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DPE/INSTRUCTOR Booking Form
Personal Information
First Name and ALL middle names as indicated on your identification certificate*
All names listed in passport
Last Name:*
E-Mail:*
Address Line 1:*
Address Line 2:
City:*
Post Code:*
Country*
Nationality*
Gender:
Select Gender
Male
Female
Date of Birth:*
Phone:*
Height (Inches Only):*
Weight (Pounds Only):*
Service Required*
Choose a Service Required
61.75 Restricted
Flight Test(s)
Canadian Conversion
SIC Type Rating
SOE Removal
Flight Review
IPC
Flight Training
Sim Training
MILITARY COMPETANCY
Federal Tracking Number (FTN)*
1st TEST Required (if applicable)
Choose a Service Required
PRIVATE ASEL
PRIVATE AMEL
COMMERCIAL ASEL
COMMERCIAL AMEL
INSTRUMENT
ATP AMEL
CFI/MEI RENEWAL
CFI/MEI REINSTATEMENT
2nd TEST Required (if applicable)
Choose a Service Required
PRIVATE ASEL
PRIVATE AMEL
COMMERCIAL ASEL
COMMERCIAL AMEL
INSTRUMENT
ATP AMEL
CFI/MEI RENEWAL
CFI/MEI REINSTATEMENT
3rd TEST Required (if applicable)
Choose a Service Required
PRIVATE ASEL
PRIVATE AMEL
COMMERCIAL ASEL
COMMERCIAL AMEL
INSTRUMENT
ATP AMEL
CFI/MEI RENEWAL
CFI/MEI REINSTATEMENT
Requested date of Service
US A/C Reg, Make & Model (If Required)
Name of Test A/C Maintenance Facility and Name of IA responsible for the Annual Inspection*
Do you hold an FAA Pilot Certificate? If so, please indicate certificate number and grade.*
Do you hold an FAA Medical Certificate?*
If so, what Class?
Have you ever had an FAA Certificate Revoked?*
Non-FAA ICAO Licenses & Ratings held*
Country of Issue
FAA Endorsing Instructor`s FULL Name and Certificate Number - MANDATORY FOR FLIGHT TESTS*
If applicable
WARNING!
IF THE AIRMAN CERTIFICATE AND/OR RATING APPLICATION (8710-1) IS NOT COMPLETED AND SUBMITTED TO THE EXAMINER AT LEAST 24 HOURS PRIOR TO THE EXAMINER’S ARRIVAL, THE TEST OR SERVICE WILL NOT BEGIN AS SCHEDULED AND THE EXAMINER WILL MOVE ON TO THE NEXT APPLICANT.
*Also, the examiner MUST approve the test aircraft documentation (Annual, Pitot Static Check and/or other relevant inspection(s) prior to booking confirmation*
By checking the box below, you are confirming that you (and your FAA CFI if flight test) have read, understand & agree with
SCH AIRCRAFT CONSULTANCY LTD`s Terms & Conditions of Service
and that Bookings cannot be confirmed until full payment of fees has been received.
I Agree*
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