2 FSTD. 3 Flight training: in the aircraft in the FSTD (for ZFTT) Type of aircraft: Registration: Flight time at the controls: Take-offs: Landings:

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1 LTVIJS REPUBLIK CIVILĀS VIĀCIJS ĢENTŪR REPUBLIC OF LTVI CIVIL VITION GENCY irport Riga 10/1, Mārupes novads, LV-1053, Latvia, Phone (+371) , Fax (+371) C Permission No. in case of skill test: PPLICTION ND REPORT FORM TPL, MPL, TYPE RTING ND CLSS RTING, TRINING, SKILL TEST ND PROFICIENCY CHECK EROPLNES () pplicant s last name(s): ircr: pplicant s first name(s): Signature of applicant: Operations: SP MP PIC CP Other Type of licence held: Checklist: Training record: Type rating: Skill test: Class rating: Licence numr: IR: State of licence issue: Proficiency check: TPL: MPL: 1 Theoretical training the issue of a type or class rating permed during period From: To: t: Mark obtained: Signature of HT: 2 FSTD FSTD ( type): FSTD manufacturer: FSTD operator: Total training time at the controls: Location, date and time: % (Pass mark 75%): Type and numr of licence: Three or more Ready service and : axes:yes No Motion or system: Visual aid: Yes No FSTD ID code: Instrument approaches at aerodromes to a decision altitude or height of: Type and numr of licence: Type rating instructor Class rating instructor instructor Signature of instructor: 3 Flight training: in the in the FSTD ( ZFTT) Type of : Registration: Flight time at the controls: Take-offs: Landings: Training aerodromes or sites (take-offs, approaches and landings): Take-off time: Landing time: Location and date: Type rating instructor Class rating instructor Signature of instructor: 4 Skill test Proficiency check Skill test and proficiency check details: Type and numr of licence held: erodrome or site: Total flight time: Take-off time: Landing time: Pass Fail Reason(s) why, if failed: Location and date: SIM or registration: Examiner s certificate numr (if applicable): Type and numr of licence: Signature of examiner: Page 1 of 5

2 MULTI-PILOT EROPLNES ND SINGLE-PILOT HIGH- PERFORMNCE COMPLEX EROPLNES Manoeuvres/Procedures SECTION 1 OTD PRCTICL TRINING FTD Instructor initials when training completed 1. Flight preparation 1.1 Permance calculation P 1.2 eroplane external visual inspection; location of each item and purpose of inspection P# P 1.3 Cockpit inspection > 1.4 Use of checklist prior to starting engines, starting procedures, radio and navigation equipment check, selection and setting of navigation and communication frequencies > > M 1.5 Taxiing in compliance with air traffic control or instructions of instructor 1.6 Bee take-off checks > M SECTION 2 TPL/MPL/TY PE RTING SKILL TEST OR PROF. CHECK Chkd in 2. Take-offs 2.1 Normal take-offs with different flap settings, including expedited take- off 2.2* Instrument take-off; transition to instrument flight is required during rotation or immediately er coming airborne 2.3 Crosswind take-off 2.4 Take-off at maximum take-off mass (actual or simulated maximum take- off mass) 2.5 Take-offs with simulated engine failure: 2.5.1* shortly er reaching V2 (In aeroplanes which are certificated as transport category or commuter category aeroplanes, the engine failure shall simulated until reaching a minimum height of 500 ft above runway end. In aeroplanes having the same permance as a transport category aeroplane regarding take- off mass and density altitude, the instructor simulate the engine failure shortly er reaching V2) 2.5.2* tween V1 and V2 P X M 2.6 Rejected take-off at a reasonable speed e reaching V1 X M Examiner initials when test completed 3. Flight Manoeuvres and Procedures 3.1 Turns with and without spoilers SECTION Tuck under and Mach buffets er reaching the critical Mach numr, and other specific flight characteristics of the aeroplane (e.g. Dutch Roll) 3.3 Normal operation of systems and controls engineer s panel P > > > > Normal and abnormal operations of following systems: P > > > > M Engine (if necessary propeller) P > > > > Pressurisation and air- conditioning P > > > > Pitot/static system P > > > > Fuel system P > > > > Electrical system P > > > > Hydraulic system P > > > > Flight control and Trim- system P > > > > ti-icing/de-icing system, Glare shield heating P > > > > P > ->X exercise mandatory minimum of 3 abnormal shall selected from to inclusive utopilot/flight director Stall warning devices or stall avoidance devices, and stability augmentation devices P > > > > Page 2 of 5

3 Ground proximity warning system, weather radar, radio altimeter, transponder P > > > Radios, navigation equipment, instruments, flight management system P > > > > Landing gear and brake P > > > > Slat and flap system P > > > > uxiliary power unit P > > > > Intentionally left blank 3.6 bnormal and emergency procedures: M Fire drills, e.g. engine, PU, cabin, cargo compartment, flight deck, wing and electrical fires including evacuation P > > > Smoke control and removal P > > > Engine failures, shutdown and restart at a safe height P > > > Fuel dumping (simulated) P > > > Wind shear at take-off/ landing P X Simulated cabin pressure failure/emergency descent P > > Incapacitation of flight crew memr P > > > Other emergency procedures as outlined in the appropriate eroplane Flight Manual P > > > mandatory minimum of three items shall selected from to inclusive CS event P > > > 3.7 Steep turns with 45 bank, 180 to 360 left and right P > > > 3.8 Early recognition and counter measures on approaching stall (up to activation of stall warning device) in take-off configuration (flaps in take-off position), in cruising flight P > > configuration and in landing configuration (flaps in landing position, gear extended) Recovery from full stall or er activation of stall warning device in climb, cruise and approach configuration P X 3.9 Instrument flight procedures 3.9.1* dherence to departure and arrival routes and TC instructions P > > > M 3.9.2* Holding procedures P > > > 3.9.3* 3D operations to DH/ of 200 feet (60 m) or to higher minima if required by the approach procedure Note: ccording to the FM, RNP PCH procedures require the use of autopilot or Flight director. The procedure to flown manually shall chosen taking into account such limitations ( example, choose an ILS in case of such FM limitation). M * manually, without flight director P > > (skill test only) * manually, with flight director P > > * with autopilot P > > * manually, with one engine simulated inoperative; engine failure has to simulated during final approach e passing 1000 feet above aerodrome level until touchdown or through the complete missed approach procedure In aeroplanes which are certificated as transport category aeroplanes (JR/ FR 25) or as commuter category aeroplanes (SFR 23), the approach with simulated engine failure and the ensuing go-around shall initiated in conjunction with the non-precision approach as descrid in The go-around shall P > > M initiated when reaching the published obstacle clearance height (OCH/), however later than reaching a minimum descent height/altitude (MDH/) of 500 feet above runway threshold elevation. In aeroplanes having the same permance as a transport category aeroplane regarding take-off mass and density altitude, the instructor simulate the engine failure in accordance with * 2D operations down to the MDH/ P* > > M Circling approach under following conditions: (a)* approach to the authorised minimum circling approach altitude at the aerodrome in question in accordance with the local instrument approach facilities in simulated instrument flight conditions; followed by: (b) circling approach to aher runway at least 90 off centreline from final approach in item (a), at the authorised minimum circling approach altitude. Remark: if (a) and (b) are possible due to TC reasons, a simulated low visibility pattern permed. P* > > SECTION 4 4. Missed pproach Procedures 4.1 Go-around with all engines operating* during a 3D operation on reaching decision height P* > > 4.2 Other missed approach procedures P* > > 4.3* Manual go-around with the critical engine simulated inoperative er an instrument approach on reaching DH, MDH or MPt P* > > 4.4 Rejected landing at 15 m (50 ft) above runway threshold and go-around P > > Page 3 of 5 M

4 SECTION 5 5. Landings 5.1 Normal landings* with visual reference established when reaching D/H following an P instrument approach operation 5.2 Landing with simulated jammed horizontal stabiliser in any out-of- trim position P > exerc ise 5.3 Crosswind landings (a/c, if practicable) P > > 5.4 Traffic pattern and landing without extended or with partly extended flaps and slats P > > 5.5 Landing with critical engine simulated inoperative P > > M 5.6 Landing with two engines inoperative: aeroplanes with 3 engines: the centre engine and 1 outboard engine as far as practicable according to data of the FM, aeroplanes with 4 engines: 2 engines at one side General remarks: Special requirements extension of a type rating instrument approaches down to a decision height of less than 200 feet (60 m), i.e. Cat II/III operations. SECTION 6 dditional authorisation on a type rating instrument approaches down to a decision height of less than 60 m (200 ft) (CT II/III). The following manoeuvres and procedures are the minimum training requirements to permit instrument approaches down to a DH of less than 60 m (200 ft). During the following instrument approaches and missed approach procedures all aeroplane equipment required type certification of instrument approaches down to a DH of less than 60 m (200 ft) shall. 6.1* Rejected take-off at minimum authorised RVR P*-> 6.2* CT II/III approaches: in simulated instrument flight conditions down to the applicable DH, using flight guidance system. Standard procedures of crew coordination (task sharing, call out procedures, mutual surveillance, inmation exchange and support) shall P > > M observed 6.3* Go-around: er approaches as indicated in 6.2 on reaching DH. The training shall also include a go-around due to (simulated) insufficient RVR, wind shear, aeroplane deviation in excess of approach limits a successful approach, and ground/airborne equipment failure P > > M* prior to reaching DH and, go- around with simulated airborne equipment failure. 6.4* Landing(s): with visual reference established at DH following an instrument approach. Depending on the specific flight guidance system, an automatic landing shall permed P > > M Note: CT II/III operations shall accomplished in accordance with the applicable air operations requirements. P X >X exercise M only (skill test only) M* Page 4 of 5

5 FCL.1030 Completed by examiner FCL.1030 (a)(1) I have ensure that communication with the applicant can established without language barriers. FCL.1030 (a)(1) I have verify that the applicant complies with all the qualification, training and experience requirements in Part-FCL the issue, revalidation or renewal of the licence, rating or certificate which the skill test, proficiency check or assessment of competence is taken FCL.1030 (a)(1) I have make the applicant aware of the consequences of providing incomplete, inaccurate or false inmation related to their training and flight experience. FCL.1030 (b)(1) I have inm the applicant of the result of the test. FCL.1030 (b)(1) In the event of a partial pass or fail: I have inmed the applicant that he/she exercise the privileges of the rating until a full pass has en obtained and detailed any further training requirement and explain the applicant s right of appeal. FCL.1030 (b)(2) In the event of a pass in a proficiency check revalidation or renewal I endorse the applicant s licence with the new expiry date of the rating. ; N/ Expiry date of current rating: New rating valid until: FCL.1030 (b)(3) I have provided the applicant with a signed report of the skill test or proficiency check. I confirm that all the required manoeuvres and exercises have en completed, as well as inmation on the verbal theoretical knowledge examination, when applicable. If an item has en failed, I have record the reasons assessment. y comment on, or disagreement with, an examiner s test or check evaluation or assessment made during a debriefing. (Examiner s Name, Surname Date Signature) Completed by applicant. I understand and agree with all above mentioned inmation and have no objections. In the event of a partial pass or fail I agree/ disagree N/ re-examination with the same examiner. (pplicant s Name, Surname Date Signature) FCL.1030 (3) (iv) (v) In the case if the competent authority responsible the applicant s licence is the same that issued the examiner s certificate I hereby declare that I,, have reviewed and applied the relevant national procedures and requirements of the applicant s competent authority contained in version of the Examiner Differences Document. I have attached to report a copy of the examiner certificate containing the scope of my privileges as examiner. Examiners signature/date: Page 5 of 5