Flight Operations Standards Department

General Aviation & Training Section

Commercial Pilot License (A) Issuance For Jordan Armed Forces Application Form

CARC Form 28 -04- 4042 Effective Date: December 2018 Page 1 of 2

A. FOR APPLICANT USE ONLY

1. Personal Details.

Applicant Name

Current/Last assignment

Military aviation qualifications

Aviation courses passed

Aircraft flown

Date of last flight

Aircraft command status

Pilot in command Hours

Co-pilot Hours

Address

Mobile Tel. No

Date &Place of Birth Nationality

I hereby declare that the information given in this form is true, correct & completed. Applicant Signature

2. Application Details.

I am applying for Commercial Pilot License issue (CPL) issuance base on Jordan Armed Forces Military Credit

Jordan Armed Forces Unit Name

3. JCAR Medical Certificate Held Details.

Class Expiry Date AME Name Limitations

4. Commercial Pilot License Issuance Requirements. No AC - 28 - 04-004 CARC Flight Crew License Issuance for Jordan Armed Forces

a A letter from the director of air operation of the Jordan armed service declaring that; the

applicant is in active duty or applicant is in the retiring process Yes

b Shall be at least 18 years of age Date of birth

c Hold valid JCAR-Medical class 1 Valid until

d Flight experience.

At least 150 Hrs flight time that includes at least: Hrs

Hrs

Air Law, human performance & limitations, VFR communication ,principles of flight

theoretical knowledge examinations.

Passed

80 Hrs dual instruction flight Hrs

70 Hrs as pilot in command Hrs

5 Hrs to be carried out in an airplane certificated for the carriage of at least four

persons and have a variable pitch propeller and retractable landing gear. Maximum 5 Hrs may be instrument ground time Hrs

e Passed JCAR

Of which, at least:

20 Hrs cross country flight as pilot in command including VFR cross-country flight Hrs

5 Hrs night flying of which: Hrs

3 Hrs dual flight, and Hrs

2 Hrs solo Hrs

5 solo take off, and Take off No.

5 full stop landing Landing No.

10 Hrs instrument instruction time of which: Hrs

5 Hrs on airplane, and Hrs

Maximum 5 Hrs on FNPT I II Hrs

Flight Operations Standards Department

General Aviation & Training Section

Commercial Pilot License (A) Issuance For Jordan Armed Forces Application Form

CARC Form 28 -04- 4042 Effective Date: December 2018 Page 2 of 2

5. Jordan Armed Force Head of Operations Recommendation.

Head of Operations Name Date

Jordan Armed Force Unit Name Signature

B. FOR CARC USE ONLY

1. Examiner Designation.(as required)

Name Signature Date

2. Examiner Recommendation. (FE Notified by CARC) .(as required)

Examiner Name Signature

Date

3. CARC Recommendation.

Flight Operations Inspector Name Signature Date

C. SUPPORTING DOCUMENTS.

Cover a letter from the director of air operation of the Jordan armed service declaring that; the applicant is in active duty

or applicant is in the retiring process

This application form

Certified copy of related log pages

Copy of valid JCAR Medical class 1 certificate

Copy of valid JCAR , Air Law, human performance & limitations, VFR communication ,principles of flight theoretical

knowledge examinations. One Photo

This application form

I hereby certify that, the applicant meets JCAR FCL 1 requirements for issuance of Commercial Pilot License on Single

Engine Multi Engine, and I have checked the applicant log book, medical and training records, I am satisfied that the

information contained in this application is correct

The under signed, General Aviation & Training Section authorises the FE Capt……………………...…......................

to conduct Commercial Pilot License issuance on Single Engine Multi Engine

Date Departure/ Destination

Airplane type Landing time

Airplane number Total flight time

Take off time CPL issuance Passed

Examiner’s recommendations

CPL issuance Approved Not approved

Pilot on command on single pilot ,multi engine airplane in Commercial air transport

Class rating details SE ME Class Rating expiry date

License details CPL License expiry date

JCAR-Medical Class 1 Medical Expiry Date

Remarks

� Pilot on command on single pilot ,single engine airplane in Commercial air transport CPL Privileges