Title Page
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ARN No.
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Pilot Licence Check
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Conducted on
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Prepared by
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Location
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Personnel
General
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Licence signed
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ATPL
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GTE Gas Turbine
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RU Retractable Undercarriage
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Type Rating for A/C
Instrument rating
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MEH Multi Engine Helicopter
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IAP 2D
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IAP 3D
Night VFR rating
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(H) Helicopter
Low Level Rating
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Winch
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Sling
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Helicopter
Proficiency Checks
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Instrument MEH
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Instructor
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Examiner
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IPC on type (or hand written)
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Flight Review (or hand written)
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Flight Review Expiry
Restricted to non-PIC duties (page 17)
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Type
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Instrument
Other Important Information
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Medical due
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Current OPC expiry
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OPC Expiry Date?
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Current IPC expiry
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IPC Expiry Date?
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Photograph Medical and Licence.