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Interviewer:
Supervisor:
City:

INTERVIEWER'S RECORD OF CONTACTS

[[6 column table]]
| Captain or Co-pilot | Name | Airline | Interviewed | Not Interviewed | Reason * |
| --- | --- | --- | --- | --- | --- |

|   |   |   |   |   |   |  |   |   |   |   |
 
*To be used only when an X has been placed in column marked "not interviewed."