presented to: by: date: federal aviation administration files asi indoc class #8841 kelly sweeten...

Presented to:

By:

Date:

Federal AviationAdministrationFILES

ASI INDOC CLASS #8841

KELLY SWEETEN

DECEMBER 5, 2006

FILES2Federal Aviation

AdministrationMARCH 27, 2006

FILES

Processing Pilot &

Flight Instructor

Certification Files



OBJECTIVE:

NEWLY HIRED ASI’S WILL BE ABLE

TO DEMONSTRATE THEIR ABILITY

TO ACCURATELY PROCESS

CERTIFICATION FILES.



FILES

A file return rate of greater than 5 files within 12 months from your CO is

UNACCEPTABLE!!!



PILOT EXAMINER

FSDO

AFS-760

APPLICANT



Number of Powered Launches

FAA FORM 8710-1

4-00NumberofFreeFlights

TYPE OR PRINT ALL ENTRIES IN INK Form Approved OMB No: 2120-0021

Airman Certificate and/or Rating Application

DEPARTMENT OF TRANSPORTATIONFEDERAL AVIATION ADMINISTRATION

I Application Information Student Private Commercial Instrument

Other ___________________

Additional Rating Rotorcraft

Reexamination

Additional Instructor Rating

Reissuance of ____________CertificateMedical Flight Test

Powered-LiftBalloonAirplane MultiengineAirplane Single-Engine

Ground InstructorFlight Instructor ____ Initial _____ Renewal ____ Reinstatement

Recreational Airline Transport

A. Name (Last, First, Middle) B . SSN ((US Only)

E. Address

City, State, Zip Code

M. Do you now hold, or have you ever held an FAA Pilot Certificate?

Yes No

Q. Do you hold a Medical Certificate?

Yes

No

U.Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances?

NoYes

C. Date of BirthMonth Day Year

D. Place of Birth

F. Citizenship Specify

USA Other________

H. Height I. Weight J. Hair K. Eyes

R. Class of Certificate S. Date Issued T. Name of Examiner

N. Grade Pilot Certificate O. Certificate Number

G.Do you read, speak, write, & understand the English language?

Yes No

L. SexMale

Female

P. Date Issued

V. Date of Final Conviction

II. Certificate or Rating Applied For on Basis of:

A. Completion of Required Test

B. Military Competence Obtained in

C. Graduate of Approved Course

D. Holder of Foreign License Issued By

1. Aircraft to be used (if flight test required) 2a. Total time in this aircraft/SIM/FTD

1. Service 2. Date Rated

4a. Flown 10 hours as pilot in command in last 12 months in the following Military Aircraft.

1. Name and Location of Training Agency or Training Center

2. Curriculum From Which Graduated

1. Country 2. Grade of License

4. Ratings

hours

2b. Pilot in command

hours

3. Rank or Grade and Service Number

1a. Certificate Number

3. Date

3. Number

E. Completion of AirCarrier’s ApprovedTraining Program

1. Name of Air Carrier 2. Date 3. Which Curriculum

Initial Upgrade Transition

Instrument Cross Country PIC

CrossCountrySolo

NightInstr.Rec’d

Night Take-off/Landing

Night PIC

Night Takeoff/ Landing PIC

Number of Flights

Number ofAero-tows

Number of Ground Launches

Cross Country Instruction Received

Pilot in Comand (PIC)

Total Instruction Received

III Record of Pilot time ( Do not write in the shaded areas. )

Airplanes

Rotorcraft

Powered Lift

Gliders

Lighter Than Air Simulator

IV. Have you failed a test for this certificate or rating ? Yes No

V. Applicant’s Certification -- -- I certify that all statements and answers provided by me on this application form are complete and true to the best of my knowledgeand I agree that they are to be considered as part of the basis for issuance of any FAA certificate to me. I have also read and understand the Privacy Act statementthat accompanies this form.

Signature of Applicant Date

TrainingDevice

PCATD

FAA Form 8710-1 (4-00) Supersedes Previous Edition NSN: 0052-00-682-5007

Airship Glider

4b. US Military PIC & Instrument check in last 12 months (List Aircraft.

S o l o

PIC SIC PIC SIC

PIC SIC

PIC SIC

PIC SIC

PIC SIC

PIC SIC PIC SIC

PIC SIC

PIC SIC PIC SIC

PIC SIC



COMMERCIAL SOFTWARE



APPLICATION INFORMATION

TYPE OR PRINT ALL ENTRIES IN INK Form Approved OMB No: 2120-0021

Airman Certificate and/or Rating ApplicationUNITED STATES OF AMERICAL


Student Private Commercial Instrument

Other _______________________

Additional Rating Rotorcraft

Reexamination

Additional Instructor Rating

REISSUANCE of _______________CertificateMedical Flight Test

Powered LiftGliderAirplane MultiengineAirplane Single-Engine

Ground InstructorFlight Instructor ____ Initial _____ Renewal ____ Reinstatement

Recreational Airline Transport

AirshipBalloon

I Application Information



PERSONAL INFORMATION & IDENTIFICATION DATA

A. Name (Last, First, Middle) B . SSN (US Only)

E. Address


Yes NoQ. Do you hold a Medical Certificate?

Yes

NoU. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or depressant or stimulant drugs or substances?

NoYes


D. Place of Birth


USA Other____________




G. Do you read, speak, write, & understand the English Language?

Yes No

L. SexMaleFemale

P. Date Issued


M. Do you now hold, or have you ever held an FAA Pilot Certificate





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



A. Name (Last, First, Middle)•Legal name -- Maximum 3 names•No Middle Name -- “NMN”• Middle Initial Only -- “ Initial Only”• Jr. , II, etc. -- Indicate





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



B. MUST CONTAIN ONE OF THE FOLLOWING:•“NONE” -- IF NEVER ISSUED.•“DO NOT USE”• U. S. SOCIAL SECURITY NUMBER• IT IS NOT TO APPEAR ON AN “ORIGINAL ISSUANCE” AIRMAN CERTIFICATE.



NEW GUIDANCE CONCERNING CERTIFICATE NUMBERS(THIS AFFECTS ONLY THOSE APPLICANTS WHO CURRENTLY USE THEIR SS#

AS THEIR CERTIFICATE #)

DURING CERTIFICATION - IF THE APPLICANT WISHES TO REMOVE THEIR SSN FROM THEIR PILOT CERTIFICATE, AND CHANGE TO A UNIQUE NUMBER, YOU MAY DO SO - IT IS THE

APPLICANT’S CHOICE.

HOWEVER

ALL INITIAL CFI CERTIFICATES WILL NOW BE ISSUED A UNIQUE CERTIFICATE NUMBER AND WILL CAUSE THE PILOT

CERTIFICATE TO BE RE- ISSUED USING THE SAME UNIQUE CERTIFICATE NUMBER (LESS THE “CFI” SUFFIX)





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



C. DATE OF BIRTH • EIGHT DIGITS • MONTH FIRST • AGREES WITH OTHER DOCUMENTS





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



D. PLACE OF BIRTHCITY & STATE

COUNTY & STATE IF CITY IS UNKNOWN

CITY & COUNTRY IF OUTSIDE THE USA





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



E. ADDRESS•PERMANENT MAILING ADDRESS•P. O. BOX or RURAL ROUTE•INCLUDE EXPLANATION FOR NO STREET ADDRESS AND A MAP TO, OR DESCRIPTION OF, RESIDENCE LOCATION.





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



F. CITIZENSHIP •USA CHECKED

OR•CHECK OTHER & SHOW•COUNTRY OF CITIZENSHIP





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



G. DO YOU READ, SPEAK, WRITE, & UNDERSTAND THE ENGLISH LANGUAGE

•MAKE SURE EITHER “YES” OR “NO” HAS BEEN MARKED

•THE APPLICANT’S OPINION





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



H. HEIGHT •WHOLE INCHES•CONVERT FROM

METERS, ETC.





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



I. WEIGHT •WHOLE POUNDS•CONVERT WHEN

NECESSARY





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



J. HAIR •SPELLED OUT•BLACK, RED

BROWN, BLOND GRAY OR BALD





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



K. EYES •SPELLED OUT•BLUE, BROWN

BLACK, HAZEL GREEN OR GRAY





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



L. SEX •MAKE SURE AN ANSWER IS MARKED





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



M. DO YOU NOW HOLD, OR HAVE EVER HELD AN FAA PILOT CERTIFICATE •ANSWER IS “NO” IF APPLICATION IS ON BASIS

OF FOREIGN LICENSE OR MILITARY COMPETENCE.





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



N. GRADE PILOT CERTIFICATE STUDENT, SPORT, RECREATIONAL, PRIVATE, COMMERCIAL, OR ATP

NOT FLIGHT INSTRUCTOR





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



O. CERTIFICATE NUMBER •COMPARE WITH THE APPLICANT’S CERTIFICATE





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



P. DATE ISSUED •AS SHOWN ON THE CERTIFICATE





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



Q. DO YOU HOLD A MEDICAL CERTIFICATE? •ASSURE THAT AN ANSWER IS MARKED





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



R. CLASS OF CERTIFICATE? •ENTRY MUST BE CLASS SHOWN ON THE CERTIFICATE (FIRST, SECOND, THIRD)



MINIMUM MEDICAL CERTIFICATE CLASS

1. Glider or Balloon - None

2. Sport Pilot – None (maybe)

3. Recreational Pilot - Third

4. Private Pilot - Third

5. Commercial Pilot - Third

(CONT)



MINIMUM MEDICAL CERTIFICATE CLASS

6.Airline Transport Pilot - Third

7. Instrument Rating - Third

8. Additional Category/Class - Third

9. Flight Instructor - None?





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



S. DATE ISSUED T. NAME OF EXAMINER • CO SHOULD MAKE CERTAIN ENTRIES MATCH CERTIFICATE DURING THE CERTIFICATION PROCESS AS PART OF QC





E. Address



Yes


NoYes


D. Place of Birth


USA Other____________





Yes No

L. SexMaleFemale

P. Date Issued



U. HAVE YOU EVER BEEN CONVICTED- - - -• NOT ALCOHOL RELATED• ASSURE THAT EITHER YES OR NO

HAS BEEN MARKED.• DATE OF FINAL CONVICTION IF YES



CERTIFICATE OR RATINGAPPLIED FOR ON BASIS OF:

II. Certificate or Rating Applied For on Basis of:

A. Completion of Required Test

B. Military Competence Obtained in

C. Graduate of Approved Course

D. Holder of Foreign License Issued By

1. Aircraft to be used (if flight test required )

1. Service 2. Date Rated

4a. Flown10 hours PIC in last 12 months in the following Military Aircraft.

1. Name and Location of Training Agency of Training Center

2. Curriculum From Which Graduated

1. Country 2. Grade of License

4. Ratings

hours

2b. Pilot in command

hours

3. Rank or Grade and Service Number

1a. Certificate Number

3. Date

3. Number

E. Completion of Air Carrier’s Approved Training Program

1. Name of Air Carrier 2. Date 3. Which Curriculum

Initial Upgrade Transition

4b. US Military PIC & Instrument check in last 12 months(List Aircraft)

2a. Total time in this aircraft / SIM / FTD



III. RECORD OF PILOT TIME

Instrument Cross Country

PICCross Country

Solo

Night Instruction Received

Night Take-off/Landing

Night PIC Night

Takeoff/ Landing PIC

Number of Flights

Number ofAero-Tows

Number ofGround

Launches

Number of Powered Launches

Cross CountryInstructionReceived

Pilot in

Command(PIC)

SoloInstruction ReceivedTotal

III Record of Pilot time (Do not write in the shaded areas.)

Lighterthan Air

Rotor-craft

IV. Have you failed a test for this certificate or rating ? Yes No

Signature of Applicant

FAA Form 8710-1 (4-00) Supersedes Previous Edition NSN: 0052-00-682-5007

Date

TrainingDevice

PIC

PIC

PIC

SIC

SIC

SIC

PIC

PIC

PIC

SIC

SIC

SIC

PIC

PIC

PIC

SIC

SIC

SIC

PIC

PIC

PIC

SIC

SIC

SIC

Gliders

PoweredLift

PCATD

Airplanes

V. Applicant’s Certification -- I certify that all statements and answers provided by me on this application form are complete and true to the best of my knowledgeand I agree that they are to be considered as part of the basis for issuance of any FAA certificate to me. I have also read and understand the Privacy Act statementthat accompanies this form.

Simulator



CHECK THE APPLICANT’S FLIGHT TIME AGAINST THE FAR’S



LET’S NOT FORGETBLOCKS IV & V

I DON’TFORGET!



INSTRUCTOR'S RECOMMENDATION

Instructor’s Recommendation

I have personally instructed the applicant and consider this person ready to take the test.

Date Certificate No: Certificate ExpiresInstructor’s Signature (Print Name & Sign)



AIR AGENCY’S RECOMMENDATION

Air Agency’s Recommendation

This applicant has successfully completed our _____________________________________course, and is recommended for certification or rating without further ________________________________________test.

DateOfficials Signature Title

Agency Name and Number



DESIGNATED EXAMINER REPORT

Student Pilot Certificate Issued ( Copy attached )

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

I have personally reviewed this applicant’s graduation certificate, and found it to be appropriate and in order, and have returned the certificate.

I have personally tested and/or verified this applicant in accordance with pertinent procedures and standards with the result indicated below.

Approved--Temporary Certificate Issued ( Original Attached )

Disapproved--Disapproval Notice Issued ( Original Attached )

Location of Test ( Facility, City, State )

Certificate or Rating for Which Tested

Date

Type(s) of Aircraft Used

Certificate No.

Registration No.(s)

Duration of Test

Ground Flight

Designation No. Designation Expires

Evaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Oral

Approved Simulator/Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Simulator/FTD

Advanced Qualification Program

Designated Examiner or Airman Certification Representative Report

Signature and Certificate Number

Examiner’s Signature (Print Name & Sign)



ATP/TYPE RATING - CO’s MUST COMPLETE BOTH SECTIONS (NOT FOR FAA PERSONNEL)

Student Pilot Certificate Issued ( Copy attached )

I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the pertinent requirementsof 14 CFR Part 61 for the certificate or rating sought.

I have personally reviewed this applicant’s graduation certificate, and found it to be appropriate and in order, and have returned the certificate.

I have personally tested and/or verified this applicant in accordance with pertinent procedures and standards with the result indicated below.

Approved--Temporary Certificate Issued ( Original Attached )

Disapproved--Disapproval Notice Issued ( Original Attached )

Location of Test ( Facility, City, State )

Certificate or Rating for Which Tested

Date

Type(s) of Aircraft Used

Certificate No.

Registration No.(s)

Duration of Test

Ground Flight

Designation No. Designation Expires

Evaluator’s Record (Use For ATP Certificate and/or Type Ratings)

Oral

Approved Simulator/Training Device Check

Aircraft Flight Check

Inspector Examiner Date

Simulator/FTD

Advanced Qualification Program

Designated Examiner or Airman Certification Representative Report

Signature and Certificate Number

Examiner’s Signature (Print Name & Sign)



ATTACHMENTS

Student Pilot Certificate ( copy )

Knowledge Test Report

Temporary Airman Certificate

Airman’s Identification ( ID )

ID:Name:

Date of Birth:

Certificate Number:

E-mail Address

Attachments:

PENNSYLVANIA DRIVER’S LICENSE

271346273

12-13-2008

Notice of Disapproval

Superseded Airman Certificate

Form of ID

Number

Expiration Date

Telephone Number

940-484-9082

FAA Form 8710-1 (4-00) Supersedes Previous Edition U.S.GPO:2000 520-137/95006 NSN: 0052-00-682-5007

X

X

X



COMMON ERRORS ON 8710-1 FRONT OF APP:

1. Leaving the "SSN" block blank. It must have a SSN or show "None" or "Do not use".

2. "Place of Birth" needs a city as well as a state or country. We send it back if no city is shown.

3. If the applicant has a previous airman record and he shows his name different from what was previously indicated. For example, our records show William Dale Smith, and he shows Will Dale Smith on the new application, we will send it back. This is a real problem with foreign applicants.



COMMON ERRORS ON 8710-1 FRONT OF APP:

4. The drug statement MUST be answered. "U" under Part I, Application Information.

5. Under " II, Certificate or Rating Applied For on Basis of: Block A, 2a. "Total time in this aircraft/SIM/FTD" must show some time or show "0" hours. It cannot be left blank. (“Total time this aircraft means this make & model.)

6. If applicant is getting a U.S. certificate based on a foreign license, they MUST complete Part D, "Holder of Foreign License issued by", and they must have a “Verification of Authenticity” letter on file with the FSDO before arriving at the FSDO office.



COMMON ERRORS ON 8710-1

FRONT OF APP:

7. If applying under Military Competency, Part B, "Military Competence Obtained In" must have 4a. completed. Some applicants put "yes". That is not what we are looking for...they must put the name of the aircraft flown.

8. In V, "Applicant's Certification", some foreign and military personnel put the day, month and year in the "date" field; they should put month first, day, year. Otherwise this can be confusing.




BACK OF APP:

9. In the DE report, in the "Location of Test", the city must be shown. For some reason, sometimes only the airport and state is given. (Of course, if it is a balloon or seaplane test, it would not be at an airport, so in that case, a city would not be shown.)

10. In the DE report, "Certificate or Rating for Which Tested" must show the entire rating, for instance, "flight instructor instrument airplane" not just "flight instructor" or "private pilot airplane singleengine land", not just "Private pilot", etc.




BACK OF APP:

11. If the application is printed out on two separate sheets, the back of the application must show the identification of the applicant. This can be filled in at the lower right side of the BACK page under ID:

12. Be sure that the date on the temporary certificate is the date that the practical test was completed.

The main objective is that the CO thoroughly check over the application in order to determine that all fields are completed correctly and that all signatures are there.



AIRMAN CERTIFICATE (FRONT)



AIRMAN CERTIFICATE (BACK)



07-05-2005 07-31-2007

1. PASSENGER CARRYING IS PROHIBITED

CERTIFICATE NO.

ZZ-174727UNITED STATES OF AMERICA


STUDENT PILOT CERTIFICATETHIS CERTIFIES THAT ( Full name and address )

ZIP CODE

BIRTH DATE HEIGHT

IN

WEIGHT HAIR EYES SEX

Has met the standards prescribed in Part 61 of the Federal Aviation Regulations for a Student Pilot Certificate.

ISSUANCE DATE EXPIRATION DATE

SIGNATURE OF EXAMINER OR INSPECTOR EXAM. DESIG. NO.OR INSPECTOR’S

REG. NO.

DATE EXAMINER’S DESIG. EXPIRES:

STUDENT PILOT’SSIGNATURE

FAA Form 8710-2 (2-77) FORMERLY FAA FORM 8420-1

JETHRO LEROY BODINE3211 RODEO DRIVEBEVERLY HILLS, CA 96002

WILEY E. POST SW-05-28

05-31-2006

Jethro Bodine

07-16-1950 76 200 BLACK BLUE M

Wiley E Post



XXXXXXXXXXXX

11-07-2005 07-31-2007

1. PASSENGER CARRYING IS PROHIBITED

CERTIFICATE NO.

ZZ-174727UNITED STATES OF AMERICA


STUDENT PILOT CERTIFICATETHIS CERTIFIES THAT ( Full name and address )

ZIP CODE

BIRTH DATE HEIGHT

IN

WEIGHT HAIR EYES SEX

Has met the standards prescribed in Part 61 of the Federal Aviation Regulations for a Student Pilot Certificate.

ISSUANCE DATE EXPIRATION DATE

SIGNATURE OF EXAMINER OR INSPECTOR EXAM. DESIG. NO.OR INSPECTOR’S

REG. NO.

DATE EXAMINER’S DESIG. EXPIRES:

STUDENT PILOT’SSIGNATURE

FAA Form 8710-2 (2-77) FORMERLY FAA FORM 8420-1


WILEY E. POST SW-05-28

05-31-2006

Jethro Bodine

07-16-1970 76 200 BLACK BLUE M

Wiley E Post

FOR RECORD PURPOSES ONLY



UNITED STATES OF AMERICA


BB-4574359

MEDICAL CERTIFICATE______________CLASS

AND STUDENT PILOT CERTIFICATETHIS CERTIFIES THAT ( Full name and address )


DATE OF BIRTH HEIGHT WEIGHT HAIR EYES SEX

07-16-1950 76 200 BLACK BLUE M

has met the medical standards prescribed in Part 67, Federal Aviation Regulations for this class of Medical Certificate, and the standards prescribed in Part 61 for a Student Pilot Certifi-cate.

STUDENT PILOTS ARE PROHIBITED FROM CARRYING PASSENGERS

VALID FOR STUDENT PILOT

PURPOSES ONLY

DATE OF EXAMINATION EXAMINER’S SERIAL NO.

SIGNATURE

TYPED NAME

AIRMAN’S SIGNATURE

FAA FORM 8420-2 ( 10-73 ) SUPERSEDES PREVIOUS EDITION

07-10-2007 SW-05-234

M. DE SADE, M.D.M. DE Sade, M.D.

Jethro Bodine

THIRD



WHEN ISSUING A STUDENT PILOT CERTIFICATE - APPLICANT RECEIVES:

Student Pilot Certificate

Medical Certificate

Expired or previous

Student Pilot Certificate

(if any)



TO AFS-760 (AIRMAN RECORDS)

Application (FAA FORM 8710-1)

Tissue Copy of Student Pilot Certificate



I. UNITED STATES OF AMERICA

DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

TEMPORARY AIRMAN CERTIFICATEii .

III. CERTIFICATE NO.

THIS CERTIFIES THAT IV.

V.

DATE OF BIRTH HEIGHT

IN.

WEIGHT HAIR EYES SEX NATIONALITY VI.

IX. has been found properly qualified and is hereby authorized in accordance with the conditions of issuanceon the reverse of this certificate to exercise the privileges of

RATINGS AND LIMITATIONS

XII.

XIII.

THIS IS AN ORIGINAL ISSUANCE A REISSUANCEOF THIS GRADE OF CERTIFICATE

DATE OF SUPERSEDED AIRMAN CERTIFICATE

X. DATE OF ISSUANCE X. SIGNATURE OF EXAMINER OF INSPECTOR

EXAMINER’S DESIGNATION NO. OR INSPECTOR’S REG. NO.

DATE DESIGNATION EXPIRES

USE PREVIOUS EDITIONFAA FORM 8060-4 (8-79)

BY DIRECTION OF THE ADMINISTRATOR

PENDING

ELAINE SUSAN OLEKSA419 SECOND STREETLOWELL, CT 01610

09-03-1946 68 126 BROWN BLUE F USA

07-16-2004

04-20-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

RECREATIONAL PILOT

ROTORCRAFT - GYROPLANE

X

HOLDER DOES NOT MEET ICAO REQUIREMENTS

Wiley E Post








V.


IN.




XII.

XIII.








PENDING

LOIS ANN GARNER123 NORTH SECOND STREETKIDD, PA 16236

07-27-1960 70 135 BROWN BROWN F USA

07-16-1997

05-11-2006 WILEY E. POST 03-31-2007

SW-05-28

PRIVATE PILOT

AIRPLANE SINGLE ENGINE LAND

X

RECREATIONAL PRIVILEGESROTORCRAFT - HELICOPTER

Wiley E Post2234167








V.


IN.




XII.

XIII.








PENDING


09-03-1946 68 126 BROWN BLUE F USA

07-16-1998

05-04-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

PRIVATE PILOT

AIRPLANE SINGLE ENGINE LAND

X

NIGHT FLYING PROHIBITED

Wiley E Post








V.


IN.




XII.

XIII.








PENDING



07-16-2001

04-23-2006 WILEY E. POST 03-31-2007

SW-05-28/ 2234167

PRIVATE PILOT

ROTORCRAFT HELICOPTER

X

NOT VALID FOR FLIGHTS REQUIRING THE USE OF ENGLISH

Wiley E Post








V.


IN.




XII.

XIII.








PENDING


09-03-1946 68 126 BROWN BLUE F USA

07-16-2001

04-20-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

PRIVATE PILOT

GLIDER

X

AERO TOW

Wiley E Post








V.


IN.




XII.

XIII.








990901235


07-27-1960 70 135 BROWN BROWN F UNITED KINGDOM

07-16-1998

04-21-2006 WILEY E. POST 03-31-2007

SW-05-28/ 2234167

PRIVATE PILOT PAGE 1 OF 2

AIRPLANE SINGLE ENGINE LANDAIRPLANE MULTIENGINE LAND (U.S.TEST PASSED)ISSUED ON THE BASIS OF AND VALID ONLY WHENACCOMPANIED BY UNITED KINGDOM PILOT LICENSE NO.12345678. ALL LIMITATIONS AND RESTRICTIONS ON THE

Wiley E Post

X








V.


IN.




XII.

XIII.








990901235



07-16-1998

04-21-2006 WILEY E. POST 03-31-2007

SW-05-28/ 2234167

PRIVATE PILOT PAGE 2 OF 2

THE UNITED KINGDOM PILOT LICENSE APPLY

NOT VALID FOR AGRICULTURE AIRCRAFT OPERATIONS

Wiley E Post

X



Foreign Pilot

• 8710-1

• MEDICAL CERTIFICATION

Q. Yes R. Foreign Country S. Date Issued T. N/A








V.


IN.




XII.

XIII.









09-03-1946 68 126 BROWN BLUE F USA

07-17-1982

04-16-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

COMMERCIAL PILOT

AIRPLANE MULTIENGINE LANDPRIVATE PRIVILEGES - AIRPLANE SINGLE ENGINE LAND.NOT VALID FOR CARRIAGE OF PASSENGERS FOR HIRE INAIRPLANES ON CROSS-COUNTRY FLIGHTS OF MORE THAN 50 NAUTICAL MILES, OR AT NIGHT.X

Wiley E Post

PENDING








V.


IN.




XII.

XIII.









09-03-1946 68 126 BROWN BLUE F USA

07-17-1982

04-16-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

COMMERCIAL PILOT

AIRPLANE SINGLE & MULTIENGINE LANDINSTRUMENT - AIRPLANE

AIRPLANE MULTIENGINE LAND VFR ONLY

X

Wiley E Post

173239702








V.


IN.




XII.

XIII.









09-03-1946 68 126 BROWN BLUE F USA

05-26-2002

06-15-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

COMMERCIAL PILOT


X

Wiley E Post

173239702








V.


IN.




XII.

XIII.








2047183



07-16-1998

04-21-2006 WILEY E. POST 03-31-2007

SW-05-28/ 2234167

COMMERCIAL PILOT

Wiley E Post

X


INSTRUMENT PRIVILEGES IN MULTIENGINE AIRPLANESLIMITED TO CENTER THRUST








V.


IN.




XII.

XIII.








PENDING

JOHN WILLIAMS JONES419 SECOND STREETLOWELL, CT 01610

10-03-1946 71 186 BROWN BLUE M USA

07-16-1996

05-20-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

COMMERCIAL PILOT

AIRPLANE MULTIENGINE LANDINSTRUMENT - AIRPLANEPRIVATE PRIVILEGESAIRPLANE SINGLE ENGINE LANDX

Wiley E Post








V.


IN.




XII.

XIII.









09-03-1946 68 126 BROWN BLUE F USA

05-26-2002

06-15-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567

AIRLINE TRANSPORT PILOT

AIRPLANE SINGLE AND MULTIENGINE LANDLR-JET IA-JET BE-300

BE-300 SECOND-IN-COMMAND REQUIRED

X

Wiley E Post

173239702








V.


IN.




XII.

XIII.








2047183



05-14-2002

07-27-2006 WILEY E. POST 03-31-2007

SW-05-28/ 2234167


Wiley E Post

X

AIRPLANE MULTIENGINE LANDCOMMERCIAL PRIVILEGESROTORCRAFT - HELICOPTERAIRPLANE SINGLE ENGINE LANDINSTRUMENT HELICOPTER



ADDED RATINGS

1. Ensure additional rating at the correct

grade level.

2. Use appropriate Practical Test Standard(s).

3. Ensure applicant meets minimum

flight time requirements.

4. Use caution when issuing temporary

airman certificate.

(Do not inadvertently add or remove ratings!)








V.


IN.




XII.

XIII.









09-03-1946 68 126 BROWN BLUE F USA

05-26-2002

06-15-2006 WILEY E. POST 03-31-2007

SW-05-28 / 255124567


AIRPLANE MULTIENGINE LANDL - 300L - 382 B - 707, 720 N-B2

X

Wiley E Post

173239702

N - B25 VFR ONLY



XIV. CONDITIONS OF ISSUANCE

This is an interim certificate issued subject to the approval of the Federal AviationAdministration pending issuance of a certificate of greater duration. It becomes void-

1. Upon the receipt of a certificate of greater duration to replace it;

2. Upon a finding by the FAA that an error has been made in its issuance;

3. Upon finding by the FAA that is was issued illegally or as the result of fraud or mis- representation;

4. Upon the refusal or failure by the holder to accomplish a flight check by a Flight Standards Inspector if so requested; and

5. In any case, at the expiration of 120 days from the date of issuance.



UNITED STATES OF AMERICADEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

NOTICE OF DISAPPROVAL OF APPLICATION

NAME AND ADDRESS OF APPLICANT

On the date shown, you failed the examination indicated below:

FLIGHT ORAL PRACTICAL

CERTIFICATE OR RATING

SOUGHT

FOR REEXAMINATION

UPON APPLICATIONPRESENT THIS FORM

NOTE

XFLT. TIME RECORDED IN LOGBOOK

PILOT-IN-COMM.OR SOLO

INSTRUMENT DUAL

AIRCRAFT USED (Make and Model)

UPON REAPPLICATION YOU WILL BE REEXAMINED ON THE FOLLOWING:

I have personally tested this applicant and deem his performance unsatisfactory for the issuance of the certificate or ratting sought

DATE OF EXAMINATION SIGNATURE OF EXAMINER OR INSPECTOR DESIGNATION OROFFICE NO.

FAA Form 8060-5 (4-82)


PRIVATE PILOT

CESSNA 150 350 218 630

AREAS OF OPERATION - IV, VI, VII, VIII, & XWHILE MANEUVERING AT MINIMUM CONTROLLABLE AIRSPEEDTHE APPLICANT STALLED UNINTENTIONALLY.

05-03-2006 WILEY E. POST SW-05-28Wiley E Post



UNITED STATES OF AMERICADEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

NOTICE OF DISAPPROVAL OF APPLICATION

NAME AND ADDRESS OF APPLICANT

On the date shown, you failed the examination indicated below:

FLIGHT ORAL PRACTICAL

CERTIFICATE OR RATING

SOUGHT

FOR REEXAMINATION

UPON APPLICATIONPRESENT THIS FORM

NOTE

XFLT. TIME RECORDED IN LOGBOOK

PILOT-IN-COMM.OR SOLO

INSTRUMENT DUAL

AIRCRAFT USED (Make and Model)

UPON REAPPLICATION YOU WILL BE REEXAMINED ON THE FOLLOWING:

I have personally tested this applicant and deem his performance unsatisfactory for the issuance of the certificate or ratting sought

DATE OF EXAMINATION SIGNATURE OF EXAMINER OR INSPECTOR DESIGNATION OROFFICE NO.

FAA Form 8060-5 (4-82)

ARTHUR BANKER DRYSDALE1023 OSTENTATIOUS WAYBEVERLY HILLS, CA 96002

AIRLINE TRANSPORTPILOT

BEECHCRAFT BE - 58 1400 250 250

AREAS OF OPERATION IV, V, VI, VII, VIII

APPLICANT PERFORMED STEEP TURNS AT AN ALTITUDE LESSTHAN 3000 FEET AGL.

07-25-2006 WILEY E. POST SW-05-28Wiley E Post



DISPOSITION OF FILES

APPLICANT PRESENTS

Airman Certificate and/or Rating Application

for

All Practical Tests



APPLICANT RECEIVES

(IF IT’S A PASS)

TEMP. AIRMAN CERTIFICATE (copy)

MEDICAL CERTIFICATELOGBOOK ENDORSEMENTGRADUATION CERTIFICATE



IF DISAPPROVED

THE APPLICANT RECEIVES.......…

Pilot/Flight Instructor CertificateMedical CertificateKnowledge Test ResultsDisapproval NoticeLogbook EndorsementGraduation Certificate



ASI SUBMITS TO AFS-760

1. Completed Application

2. Temporary Airman Certificate or

Disapproval Notice (Typed Original)

3. Previous Disapproval Notice

4. Knowledge Test Results (IF PASS)

5. Superseded Airman or Flight

Instructor Certificate (IF PASS)



LETTER OF DISCONTINUANCE

Weather, Sickness, Mechanical Difficulty, etc.



61.75

U. S. CERTIFICATE

COMBINE

FOREIGN BASED CERTIFICATE



Airman CertificationResponsibilities



Verify the Authenticity of a ForeignLicense, Rating, or Medical

Certification



CONTINUE TO CHECK FAA ORDER

8700.1, WITH AFS-760’s WEB SITE,

TSA AND THE DOJ FOR NEW

GUIDANCE REGARDING FLIGHT

TRAINING AND CERTIFICATION OF

FOREIGN PILOTS



CO’S MUST SEND PAPERWORK TO

FSDO WITHIN WORKING 5 DAYS!



ANY QUESTIONS

presented to: by: date: federal aviation administration files asi indoc class #8841 kelly sweeten...

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