dgca cpl licence conversion sample documents

DGCA Foreign CPL Licence Convertion Sample Documents

STRICTLY SAMPLE COPIES* Only for Reference

*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:

5 hrs PIC NIGHT

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

True Extract from Log Book

DATE AIRCRAFT

IDENTIFICATION FROM TO DURATION TAKEOFF/

LANDINGS

17th

JUN CE-152 : N53396 KABC KABC 01:12 3

20th

JUN CE-152 :

NN87262 KABC KABC 03:12 12

21st JUN CE-172 :

N456AB KABC KABC 00:54 2

(Seal And Sign)

Chief Flight Instructor





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

(Seal And Sign)






50 HRS CROSS COUNTRY

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.

The details of flight are attached

(Seal And Sign)






100 hrs PIC

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)

(Seal And Sign)






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.


DATE AIRCRAFT

IDENTIFICATION

FROM TO DURATION DISTANCE DAY/

NIGHT

16th

JUN

2008

CE-172 : N145ES KABC

(O/F KGGG)

KABC 03:18 243.4 NM NIGHT

Your name Examiner sign Seal and Sign

Pilot under check Approved Examiner/Instructor Chief Flight Instructor




PERFORMA FOR THE 120 NM CROSS COUNTRY FLIGHT TEST BY NIGHT FOR THE ISSUE

OF COMMERCIAL PILOT LICENSE

NAME: (Full Name)

LICENSE NUMBER: ______________ ROUTE: KABC-(O/F KGGG)-KABC

DATE: 16th

June 2008 FLIGHT TIME: 03:18

TYPE OF A/C: CE-172 IDENTIFICATION: N145ES

DISTANCE: 243.4 NM (121.7 NM Straight Line) EXAMINER:

Sr. No OPERATIONS BY NIGHT ASSESSMENT

1 (a) Preparation- ATC Clearance, MET Briefing

(b) Navigational Log

(c) Flight Computer, Allied Equipment, Maps etc

S

2 Map Reading S

3 Calculation of Ground Speed and ETA reporting point/Destination S

4 Drift Calculation S

5 Selection of Fuel Tanks/Transfer from Auxiliary to Main S

6 General Flying En Route (Steering Course/Maintaining Altitude and

Speed)

S

7 Approach to Destination for Landing S

8 Landing S

9 Precautions during Refueling En Route S

ASSESSMENT- AS: Above Standard S: Standard BS: Below Standard







200 hrs Flight Time

This is to certify that (Full Name) has logged over 250 hrs of flight time during his 10 months of

training at (School Name)

Seal and Sign






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.


DATE AIRCRAFT

IDENTIFICATION


NIGHT

15th

JUN

2008

CE-172 : N145ES KABC KAMA 03:00 276 NM DAY

15th

JUN

2008

CE-172 : N145ES KAMA KABC 02:54 276 NM DAY






PERFORMA FOR THE 250 NM CROSS COUNTRY FLIGHT TEST BY DAY FOR THE ISSUE OF

COMMERCIAL PILOT LICENSE

NAME: (Full Name)

LICENSE NUMBER: _______________ ROUTE: KABC-KAMA-KABC

DATE: 15th

June 2008 FLIGHT TIME: 05:54

TYPE OF A/C: CE-172 IDENTIFICATION: N145ES

DISTANCE: 552NM (276NM Straight Line) EXAMINER:_______________

Sr. No OPERATIONS BY DAY ASSESSMENT

1 (a) Preparation- ATC Clearance, MET Briefing

(b) Navigational Log

(c) Flight Computer, Allied Equipment, Maps etc

S

2 Map Reading S

3 Calculation of Ground Speed and ETA reporting point/Destination S

4 Drift Calculation S

5 Selection of Fuel Tanks/Transfer from Auxiliary to Main S

6 General Flying En Route (Steering Course/Maintaining Altitude and

Speed)

S

7 Approach to Destination for Landing S

8 Landing S

9 Precautions during Refueling En Route S








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.


DATE AIRCRAFT

IDENTIFICATION


NIGHT

17th

DEC

2007

CE-172 : N145ES KABC KMN

O

03:36 310.6 Nm DAY

17th

DEC

2007

CE-172 : N145ES KMN

O

KUSA 02:00 159.7 Nm DAY

17th

DEC

2007

CE-172 : N145ES KUSA KABC 01:54 151.1 Nm DAY

(Seal And Sign)






ACCIDENT/INCIDENT FREE CERTIFICATE

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)

Seal and Sign






CERTIFICATE OF AIRWORTHINESS OF AIRCRAFT

This is to certify that (Full Name) has gained flight experience at (School Name) on aircraft having

valid certificates of airworthiness.

Seal and Sign





SOLO CROSS COUNTRY STATEMENT


DATE AIRCRAFT FROM TO DISTANCE DURATION

29-10-2007 N734LY KABC KDWH 175 02:00

29-10-2007 N734LY KDWH KABC 175 02:24

04-11-2007 N145ES KABC KABI 131.8 02:12

04-11-2007 N145ES KABI KABC 131.8 01:48

07-11-2007 NN87262 KABC KXPR 101.1 01:36

07-11-2007 NN87262 KXPR KABC 101.1 01:24

09-11-2007 N734LY KABC KVSH 165.8 02:24

09-11-2007 N734LY KVSH KABC 165.8 02:36

23-11-2007 N24768 KABC KOSA 110.5 01:42

23-11-2007 N24768 KOSA KABC 110.5 02:30

26-11-2007 NN5061Q KABC KABI 131.8 02:12

26-11-2007 NN5061Q KABI KABC 131.8 02:36

27-11-2007 N53396 KABC KVSH 165.8 02:24

27-11-2007 N53396 KVSH KABC 165.8 02:48

07-12-2007 N456AB KABC KABI 131.8 02:48

07-12-2007 N456AB KABI KABC 131.8 02:18

17-12-2007 N145ES KABC KMNO 310.6 03:36

17-12-2007 N145ES KMNO KUSA 159.7 02:00

17-12-2007 N145ES KUSA KABC 151.1 01:54

19-12-2007 N145ES KABC KCWC 100.3 01:36

19-12-2007 N145ES KCWC KABC 100.3 01:12

19-12-2007 N12345 KABC KABI 131.8 01:54

19-12-2007 N12345 KABI KABC 131.8 01:36

21-12-2007 N53396 KABC KGGG 121.7 01:54

21-12-2007 N53396 KGGG KABC 121.7 02:30

09-01-2008 N734LY KABC KABI 131.8 02:00

09-01-2008 N734LY KABI KABC 131.8 01:48

Total Cross Country Flight Time : 69:12mins

Your Name Seal and Sign

Pilot under check Chief Flight Instructor





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.


DATE AIRCRAFT

IDENTIFICATION

FROM TO DURATION TAKEOFF/

LANDINGS

28th

MAY

2008

CE-152 : N300FD KDES KDES 01:12 3

28th

MAY

2008

BE-76 : N54321

(Complex Aircraft)

KDES KDES 00:12 1

28th

MAY

2008

BE-76 : N54321 KDES KDES 00:54 3

Examiner sign Approved Examiner/Instructor





This is to certify that (Full Name) has completed the FAA Instrument Rating Airplane Checkride

on 26th

Feb 2008.


DATE AIRCRAFT

IDENTIFICATION

FROM TO DURATION APPROACHES

26th

FEB

2008

CE-172 : N12345 KABC KABC 01:24

(01:18

Simulated)

3

ILS GPS

VOR






This is to certify that (Full Name) has completed the FAA Private Pilot Airplane Single Engine

Land Checkride on 26th

October 2007.


DATE AIRCRAFT

IDENTIFICATION


LANDINGS

26th

OCT

2007

CE-152 :

NN87262

KABC KABC 01:24 3






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.


DATE AIRCRAFT

IDENTIFICATION


LANDINGS

17th

JUN

2008

CE-152 :

NN87262

KABC KABC 01:24 4

17th

JUN

2008

CE-152 :

NN87262

KABC KABC 00:30 3






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

DATE 17th

June 2008 TIME DAY: 01:24 (excluding 00:30 solo Landings)

Certified that the above information has been verified from the relevant documents.

Signature of Instructor/ Examiner

SR. NO MANEUVERS REMARKS

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

(b) Use of Fore and Aft Trim

(c) Keeping Lateral Level/Direction/Speed

S

S

S

12 Level Turns

(a) Precaution before Turns

(b) Rate Turns

S

S

13 Climbing and Gliding Turns

(a) Use of Bank in Rate 1 Climbing Turn

(b) Medium Gliding Turn with Flaps Up and Down (15

& 30 bank)

S

S

14 Asymmetric Handling

(a) In Climb

(b) In Flight

(c) Circuit and Approach

NA

NA

NA

15 Descent and Ascent at given Rate/Speed S




16 Correct Procedure for Joining Circuit/Circuit Pattern

(90 Turns)

S

17 Stalling S

18 Spinning S

19 Landing

(a) With Full Flaps

(b) With No Flaps

(c) With Partial Flaps

(d) With Simulated Asymmetric Engines

S

S

S

NA

20 Precautionary Landing S

21 Forced Landing S

22 Steep Turn S

23 Action in Event of Simulated

(a) Engine Failure after Takeoff

(b) Engine Fire after Takeoff

S

S

24 Night Flying

(a) Correct Use of Cockpit Light

(b) Correct Procedure for Touchdown

(c) Landing with and without Landing Lights

NA

NA

NA

FINAL ASSESSMENT: Satisfactory








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.


DATE AIRCRAFT

IDENTIFICATION


LANDINGS

18th

JUN

2008

BE-76 : N54321 KDES KDES 01:24 4

18th

JUN

2008

BE-76 : N54321 KDES KDES 00:36 3






CA40



TYPES OF A/C FLOWN: BE-76 TOTAL HRS FLOWN: 10:36

TEST ON A/C TYPE: BE-76 REGN NO: N54321

DATE 18th

June 2008 TIME DAY: 01:24 (excluding 00:36 sole manipulator landings)




1 Cockpit Checks S




5 Engine Check S

6 Preflight Check S


8 Takeoff S



11 Level Flight




S

S

S

12 Level Turns


(b) Rate Turns

S

S




& 30 bank)

S

S


(a) In Climb

(b) In Flight


S

S

S






(90 Turns)

S

17 Stalling S

18 Spinning S

19 Landing

(a) With Full Flaps

(b) With No Flaps



S

S

S

S


21 Forced Landing S

22 Steep Turn S




S

S

24 Night Flying




NA

NA

NA









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.


DATE AIRCRAFT

IDENTIFICATION


LANDINGS

18th

JUN

2008

BE-76 : N54321 KDES KDES 01:18 4

18th

JUN

2008

BE-76 : N54321 KDES KDES 00:30 3






CA40

GENERAL FLYING TEST BY NIGHT FOR ISSUE OF COMMERCIAL LICENCE


TYPES OF A/C FLOWN: BE-76 TOTAL HRS FLOWN: 12:36


DATE 18th

June 2008 TIME NIGHT: 01:18 (excluding 00:30 sole manipulator landings)




1 Cockpit Checks S




5 Engine Check S

6 Preflight Check S


8 Takeoff S



11 Level Flight




S

S

S

12 Level Turns


(b) Rate Turns

S

S




& 30 bank)

S

S


(a) In Climb

(b) In Flight


S

S

S






(90 Turns)

S

17 Stalling S

18 Spinning S

19 Landing

(a) With Full Flaps

(b) With No Flaps



S

S

S

S


21 Forced Landing S

22 Steep Turn S




S

S

24 Night Flying




S

S

S









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.


DATE AIRCRAFT

IDENTIFICATION


LANDINGS

17th

JUN

2008

CE-152 :

NN87262

KABC KABC 01:18 4

17th

JUN

2008

CE-152 :

NN87262

KABC KABC 00:36 3






CA40



TYPES OF A/C FLOWN: CE-152 TOTAL HRS FLOWN: 119:36

TEST ON A/C TYPE: CE-152 REGN NO: NN87262

DATE 17th

June 2008 TIME DAY: 01:18 (excluding 00:36 solo Landings)




1 Cockpit Checks S




5 Engine Check S

6 Preflight Check S


8 Takeoff S



11 Level Flight




S

S

S

12 Level Turns


(b) Rate Turns

S

S




& 30 bank)

S

S


(a) In Climb

(b) In Flight


NA

NA

NA






(90 Turns)

S

17 Stalling S

18 Spinning S

19 Landing

(a) With Full Flaps

(b) With No Flaps



S

S

S

NA


21 Forced Landing S

22 Steep Turn S




S

S

24 Night Flying




S

S

S









GROUND SCHOOL

This is to certify that (Full Name) has received ground instruction covering the FAA syllabus for :

Private Pilot Certificate

Instrument Rating

Commercial Pilot Certificate

Multi Engine Rating

Seal and Sign






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.

Seal and Sign






SUMMARY OF INSTRUMENT TIME

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.


DATE AIRCRAFT

IDENTIFICATION

FROM TO INSTRUMENT

HOURS

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)

TOTAL INSTRUMENT TIME:

ACTUAL: 00:00

SIMULATED: 05:06

Your Name Seal and Sign Pilot under check Chief Flight Instructor





SUMMARY OF INSTRUMENT TIME

This is to certify that (Full Name) has completed over 40 hrs of Instrument time during his

Commercial Pilot Training at (school name)


DATE AIRCRAFT

IDENTIFICATION FROM TO INSTRUMENT

HOURS

22-09-08 CE-152 : NN5061Q KABC KABC 00:42 (S)

24-09-08 CE-152 : NN5061Q KABC KABC 00:42 (S)

26-09-08 CE-152 : NN5061Q KABC KABC 00:48 (S)

13-10-08 CE-152 : NN87262 KABC KABC 00:30 (S)

19-10-08 CE-152 : NN87262 KABC KABC 00:42 (S)

31-10-08 PCATD : 1234A ------------- 00:30 (S)

01-11-08 PCATD : 1234A ------------- 00:30 (S)

02-11-08 PCATD : 1234A ------------- 00:54 (S)

08-11-08 PCATD : 1234A ------------- 01:18 (S)

12-11-08 PCATD : 1234A ------------- 00:24 (S)

14-11-08 PCATD : 1234A ------------- 00:42 (S)

19-11-08 PCATD : 1234A ------------- 01:24 (S)

23-11-08 PCATD : 1234A ------------- 01:06 (S)

24-11-08 PCATD : 1234A ------------- 01:30 (S)

25-11-08 PCATD : 1234A ------------- 01:24 (S)

26-11-08 PCATD : 1234A ------------- 00:36 (S)

26-11-08 PCATD : 1234A ------------- 01:42 (S)

29-11-08 PCATD : 1234A ------------- 00:30 (S)

30-11-08 PCATD : 1234A ------------- 01:36 (S)

03-12-08 CE-172 : N12345 KABC KABC 01:12 (S)

05-12-08 PCATD : 1234A ------------- 01:24 (S)

06-12-08 CE-172 : N12345 KABC KABC 00:48 (S)

07-12-08 CE-172 : N145ES KABC KABC 00:54 (S)

08-12-08 CE-172 : N145ES KABC KABC 01:00 (S)

13-12-08 CE-172 : N145ES KABC KABC 01:06 (S)

28-12-08 CE-172 : N734LY KABC KABC 00:48 (S)

08-01-09 CE-172 : N12345 KABC KABC 01:30 (S)

10-01-09 CE-172 : N12345 KABC KABC 00:42 (S)

16-01-09 CE-172 : N145ES KABC KABC 00:54 (S)

02-02-09 CE-172 : N12345 KABC KABC 00:42 (S)




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)

TOTAL INSTRUMENT TIME

ACTUAL: 06:42

SIMULATED: 46:24

Your Name Seal and Sign Pilot under check Chief Flight Instructor





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.


DATE AIRCRAFT

IDENTIFICATION


20th

JUN

2008

BE-76 : N54321 KDES KDES 01:18

(01:06

Simulated)

3

ILS GPS VOR







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.


DATE AIRCRAFT

IDENTIFICATION


19th

JUN

2008

CE-172 : N12345 KABC KABC 01:06

(01:00

Simulated)

3

ILS GPS VOR






IR TEST REPORT FOR MULTI ENGINE AIRCRAFT



DATE: 20th

June 2008 TIME DAY: 01:18 (including 01:06 simulated instrument)

STAGE EXCERCISE REMARKS

Preflight Preparation Preflight Checks

Engine Start

Nav. Aids Selection and ATC Clearance

Taxing

Checklist and Briefing

S

S

S

S

S

Departure and

En-route

Normal Take Off

Engine Failure after T/O in Stabilized flight

Area Departure

S

S

S

Air Work Instrument Failure

Aircraft Handling

Engine Shut-Down and Re-Light

S

S

S

Terminal Approach

ILS/PAR/ASR/VOR/NDB

Missed Approach/Reject Landing at 50

S

S

S

Landing Asymmetric Landing S

General Crew Co-ordination S

ASSESSMENT- AS: Above Standard S: Standard BS: Below Standard.






IR TEST REPORT FOR SINGLE ENGINE AIRCRAFT


TEST ON A/C TYPE: CE-172 REGN NO: N12345

DATE: 19th

June 2008 TIME DAY: 01:06 (including 01:00 simulated instrument)

STAGE EXCERCISE REMARKS

Preflight Preparation Preflight Checks

Engine Start

Nav. Aids Selection and ATC Clearance

Taxing

Checklist and Briefing

S

S

S

S

S

Departure and

En-route

Normal Take Off

Engine Failure after Take Off in Stabilized

flight

Area Departure

S

S

S

Air Work Instrument Failure

Aircraft Handling

Engine Shut-Down and Re-Light

(Feathering/Un-feathering) at or above

5000ft AGL

S

S

NA

Terminal Approach

ILS/PAR/ASR/VOR/NDB

Missed Approach/Reject Landing at 50

S

S

S

Landing Asymmetric Landing NA

General Crew Co-ordination S



LIMITATION: Alt (+/-)100 feet, Hdg (+/-)10 degree, Speed (+/-)10kts except in Approach phase in which case speed

limit would be +10kts & - 0 ft.







SIGNAL RECEPTION TEST

This is to certify that (Full Name) has been checked by the undersigned for Morse code signal

reception competency check (eight word per minute).

Seal and Sign
