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92 AIR REGULATIONS, 1938

((Image))
Canada

AIR REGULATIONS

APPLICATION FOR PUBLIC TRANSPORT PILOT'S CERTIFICATE
(To be submitted in duplicate)
See conditions printed on back of this form

Name in full........................................
(In Block Capitals, Surname Preceding)

Permanent Address...................................

Nationality.........................................
(If naturalized give full particulars)

Date of Birth..........Place of Birth...............
Controller of Civil Aviation,
Department of Transport,
Ottawa, Ontario.

1. I hereby apply for a Public Transport pilot's certificate for the following types of aircraft.  The total of my experience has been as follows:--

((The following is in chart format))
Type and Model:
Hours Flown:
1st Pilot
2nd Pilot
Instrument
Night
Area or Route:
Year:
Totals.......

(If space insufficient give information on separate sheet.)
This application must be supported with proof of the experience above stated.

2. I am ready to attempt the practical tests and the technical and theoretical examinations as prescribed, at ..................................... on a ........................ aircraft.
3. I enclose three unmounted photographs of myself (passport size).
4. Employed by.....................................
Signature of Applicant.............................
Date of Application................................

Form 2402