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Form 355 (CAA 20-18) 
(Rev. 1-1-40)

UNITED STATES OF AMERICA
CIVIL AERONAUTICS AUTHORITY
WASHINGTON, D. C.

CERTIFICATE NO. 
__
DATE
__
APPROVED

INSPECTOR'S SIGNATURE
__
DISAPPROVED*

INSPECTOR'S SIGNATURE
__
*Explain under Remarks.

APPLICATION FOR AIRMAN (AIRLINE TRANSPORT PILOT)
CERTIFICATE OR INSTRUMENT RATING
(Application must be printed or typed and submitted to an inspector of the Authority)

To the Civil Aeronautics Authority:

Application is made for (Show airline transport pilot certificate or instrument rating) Airline Transport Pilot Certificate 

1. Name (First name) Michael (Middle name) Allen (Last name) Gitt
2. Permanent mailing address (Street) 1569 Hone Avenue, Bronx, New York, (Post office) N.Y.
(State) New York  (County) Bronx (Telephone)
3. Principal business or occupation Flying (Pilot)
4. Place of birth New York, New York.
5. Date of birth  May 12, 1908. Age 32
6. Description of applicant:
Weight 180#  Height 5'10"  Color hair Brown  Color eyes Gray  Sex Male
7. Nationality (Country) American  Race White
8. If alien, and only declaration of intention to become a citizen of the United States has been filed, state the following:
(a) State, city, and court in which filed
(b) Date of filing  (c) Serial number of declaration
9. Has any application submitted by you pursuant to the provisions of the Civil Air Regulations been denied within the past 2 years? no  If so, state details, including:
(a) Kind of application
(b) Place and date of examination
10. Has any certificate or rating issued you pursuant to the provisions of the Civil Air Regulations been suspended or revoked within the past 2 years? no  If so, state details
11. (a) Present pilot's certificate: Classification Commercial  No. #26,481
Ratings held 1-land & water, 2-s-land, Flight Instructor, Instrument
(b) Radio license or permit held: No. P-2-4974  Class Radiotelephone 3rd class 
Expiration date June 21, 1941.
12. (a) Last physical examination (Date) March 13, 1941. (Place) N.Y., N.Y. (Name of examiner) Ermin L. RAY
This examination was for AirlineTransport pilot certificate.
(b) Have you any physical defects ordinarily disqualifying for the requested certificate or rating?
no
13. Can you read, write and understand the English language? yes
Academic education Elementary School Grad. 2 years High School and one year prep school (wich is the equivelant of High School Grad)

[OVER]  
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