Form: Flight Test Schedule RFI (MLA) - ILT.315.02

Section 1 - Theoretical knowledge oral

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Section 2 - Pre-flight briefing

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Exam Re-Exam Incomplete or incorrectly filled out forms will not be processed.

Send this form, including the 'Report instructor Assessment of competence (AoC)', to Kiwa Register, Postbus 4, 2280 AA Rijswijk, the Netherlands or e-mailaddress: vergunningen@kiwa.nl

In case of a positive result of the (re)exam, a '+' must be filled in.

In case of a negative result, a '-' must be filled in.

Additional information 088 489 00 00 | www.ilent.nl

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Name examiner Licence number applicant

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1.1 Air law

1.2 Aircraft general knowledge 1.3 Flight performance and planning 1.4 Human performance and limitations 1.5 Meteorology

1.6 Navigation

1.7 Operational procedures 1.8 Principles of flight 1.9 Training administration

> Sections 2 and 3 selected main exercise

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2.1 Visual presentation 2.2 Technical accuracy 2.3 Clarity of explanation 2.4 Clarity of speech 2.5 Instructional technique 2.6 Use of models and aids 2.7 Student participation

Flight Test Schedule

RFI (MLA)

Based on national regulations

ILT.315.02 | 1 of 2

Signatures

I declare that all information on this form is completely and truthfully.

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6

6.1 Examiner 6.2 Licence number 6.3 Place en date

6.4 Signature

6.5 Applicant 6.6 Licence number 6.7 Place en date

6.8 Signature

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3.1 Arrangement of demo

3.2 Synchronisation of speech with demo 3.3 Correction of faults

3.4 Aircraft handling 3.5 Instructional technique 3.6 General airmanship and safety 3.7 Positioning and use of airspace

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4.1 Visual Presentation 4.2 Technical Accuracys 4.3 Clarity of Explanation 4.4 Clarity of Speech 4.5 Instructional Technique 4.6 Use of Models and Aids 4.7 Student Participation

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5.1 5.2 5.3 5.4 5.5 5.6 5.7

Section 3 - Flight

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Section 4 - Postflight de-briefing

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Section 5 - Other conducted flight exercises

(ref. section 3.4)

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Flight Test Schedule

^{RFI (MLA)}

Human Environment and Transport Inspectorate Ministry of Infrastructure and Water Management

ILT.315.02 | 2 van 2