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Get FAA 3330-47-3 1998

FAA DESIGNATIONS AND AUTHORIZATIONS 8. TYPE AND TOTAL FLIGHT HOURS Designated Pilot Examiner Pilot Proficiency Examiner Designated Flight Engineer Examiner Designated Aircraft Dispatcher Check Airman Aircrew Program Designee Representative Designated Manufacturing Inspection Representative Designated Engineering Designated Parachute Rigger FAA Form 3330-47-3 10/98 Total Pilot Time Single Engine Twin Engine Three or more Engine Multiengine over 12 500 lbs maximum Certificated Takeoff Weight Turbine Powered Actual Instrument Hood Instrument Flight Simulator Night Total Flight Instructor Instrument Instructor Multiengine Instructor Total in Last 12 Months Total in Last 3 Years Total Hours Flown to Date Airplane PIC SIC 9. FORM APPROVED OMB NO. 2120-0500 Supplemental Qualifications Statement U*S* Department of Transportation Federal Aviation Administration 1. Name First MI Last FOR 1825 AND 2181 SERIES 2. Date of Birth Mo/Da/Yr 3. Social Security Number 5. PILOT RATING RECORD Indicate certificate privileges for the ratings listed below by writing A for Airline Transport C for Commercial or P for Private in column 1. Write an F for Flight Instructor Rating in column 2 where appropriate Type Ratings specify Airplane Single Engine Land Glider Rotorcraft Helicopter Airplane Multiengine Land Rotorcraft Gyroplane Lighter-than-air Free Instrument Airplane Balloon Instrument Helicopter 4. AIRMAN CERTIFICATES HELD Type Airline Transport Pilot Commercial Pilot Private Pilot Flight Instructor Date Issued Certificate No* 6. TEST PILOT EXPERIENCE Name of Company or Organization Date Employed Fixed Wing Hours RotoCraft Flight Test Pilot Production 7. FORM APPROVED OMB NO. 2120-0500 Supplemental Qualifications Statement U*S* Department of Transportation Federal Aviation Administration 1. Name First MI Last FOR 1825 AND 2181 SERIES 2. Date of Birth Mo/Da/Yr 3. Social Security Number 5. PILOT RATING RECORD Indicate certificate privileges for the ratings listed below by writing A for Airline Transport C for Commercial or P for Private in column 1. Name First MI Last FOR 1825 AND 2181 SERIES 2. Date of Birth Mo/Da/Yr 3. Social Security Number 5. PILOT RATING RECORD Indicate certificate privileges for the ratings listed below by writing A for Airline Transport C for Commercial or P for Private in column 1. Write an F for Flight Instructor Rating in column 2 where appropriate Type Ratings specify Airplane Single Engine Land Glider Rotorcraft Helicopter Airplane Multiengine Land Rotorcraft Gyroplane Lighter-than-air Free Instrument Airplane Balloon Instrument Helicopter 4. Write an F for Flight Instructor Rating in column 2 where appropriate Type Ratings specify Airplane Single Engine Land Glider Rotorcraft Helicopter Airplane Multiengine Land Rotorcraft Gyroplane Lighter-than-air Free Instrument Airplane Balloon Instrument Helicopter 4. AIRMAN CERTIFICATES HELD Type Airline Transport Pilot Commercial Pilot Private Pilot Flight Instructor Date Issued Certificate No* 6. AIRMAN CERTIFICATES HELD Type Airline Transport Pilot Commercial Pilot Private Pilot Flight Instructor Date Issued Certificate No* 6. TEST PILOT EXPERIENCE Name of Company or Organization Date Employed Fixed Wing Hours RotoCraft Flight Test Pilot Production 7. .

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