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[[preprinted]]
APPENDIX A                
MANUAL 51-11

^[[1206A]]  SECTION F - T - 33 TRAINING AND CHECKOUT RECORD

[[box]]
NAME  ^[[Davis Benjamin O.]]
RANK  ^[[M/Gen]]   
ORGN. ^[[HQUSAFE Ops]]
PH: ^[[22004]]
TOTAL TIME ^[[3630:35]]
BIRTHDAY ^[[18 Dec 12]]
JET TIME  ^[[217:15]]
INST CARD (type) ^[[Cmd Plt.]]
T- 33 TIME  ^[[150:00]]           
^[[Green]]

[[double underline]]  CHECKOUT REQUIREMENTS [[/double underline]]

[[3 column  table]]

ITEM | DATE COMPLETED | CHECKED BY
ENGINEERING  | ^[[Feb 53]] | ^[[JC]]
MEDICAL CLEARANCE | ^[[18 Dec 59]] | ^[[JC]]
PSYSIOLOGICAL TRAINING | ^[[3 Feb 60]] | ^[[JC]] |
PHSIOLOGICAL EXAMINATION | ^[[3 Feb 60]]| ^[[JC]]|
WRITTEN INST EXAMINATION | ^[[ 20 Oct 60]] | ^[[JC]] |
AIRCRAFT QUESTIONNAIRE | ^[[April 60]] | ^[[JC]] |
ANNUAL PROCEDURES QUESTIONNAIRE | ^[[6 APR 61]] | ^[[DGF]] |
CHECKOUT CERIFICATE (Form 456) | ^[[7 Nov 60]] | ^[[JC]] |
NITE CHECK (one time) | ^[[7 Nov 60]] | ^[[KBJ]] |
NAVIGATION CHECK (one time) | ^[[29 Jul 60]] | ^[[KBJ]] |
STAN/DAY PROFICIENCY CHECK | ^[[ 6 Apr 61]] | ^[[DGF]] |
INSTRUMENT PROFICIENCY CHECK | ^[[26 Oct 60]] ^[[KBJ]] |

STATUS

ACTION | CATAGORY DATE | OIC CRT TRAINING |

[[strikethrough]] UPGRADED/[/strikethrough]] DOWNGRADED TO | ^[[IV]] | ^[[7 Jun 60]] | ^[[KB Johnson]] |
UPGRADED/ [[strikethrough]] DOWNGRADED [/strikethrough]]TO | ^[[I]] | ^[[7 Nov  60]] | ^[[KB Johnson]] |
UPGRADED/DOWNGRADED TO |   |   |   |
UPGRADED/DOWNGRADED TO |   |   |   |

REVIEWED - QUALIFICATION NOTED
COMMENTS:

[[signature]] John Sullian [/signature]]
OPERATIONS OFFICER

79

Transcription Notes:
The signature might be "John E" or "John W Sullian."

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