Flying Experience for period from _______ TO ________ {Preceding 5Years/6months}

Name of License Holder: __________________________ License Name: CPL FAA License Number: ______ Valid upto:---

Aircrafts Flown: PA-28. C-172, C-152, PA-28R, PA-34.

SINGLE ENGINE AIRCRAFT MULTI ENGINE AIRCRAFT INSTRUMENT TIME

Instructi
DAY NIGHT DAY NIGHT On Aircraft Synthetic Remark
Year wise onal
Co- P1 Co- P1 Simulat Simulator Flying
Dual Solo Dual PIC U/T PIC U/T PIC Total Actual
pilot (U/S) pilot (U/S) ed hrs
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2006 --- ---
2007 --- ---
2008 --- ---
2009 --- ---
2010 --- ---

TOTAL --- ---

Note: write P1 U/s experience separately and do not include in Co-Pilot column.

This is to certify that I have examined the logbooks of ____________________ and the above is a true summary.

Countersigned
Name: Mark Alan Frankum
Signature of License Holder Designation: Chief Flight Instructor
Date: Seal of the Organisation Company Name: Skyventure Aviation, Inc
Date:
Note: Fill up separate CA-39 form for flying in preceding 5years/ preceding 6 months/ preceding 12months/ preceding 18months, (as required by respective schedule-II of the Aircraft Rules)
Separate form shall be used for helicopter flying and Aeroplane Flying. This form shall be countersigned by competent authority who is authorized to sign log book as per Rule 67A of the
Aircraft Rules 1937.
Flying Experience for period from ______ TO _______ {Preceding 5Years/6months}
 Name of License Holder: ____________________ License Name: CPL FAA License Number: __________ Valid upto:---

Aircrafts Flown: PA-28. C-172, C-152, PA-28R, PA-34.

SINGLE ENGINE AIRCRAFT MULTI ENGINE AIRCRAFT INSTRUMENT TIME

Instructi
DAY NIGHT DAY NIGHT On Aircraft Synthetic Remark
Aircraft wise onal
Co- P1 Co- P1 Simulat Simulator Flying
Dual Solo Dual PIC U/T PIC U/T PIC Total Actual
pilot (U/S) pilot (U/S) ed hrs
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
PA-28 --- ---
C-172 --- ---
C-152 --- ---
PA-28R --- ---
PA-34 --- ---

TOTAL --- ---

Note: write P1 U/s experience separately and do not include in Co-Pilot column.

This is to certify that I have examined the logbooks of ______________________and the above is a true summary.

Countersigned
Name: Mark Alan Frankum
Signature of License Holder Designation: Chief Flight Instructor
Date: Seal of the Organisation Company Name: Skyventure Aviation, Inc
Date:
Note: Fill up separate CA-39 form for flying in preceding 5years/ preceding 6 months/ preceding 12months/ preceding 18months, (as required by respective schedule-II of the Aircraft Rules)
Separate form shall be used for helicopter flying and Aeroplane Flying. This form shall be countersigned by competent authority who is authorized to sign log book as per Rule 67A of the
Aircraft Rules 1937.