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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: ^[] 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
The signature might be "John E" or "John W Sullian."
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