -= MUCH MONRONEY AERONAUTICAL CENTER . CIVIL AVIATION SECURITY DIVUSION, AMC-700 P.O. BOX 25082 OKLAHOMA CITY, OK 73125

PRECEDENCE:

SECURITY CLASSIFICATION:

Action.

Class _

Info

Uhdas

FOR INFORMATION CALL: Special Agem Brenda L Smith

7b2%

Phone Number (405) 954-IHV

Fax: (405)954-4989

Page 1 of. THIS MATERIAL IS FOR LAW ENFORCEMENT PURPOSES ONLY // is subject 10 the of the Privacy Ac:. 5 U.S.C. J5Itz. and arry release or reproduction mn.it fie mads :n

NCTA000010978

06:43 FAX 4059544989

AMC-730/SECURm

Memorandum

U.S. Dspjrtmont of Trantporation Fod«ral Aviation Administration Subii«c

October 4,2001

ACTION: Request for Certified Records of Airman Documents Manager, Compliance and Enforcement Branch, AMC-730

Atmof

Brenda L. Smith, AMC-73 1 (405)954-7628 Fax: (405)954-4989

Manager, Medical Certification Branch, AAM-330 Please forward to this office a certified copy of the complete file concerning the airman listed below. A computer printout of the airman data is attached for reference. NAME Ziad JARRAH

SSN

888-00-7106

Dale of Birth 05/11/1975

If there is no airmen information available, please prepare a diligent search. Please expedite this request. Chesc documents are needed as soon as possible. We appreciate your assistance.

Mark W. Sweeney

NCTA000010979