flight operations standards department general aviation & … - cpl (a... · 2019-01-28 ·...
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Flight Operations Standards Department
General Aviation & Training Section
Commercial Pilot License (A) Issuance For Jordan Armed Forces Application Form
CARC Form 28 -04- 4042 Effective Date: December 2018 Page 1 of 2
A. FOR APPLICANT USE ONLY
1. Personal Details.
Applicant Name
Current/Last assignment
Military aviation qualifications
Aviation courses passed
Aircraft flown
Date of last flight
Aircraft command status
Pilot in command Hours
Co-pilot Hours
Address
Mobile Tel. No
Date &Place of Birth Nationality
I hereby declare that the information given in this form is true, correct & completed. Applicant Signature
2. Application Details.
I am applying for Commercial Pilot License issue (CPL) issuance base on Jordan Armed Forces Military Credit
Jordan Armed Forces Unit Name
3. JCAR Medical Certificate Held Details.
Class Expiry Date AME Name Limitations
4. Commercial Pilot License Issuance Requirements. No AC - 28 - 04-004 CARC Flight Crew License Issuance for Jordan Armed Forces
a A letter from the director of air operation of the Jordan armed service declaring that; the
applicant is in active duty or applicant is in the retiring process Yes
b Shall be at least 18 years of age Date of birth
c Hold valid JCAR-Medical class 1 Valid until
d Flight experience.
At least 150 Hrs flight time that includes at least: Hrs
Hrs
Air Law, human performance & limitations, VFR communication ,principles of flight
theoretical knowledge examinations.
Passed
80 Hrs dual instruction flight Hrs
70 Hrs as pilot in command Hrs
5 Hrs to be carried out in an airplane certificated for the carriage of at least four
persons and have a variable pitch propeller and retractable landing gear. Maximum 5 Hrs may be instrument ground time Hrs
e Passed JCAR
Of which, at least:
20 Hrs cross country flight as pilot in command including VFR cross-country flight Hrs
5 Hrs night flying of which: Hrs
3 Hrs dual flight, and Hrs
2 Hrs solo Hrs
5 solo take off, and Take off No.
5 full stop landing Landing No.
10 Hrs instrument instruction time of which: Hrs
5 Hrs on airplane, and Hrs
Maximum 5 Hrs on FNPT I II Hrs
Flight Operations Standards Department
General Aviation & Training Section
Commercial Pilot License (A) Issuance For Jordan Armed Forces Application Form
CARC Form 28 -04- 4042 Effective Date: December 2018 Page 2 of 2
5. Jordan Armed Force Head of Operations Recommendation.
Head of Operations Name Date
Jordan Armed Force Unit Name Signature
B. FOR CARC USE ONLY
1. Examiner Designation.(as required)
Name Signature Date
2. Examiner Recommendation. (FE Notified by CARC) .(as required)
Examiner Name Signature
Date
3. CARC Recommendation.
Flight Operations Inspector Name Signature Date
C. SUPPORTING DOCUMENTS.
Cover a letter from the director of air operation of the Jordan armed service declaring that; the applicant is in active duty
or applicant is in the retiring process
This application form
Certified copy of related log pages
Copy of valid JCAR Medical class 1 certificate
Copy of valid JCAR , Air Law, human performance & limitations, VFR communication ,principles of flight theoretical
knowledge examinations. One Photo
This application form
I hereby certify that, the applicant meets JCAR FCL 1 requirements for issuance of Commercial Pilot License on Single
Engine Multi Engine, and I have checked the applicant log book, medical and training records, I am satisfied that the
information contained in this application is correct
The under signed, General Aviation & Training Section authorises the FE Capt……………………...…......................
to conduct Commercial Pilot License issuance on Single Engine Multi Engine
Date Departure/ Destination
Airplane type Landing time
Airplane number Total flight time
Take off time CPL issuance Passed
Examiner’s recommendations
CPL issuance Approved Not approved
Pilot on command on single pilot ,multi engine airplane in Commercial air transport
Class rating details SE ME Class Rating expiry date
License details CPL License expiry date
JCAR-Medical Class 1 Medical Expiry Date
Remarks
� Pilot on command on single pilot ,single engine airplane in Commercial air transport CPL Privileges
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