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[[preprinted form]]
[[12 column table]]

I  | P | T | AREA | GRADE U | GRADE Q | I | P | T | AREA | GRADE U | GRADE Q |

   |   |   | INSTRUCTOR CHECK (As applicable)|   |   |   |   |   |   |   |   |

   | R |   | PRE-MISSION BRIEFING (P,N,M) |   |   |   |   |   |   |   |   |

   | R |   | DEMONSTRATION OF MANEUVERS (P) |   |   |   |   |   |   |   |   |

   | R |   | DEPTH OF KNOWLEDGE (P,N,M) |   |   |   |   |   |   |   |   |

   | R |   | USE OF REFERENCES OR TRAINING AIDS |   |   |   |   |   |   |   |   |

   | R |   | CRITIQUE PROCEDURES (P,N,M) |   |   |   |   |   |   |   |   |
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REMARKS
^[[L/Gen Davis completed local area check and pilot check satisfactorily.]] [[initialed]] ^NJS^ [/initialed]]