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[[preprinted]] APPENDIX A MANUAL 51-11 [[/preprinted]]
[[preprinted]] SECTION K - NAVIGATIONAL PROFICIENCY FLIGHT CHECK* [[/preprinted]]

| NAME ^[[White, W.R.]]  RANK ^[[Capt]]  INSTRUCTOR ^[[B.O. Davis]]  RANK    DATE OF CHECK ^[[29 July 60]] 

TYPE OF CHECK
 □  UPGRADE   □ ANNUAL  □ SPCT

[[6 column table]]

Preflight Planning | U | S | After Landing Check | U | S
Maps |  | [[checkmark]] | Radio/Voice Procedures |   | [[checkmark]]
Logs |  | [[checkmark]] |   |   |  
Personal Equipment |  | [[checkmark]] |   |  |   |

Lost Procedure (Oral) |   |^[[checkmark]] |   |   |   |

Ground Procedure |   |^[[checkmark]] |   |   |   |

ATC Clearance |   |^[[checkmark]] |   |   |   |

Take-Off - Departure |   |^[[checkmark]] |   |   |   |

Climb-Level Off-Cruise |   |^[[checkmark]] |   |   |   |

Radio Navigation |   |^[[checkmark]] |   |   |   |

Dead Reckoning |   |^[[checkmark]] |   |   |   |

Pilotage |   |^[[checkmark]] |   |   |   |

GCI Flight Following |   |^[[checkmark]] |   |   |   |

Penetration 

SUMMARY OF FLIGHT (EXPLAIN "U" items in detail)
FLT MADE TO EVERTVX
ALL PHASE SATISFACTORY

*(Minimum 500 NM Destination, FIR Crossing, Strange Field Pendtration & Landing)

RECOMMENDED CORRECTIVE ACTION: | CORRECTIVE ACTION TAKEN:

CHECK PILOT SIGNATURE: | PILOT'S SIGNATURE:
[[signature]] William R. White [[/signature]] | X [[signature]] B. O. Davis Jr. [[/signature]]

OIC TRAINING SIGNATURE: | (LOCAL USE)
[[signature]] K B JOHNSON [[/signature]] | -

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