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FORM ACA 349
(REV. 8-1-11)  

UNITED STATES OF AMERICA
DEPARTMENT OF COMMERCE
CIVIL AERONAUTICS ADMINISTRATION
WASHINGTON

CERTIFICATE NO.:
_

DATE:
__

APPROVED:

(Inspector's signature)
__

DISAPPROVED:1

(Inspector's signature)
__

PILOT APPLICATION FOR:
□ AIRCRAFT TYPE RATING
□ AIRPLANE CLASS AND HORSEPOWER RATING

TO THE CIVIL AERONAUTICS ADMINISTRATION:

APPLICATION IS MADE FOR RATING ON (MAKE)  (MODEL)  (TYPE)  (HORSEPOWER) AIRCRAFT.

1. NAME
2. PERMANENT MAILING ADDRESS
3. HOURS IN AIRCRAFT OF THIS CATEGORY LAST 60 DAYS: DUAL__ SOLO__
4. NAMES OF INSTRUCTORS
5  TOTAL SOLO HOURS IN AIRCRAFT OF THIS CATEGORY
6. I HAVE NOT BEEN EXAMINED FOR THIS RATING WITHIN THE LAST _ DAYS.
7. IF ANY APPLICATION, CERTIFICATE OR RATING, SUBMITTED BY OR ISSUED YOU PURSUANT TO THE PROVISIONS OF THE CIVIL AIR REGULATIONS HAS BEEN DENIED, SUSPENED OR REVOKED WITHIN THE PAST 2 YEARS, GIVE DETAILS AS TO: (KIND OF APPLICATION)  (PLACE AND DATE OF EXAMINATION)

I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE.

FLIGHT TEST REPORT
(FOR INSPECTOR'S USE ONLY)

SINGLE-ENGINE AIRCRAFT  GRADE
1. KNOWLEDGE AND HANDLING OF CONTROLS AND DEVICES _
2. TAXIING (OR SAILING AND DOCKING) _
3. TAKE-OFFS AND ACCURACY LANDINGS _
4. FIGURE EIGHTS _
5. COORDINATION MANUEVERS _
6. CLIMBING TURNS AND MAXIMUM PERFORMANCE CLIMBS _
7. STEEP GLIDING TURNS _
8. STALLS AND RECOVERS (WITH AND WITHOUT POWER) _
9. 60° BANK, 720° PRECISION TURNS (RIGHT AND LEFT) _
10. SIMULATED FORCED LANDINGS _
11. SPINS (IF APPROPRIATE) _
12. JUDGEMENT _

MULTI-ENGINE AIRCRAFT   GRADE
1. KNOWLEDGE AND HANDLING OF CONTROLS AND DEVICES _
2. KNOWLEDGE OF FUEL AND IGNITION SYSTEMS _
3. TAXIING (OR SAILING AND DOCKING) _
4. TAKE-OFFS AND ACCURACY LANDINGS _
5. CLIMBS AND CLIMBING TURNS _
6. GLIDES AND GLIDING TURNS _
7. 60° BANK, 360° TURNS (RIGHT AND LEFT) _
8. APPROACHES TO STALLS (WITH AND WITHOUT POWER) _
9. 45° BANK, 180° TURNS AND RECOVERY WITH BOTTOM ENGINE(S) FULLY THROTTLED
10. 45° BANK, 180°TURNS AND RECOVERY WITH TOP ENGINE(S) FULLY THROTTLED) _
11. JUDGMENT _

REMARKS

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