Confirmation Of Military Experience Page 2
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34. CURRENT TRAINING LEVEL(S)
To be completed by the Applicant
I have completed training to the following level:
Elementary Flying Training Graduate (EFTG)
Date of Confirmation Sortie: ..............................
Single Engine Rotary Training Graduate (SERP)
Date of Confirmation Sortie: ..............................
QMP - Basic Fast Jet Training Graduate
Date of Confirmation Sortie: ..............................
QMP - Multi Engine Pilot Training Graduate
Date of Confirmation Sortie: ..............................
QMP - Single Engine Rotary Training Graduate
Date of Confirmation Sortie: ..............................
QMP - Multi Engine Rotary Training Graduate
Date of Confirmation Sortie: ..............................
Operational Category to Operate Military Multi-Pilot Aircraft
Date of Confirmation Sortie: ..............................
(Multi-pilot aircraft utilised must conform to the definition in Commission Regulation No 1178/2011)
Qualified Flying Instructor (single-engine piston
other
)
Date of Confirmation Sortie: ..............................
Qualified Helicopter Instructor (single-engine
other
)
Date of Confirmation Sortie: ..............................
I currently hold
have held
Military Restricted
Unrestricted
Green Instrument Rating
date of latest confirmation sortie: ..........................
for fixed wing
helicopter
5. DETAILS OF EXPERIENCE
To be completed by the Applicant
Aeroplanes
Helicopters
Single Engine
Multi Engine
Day
Night
Day
Night
Day
Night
Single Engine Piston
Multi Engine Piston
Flight Time as Pilot
(do not add taxi time to military
Multi Pilot Aircraft
logbook times)
Turbine/Turbo Prop.
Total
6. DECLARATION OF APPLICANT (see Guidance Notes)
To be completed by the Applicant
I declare that the information provided on this form is correct.
Signature: ..........................................................................................................................
Date: ..................................
PLEASE REFER TO FALSE REPRESENTATION STATEMENT ON PAGE 1
7. DECLARATION OF COMMANDING OFFICER / FLIGHT COMMANDER / ATO HEAD OF TRAINING
I hereby confirm that the information provided by the applicant regarding Military experience is correct.
Unit/Regt/Sqn/Flt/ATO details: ............................................................................................................................................
ATO approval number (If an ATO): ......................................................................................................................................
UNIT OR ATO STAMP
Name of Commanding Officer / Flight Commander (Lt Cdr/Maj/Sqn Ldr or
above) / ATO Head of Training
(Block capitals):..........................................................................................
Rank/Position:............................................................................................
Signature: ..........................................................................................................................
Date: ................................
PLEASE REFER TO FALSE REPRESENTATION STATEMENT ON PAGE 1
Form SRG 2133 Issue 03 August 2016
Page 2 of 2
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