Title Page

  • ARN No.

  • Pilot Licence Check

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Licence signed

  • ATPL

  • GTE Gas Turbine

  • RU Retractable Undercarriage

  • Type Rating for A/C

Instrument rating

  • MEH Multi Engine Helicopter

  • IAP 2D

  • IAP 3D

Night VFR rating

  • (H) Helicopter

Low Level Rating

  • Winch

  • Sling

  • Helicopter

Proficiency Checks

  • Instrument MEH

  • Instructor

  • Examiner

  • IPC on type (or hand written)

  • Flight Review (or hand written)

  • Flight Review Expiry

Restricted to non-PIC duties (page 17)

  • Type

  • Instrument

Other Important Information

  • Medical due

  • Current OPC expiry

  • OPC Expiry Date?

  • Current IPC expiry

  • IPC Expiry Date?

  • Photograph Medical and Licence.

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