TOTAL FLYING EXPERIENCE IN DETAIL FOR LAST FIVE YEARS ENDING DECEMBER 31st, 2008 FORM: CA 39 NAME OF LICENCE HOLDER : MR. www.victortango.in LICENCE CLASS CPL LICENCE NO. 65454 VALID UP TO:
31st JULY 2009
Single Engine
Year
1
1
2
2004
---
2005
---
2006
---
2007
Cessna 150
Day
AIRCRAFT WITH TWO OR MORE ENGINES Night
DAY
INSTRUMENT FLYING
NIGHT
Total Hours
Dual
Solo
Dual
Solo
U/T
PIC
PIC(U/S)
U/T
PIC
PIC(U/S)
3
4
5
6
7
8
9
10
11
12
SIMULATED 13
Cessna 152 Cessna 172 PA-34-200 2008
Cessna 150 Cessna 152 Cessna 172 PA-34-200
Last 5 Year Total TOTAL FLOWN
Signature of Licence Holder:___________________ Date : 5TH JANUARY-2009 This is to certify that I have examined the Log Book of Mr. www.victortango.in and the above is true summary. Countersigned: Name: Capt. Www.victortango.in
Designation: Seal :
President/CFI, AIR AVIATION
FORM: CA 39
COMPANY/CLUB :www.victortango.in
14
ACTUAL 15