Ca39 Six Months Blank

Name of Licence Holder… ……………. Licence Class :… 1.Number … ……… 2.Valid upto………… TOTAL FLYING EXPERIENCE IN DETAIL FOR THE SIX MONTHS ending………

Types EndorOf sed on Air- Licence Craft yes Or No (A)1 2

Form CA-39

…200…..

Single Engine Aicraft with Two or More engines Total Instrument Flying ---------------------------------------------------------------------------------------------------------------------------DAY NIGHT DAY NIGHT Simulated Actual -------------------------------------------------------------------------------------------------% Dual PIC Dual PIC Under CoPIC Under Co- PIC train Pilot train Pilot 3 4 5 6 7 8 9 10 11 12 13 14 15

(B)Total Last6months =============================================================================================== (C)Total Flown Till Date as Instructor … (E) This is to certify that I have examined the logbooks of Mr…………………………… ………… And the above is a true summary Countersigned……………………………………………………… Name……………………………………………………………….. Designation………………………………………………………… Signature of Licence Holder…………………………….. Company…………………………………………………………… Date……………… Date………………………………………………………………… % indicates Simulated – Link/Hood Flying/Instrument Flying with safety Pilot