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[[preprinted]]
SECTION II―SUMMARY OF PILOT EXPERIENCE
[[12 column table]]
| DUTY A | SINGLE ENGINE B | 2 ENGINE C | MORE THAN 2 ENGINE D | SINGLE JET PROPULSION E | MULTIJET PROPULSION F | JET ROCKET G | ROCKET H | ROTARY WING TYPE I | GLIDER J | OTHER K | TOTAL L |
| 19. COMD AND/OR RADIO CON PILOT |   |   |   |   |   |   |   |   |   |   |    |    |
| 20. AIRCRAFT COMMANDER |   |   |   |   |   |   |   |   |   |   |    |
| 21. INSTRUCTOR PILOT [[/preprinted]] |   | 
 83:00 |   |   |   |   |   |   |   |   | 83:00 |
| [[preprinted]] 22. FIRST PILOT [[/preprinted]] | 812:00 | 1381:00 | 35:30 | 158:55 |   |   |   |   |   |   | 2387:25 |
| [[/preprinted]] 23. COPILOT [[/preprinted]] |   | 224:10 | 39:30 |   |   |   |   |   |   |   | 263:40 |
| [[preprinted]] 24. TOTAL USAF PILOT TIME [[/preprinted]] | 812:00 | 1688:10 | 75:00 | 158:55 |   |   |   |   |   |   | 2734:05 | [[/12 column table]]
[[3 column table]]
| [[preprinted]] 25. REMARKS PILOT CERTIFICATION AN SIGNATURE | 26. PILOT TIME: AF STUDENT | TOTAL [[/preprinted]] |
|   |   | 212:00|
|   | [[preprinted]] 27. CIV [[italic]] (Over 400 hp) [[/italic]] |   |
|   | 28. FOREIGN MIL |   |
|   | 29. OTHER U.S. MIL |   |
|   | 30. TOTAL [[/preprinted]] | 2946:05 | [[/3 column table]]
[[2 column table]]
|   | [[preprinted]] PILOT COMBAT TIME | [[/2 column table]]
[[3 column table]]
|   | 31. AIRCRAFT COMMANDER |   |
|   | 32. COMMAND PILOT |   |
|   | 33. RADIO CONTROL PILOT |   |
|   | 34. INSTRUCTOR PILOT |   |
|   | 35. FIRST PILOT  [[/preprinted]] | 250:00 |
|   | [[preprinted]] 36. COPILOT |   |
|   | 37. OTHER |   |
|   | 38. TOTAL [[/preprinted]] | 250:00 | [[/3 column table]]
[[preprinted]] SECTION III―MISCELLANEOUS ENTRIES
[[12 column table]]
| DATE A | TYPE B | GCA C | INSTRUMENT TRAINERS D | FLIGHT SIMULATOR E | F | G | H | I | J | K | L |
| 6 | H | 1 |   |   |   |   |   |   |   |   |   | [[/12 column table]]
[[11 column table]]
| 39. TOTALS THIS SHEET | GCA C | INSTRUMENT TRAINERS D | FLIGHT SIMULATOR E | F | G | H | I | J | K | L |
|   | 1 |   |   |   |   |   |   |   |   |   | [[/11 column table]]
[[12 column table]]
| 40. TOTALS BROUGHT FORWARD | SHEET NO. | GCA C | INSTRUMENT TRAINERS D | FLIGHT SIMULATOR E | F | G | H | I | J | K | L |
|   | 116 | 73 | 86:00 |   |   |   |   |   |   |   |   | [[/12 column table]]
[[11 column table]]
| 41. TOTALS TO DATE | GCA C | INSTRUMENT TRAINERS D | FLIGHT SIMULATOR E | F | G | H | I | J | K | L |
|   | 74  | 86:00 |   |   |   |   |   |   |   |   | [[/11 column table]]


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