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*Disclaimer: These forms should be taken as reference/ sample/ suggestion; just to get an idea about
how to prepare documents for DGCA license conversion. We or the site nor the person who has
typed this does not take any responsibilities in case of any complaints, lost, rejection or any other
problems due to these forms. Prepare these documents on school letter head.
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To Whomsoever It May Concern:
This is to certify that (Full Name) has over 5 hrs of night flight time as PIC including 10 take offs
and landings each between 15th June 2008 to 20th June 2008 meeting the requirements of DGCA for
conversion of FAA CPL to Indian CPL
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To Whomsoever It May Concern:
15 hrs PIC
This is to certify that (Full Name) has over 15 hrs of flight time as PIC between 15th June 2008 to
20th June 2008 meeting the requirements of DGCA for conversion of FAA CPL to Indian CPL
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the minimum requirement of 50 hrs of cross
country flight time as PIC as per the DGCA.
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To Whomsoever It May Concern:
This is to certify that (Full Name) has logged over 100 hrs of flight time as PIC during his 10
months of training at (School Name)
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed a 120 NM cross country flight test by night
carried out by (Instructor Name) (CFI, CFII, MEI) consisting of a flight not less than 120 NM and
returning to the place of departure without landing elsewhere as per the DGCA requirements.
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PERFORMA FOR THE 120 NM CROSS COUNTRY FLIGHT TEST BY NIGHT FOR THE ISSUE
OF COMMERCIAL PILOT LICENSE
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To Whomsoever It May Concern:
This is to certify that (Full Name) has logged over 250 hrs of flight time during his 10 months of
training at (School Name)
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed a 250 NM cross country flight test by day carried
out by (Instructor Name) (CFI, CFII, MEI) consisting of a flight not less than 250 NM in the course
and at least one full stop landing at an aerodrome other than the aerodrome of departure as per the
DGCA requirements.
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PERFORMA FOR THE 250 NM CROSS COUNTRY FLIGHT TEST BY DAY FOR THE ISSUE OF
COMMERCIAL PILOT LICENSE
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed a cross country flight of not less than 300 Nm in
the course of which full stop landings at two different aerodromes were made.
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To Whomsoever It May Concern:
This is to certify that (Full Name) , born on__________ has not been involved in any kind of
aircraft accident/incident related to Human/Pilot error during his 10 months of training at (School
Name)
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To Whomsoever It May Concern:
This is to certify that (Full Name) has gained flight experience at (School Name) on aircraft having
valid certificates of airworthiness.
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SOLO CROSS COUNTRY STATEMENT
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the FAA Commercial Pilot Airplane Single
Engine Land and Multiengine Land Checkride on 28th May 2008.
Examiner sign
Approved Examiner/Instructor
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the FAA Instrument Rating Airplane Checkride
on 26th Feb 2008.
Examiner sign
Approved Examiner/Instructor
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the FAA Private Pilot Airplane Single Engine
Land Checkride on 26th October 2007.
Examiner sign
Approved Examiner/Instructor
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the Airplane Single Engine Land General
Flying Test by Day with 3 Solo take off and landings carried out by (Instructor Name) (CFI, CFII,
MEI) in Cessna 152 : NN87262 as per the DGCA requirements.
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CA40
GENERAL FLYING TEST BY DAY FOR ISSUE OF COMMERCIAL LICENCE
NAME: (Full Name) LIC No: ________ Valid Till: N/A
TYPES OF A/C FLOWN: CE-152 TOTAL HRS FLOWN: 119:36
TEST ON A/C TYPE: CE-152 REGN NO: NN87262
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DATE 17 June 2008 TIME DAY: 01:24 (excluding 00:30 solo Landings)
Certified that the above information has been verified from the relevant documents.
1 Cockpit Checks S
2 Starting Procedure S
3 Precaution before Taxing Out S
4 Taxing Procedure S
5 Engine Check S
6 Preflight Check S
7 Precaution before entering Runway/Line Up S
8 Takeoff S
9 Climbing Speed and Use of Power S
10 Procedure for Leveling out S
11 Level Flight
(a) Use of Correct Power S
(b) Use of Fore and Aft Trim S
(c) Keeping Lateral Level/Direction/Speed S
12 Level Turns
(a) Precaution before Turns S
(b) Rate Turns S
13 Climbing and Gliding Turns
(a) Use of Bank in Rate 1 Climbing Turn S
(b) Medium Gliding Turn with Flaps Up and Down (15 S
& 30 bank)
14 Asymmetric Handling
(a) In Climb NA
(b) In Flight NA
(c) Circuit and Approach NA
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16 Correct Procedure for Joining Circuit/Circuit Pattern S
(90 Turns)
17 Stalling S
18 Spinning S
19 Landing
(a) With Full Flaps S
(b) With No Flaps S
(c) With Partial Flaps S
(d) With Simulated Asymmetric Engines NA
20 Precautionary Landing S
21 Forced Landing S
22 Steep Turn S
23 Action in Event of Simulated
(a) Engine Failure after Takeoff S
(b) Engine Fire after Takeoff S
24 Night Flying
(a) Correct Use of Cockpit Light NA
(b) Correct Procedure for Touchdown NA
(c) Landing with and without Landing Lights NA
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the Airplane Multi Engine Land General Flying
Test by Day with 3 take off and landings as sole manipulator of controls carried out by (Instructor
Name) (CFI, CFII, MEI) in Beechcraft Duchess : N54321 as per the DGCA requirements.
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CA40
GENERAL FLYING TEST BY DAY FOR ISSUE OF COMMERCIAL LICENCE
NAME: (Full Name) LIC No: ________ Valid Till: N/A
TYPES OF A/C FLOWN: BE-76 TOTAL HRS FLOWN: 10:36
TEST ON A/C TYPE: BE-76 REGN NO: N54321
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DATE 18 June 2008 TIME DAY: 01:24 (excluding 00:36 sole manipulator landings)
Certified that the above information has been verified from the relevant documents.
1 Cockpit Checks S
2 Starting Procedure S
3 Precaution before Taxing Out S
4 Taxing Procedure S
5 Engine Check S
6 Preflight Check S
7 Precaution before entering Runway/Line Up S
8 Takeoff S
9 Climbing Speed and Use of Power S
10 Procedure for Leveling out S
11 Level Flight
(a) Use of Correct Power S
(b) Use of Fore and Aft Trim S
(c) Keeping Lateral Level/Direction/Speed S
12 Level Turns
(a) Precaution before Turns S
(b) Rate Turns S
13 Climbing and Gliding Turns
(a) Use of Bank in Rate 1 Climbing Turn S
(b) Medium Gliding Turn with Flaps Up and Down (15 S
& 30 bank)
14 Asymmetric Handling
(a) In Climb S
(b) In Flight S
(c) Circuit and Approach S
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16 Correct Procedure for Joining Circuit/Circuit Pattern S
(90 Turns)
17 Stalling S
18 Spinning S
19 Landing
(a) With Full Flaps S
(b) With No Flaps S
(c) With Partial Flaps S
(d) With Simulated Asymmetric Engines S
20 Precautionary Landing S
21 Forced Landing S
22 Steep Turn S
23 Action in Event of Simulated
(a) Engine Failure after Takeoff S
(b) Engine Fire after Takeoff S
24 Night Flying
(a) Correct Use of Cockpit Light NA
(b) Correct Procedure for Touchdown NA
(c) Landing with and without Landing Lights NA
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the Airplane Multi Engine Land General Flying
Test by Night with 3 take off and landings as sole manipulator of controls carried out by
(Instructor Name) (CFI, CFII, MEI) in Beechcraft Duchess : N54321 as per the DGCA
requirements.
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CA40
GENERAL FLYING TEST BY NIGHT FOR ISSUE OF COMMERCIAL LICENCE
NAME: (Full Name) LIC No: ________ Valid Till: N/A
TYPES OF A/C FLOWN: BE-76 TOTAL HRS FLOWN: 12:36
TEST ON A/C TYPE: BE-76 REGN NO: N54321
th
DATE 18 June 2008 TIME NIGHT: 01:18 (excluding 00:30 sole manipulator landings)
Certified that the above information has been verified from the relevant documents.
1 Cockpit Checks S
2 Starting Procedure S
3 Precaution before Taxing Out S
4 Taxing Procedure S
5 Engine Check S
6 Preflight Check S
7 Precaution before entering Runway/Line Up S
8 Takeoff S
9 Climbing Speed and Use of Power S
10 Procedure for Leveling out S
11 Level Flight
(a) Use of Correct Power S
(b) Use of Fore and Aft Trim S
(c) Keeping Lateral Level/Direction/Speed S
12 Level Turns
(a) Precaution before Turns S
(b) Rate Turns S
13 Climbing and Gliding Turns
(a) Use of Bank in Rate 1 Climbing Turn S
(b) Medium Gliding Turn with Flaps Up and Down (15 S
& 30 bank)
14 Asymmetric Handling
(a) In Climb S
(b) In Flight S
(c) Circuit and Approach S
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16 Correct Procedure for Joining Circuit/Circuit Pattern S
(90 Turns)
17 Stalling S
18 Spinning S
19 Landing
(a) With Full Flaps S
(b) With No Flaps S
(c) With Partial Flaps S
(d) With Simulated Asymmetric Engines S
20 Precautionary Landing S
21 Forced Landing S
22 Steep Turn S
23 Action in Event of Simulated
(a) Engine Failure after Takeoff S
(b) Engine Fire after Takeoff S
24 Night Flying
(a) Correct Use of Cockpit Light S
(b) Correct Procedure for Touchdown S
(c) Landing with and without Landing Lights S
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the Airplane Single Engine Land General
Flying Test by Night with 3 Solo take off and landings carried out by (Instructor Name) (CFI,
CFII, MEI) in Cessna 152 : N87262 as per the DGCA requirements.
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CA40
GENERAL FLYING TEST BY DAY FOR ISSUE OF COMMERCIAL LICENCE
NAME: (Full Name) LIC No: ________ Valid Till: N/A
TYPES OF A/C FLOWN: CE-152 TOTAL HRS FLOWN: 119:36
TEST ON A/C TYPE: CE-152 REGN NO: NN87262
th
DATE 17 June 2008 TIME DAY: 01:18 (excluding 00:36 solo Landings)
Certified that the above information has been verified from the relevant documents.
1 Cockpit Checks S
2 Starting Procedure S
3 Precaution before Taxing Out S
4 Taxing Procedure S
5 Engine Check S
6 Preflight Check S
7 Precaution before entering Runway/Line Up S
8 Takeoff S
9 Climbing Speed and Use of Power S
10 Procedure for Leveling out S
11 Level Flight
(a) Use of Correct Power S
(b) Use of Fore and Aft Trim S
(c) Keeping Lateral Level/Direction/Speed S
12 Level Turns
(a) Precaution before Turns S
(b) Rate Turns S
13 Climbing and Gliding Turns
(a) Use of Bank in Rate 1 Climbing Turn S
(b) Medium Gliding Turn with Flaps Up and Down (15 S
& 30 bank)
14 Asymmetric Handling
(a) In Climb NA
(b) In Flight NA
(c) Circuit and Approach NA
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16 Correct Procedure for Joining Circuit/Circuit Pattern S
(90 Turns)
17 Stalling S
18 Spinning S
19 Landing
(a) With Full Flaps S
(b) With No Flaps S
(c) With Partial Flaps S
(d) With Simulated Asymmetric Engines NA
20 Precautionary Landing S
21 Forced Landing S
22 Steep Turn S
23 Action in Event of Simulated
(a) Engine Failure after Takeoff S
(b) Engine Fire after Takeoff S
24 Night Flying
(a) Correct Use of Cockpit Light S
(b) Correct Procedure for Touchdown S
(c) Landing with and without Landing Lights S
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To Whomsoever It May Concern:
GROUND SCHOOL
This is to certify that (Full Name) has received ground instruction covering the FAA syllabus for :
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To Whomsoever It May Concern:
GROUND SCHOOL
This is to certify that (Full Name) has received ground training covering the
technical and performance subjects Cessna 152, Cessna 172 and Beechcraft Duchess 76.
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To Whomsoever It May Concern:
This is to certify that (Full Name) has over 5 hrs of Instrument time between 19th June 2008 to 20th
June 2008 meeting the requirements of DGCA for conversion of FAA CPL to Indian CPL.
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed over 40 hrs of Instrument time during his
Commercial Pilot Training at (school name)
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03-02-09 CE-172 : N123AB KABC KABC 00:42 (S)
06-02-09 CE-172 : N123SP KABC KABC 01:18 (S)
09-02-09 CE-172 : N456AB KABC KABC 01:06 (S)
09-02-09 CE-172 : N456AB KABC KABC 00:30 (S)
11-02-09 CE-172 : N123SP KABC KABC 03:00 (A)
14-02-09 CE-172 : N1234 KABC KABC 01:24 (S)
16-02-09 CE-172 : N1234 KABC KGGG 01:30 (A)
16-02-09 CE-172 : N1234 KGGG KABC 02:12 (A)
22-02-09 CE-172 : N1234 KABC KABC 01:00 (S)
25-02-09 PCATD : 1234A ------------- 00:30 (S)
26-02-09 CE-172 : N12345 KABC KABC 01: 18 (S)
16-04-09 BE-76 : N54321 KABC KABC 00:12 (S)
28-04-09 BE-76 : N54321 KABC KABC 00:12 (S)
28-05-09 BE-76 : N54321 KDES KDES 00:06 (S)
29-05-09 PCATD : 1234A ------------- 02:00 (S)
30-05-09 PCATD : 1234A ------------- 00:30 (S)
31-05-09 PCATD : 1234A ------------- 01:00 (S)
19-06-09 CE-152 : NN87262 KABC KABC 01:42 (S)
19-06-09 CE-172 : N123AB KABC KABC 01:18 (S)
19-06-09 CE-172 : N12345 KABC KABC 01:00 (S)
20-06-09 BE-76 : N54321 KDES KDES 01:06 (S)
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the Pilot proficiency test report for Instrument
Rating carried out by (Instructor Name) (CFI, CFII, MEI) in Beechcraft Duchess : N54321 as per
the DGCA requirements.
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To Whomsoever It May Concern:
This is to certify that (Full Name) has completed the Pilot proficiency test report for Instrument
Rating carried out by (Instructor Name) (CFI, CFII, MEI) in Cessna 172 : N12345 as per the
DGCA requirements.
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IR TEST REPORT FOR MULTI ENGINE AIRCRAFT
NAME: (Full Name) LIC No: ________ Valid Till: N/A
TEST ON A/C TYPE: BE-76 REGN NO: N54321
th
DATE: 20 June 2008 TIME DAY: 01:18 (including 01:06 simulated instrument)
Terminal Approach S
ILS/PAR/ASR/VOR/NDB S
Missed Approach/Reject Landing at 50 S
Landing Asymmetric Landing S
General Crew Co-ordination S
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IR TEST REPORT FOR SINGLE ENGINE AIRCRAFT
NAME: (Full Name) LIC No: ________ Valid Till: N/A
TEST ON A/C TYPE: CE-172 REGN NO: N12345
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DATE: 19 June 2008 TIME DAY: 01:06 (including 01:00 simulated instrument)
Terminal Approach S
ILS/PAR/ASR/VOR/NDB S
Missed Approach/Reject Landing at 50 S
Landing Asymmetric Landing NA
General Crew Co-ordination S
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To Whomsoever It May Concern:
This is to certify that (Full Name) has been checked by the undersigned for Morse code signal
reception competency check (eight word per minute).
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