|
Osebni podatki personal data
|
bet | 1/2 | Sana | 24.07.2021 | Hajmi | 74,74 Kb. | | #15951 |
VLOGA za izdajo licence ATPL – Helikopterji
APPLICATION FORM for the issue of the ATPL – Helicopters
|
1
|
OSEBNI PODATKI
PERSONAL DATA
|
Priimek kandidata(ke):
Applicant's last name:
|
|
Ime kandidata(ke):
First name:
|
|
Datum rojstva (dd/mm/yyyy):
Date of birth (dd/mm/yyyy):
|
|
Kraj rojstva:
Town of birth:
|
|
Državljanstvo:
Nationality:
|
|
Številka osebnega dokumenta:
ID /Passport Number:
|
|
Naslov (ulica, hišna številka, pošta, država)
Address (street, number, postal code, city, state)
|
|
Telefonska številka:
Telephone Number:
|
|
Elektronski naslov:
E-mail:
|
|
Letalska organizacija:
Name of ATO:
|
|
2
|
PODATKI O IMETNIKOVI LICENCI IN RATINGIH – če obstajajo
HOLDER’S LICENCE AND RATINGS HELD – if existed
|
Organ, ki je licenco/rating izdal
Issuing Authority
|
Vrsta, številka licence
Type, No. of Licence
|
Vrsta ratingov / datum veljavnosti
Type of Ratings / Expiry Date
|
|
|
|
|
|
|
3
|
PRILOGE VLOGE
ENCLOSURES OF THE APPLICATION FORM
|
Kopijo veljavnega zdravniškega spričevala 1. razreda
A copy of the valid 1st class medical certificate
|
Da/Yes
|
Ne/No
|
Ena fotokopija veljavnega osebnega dokumenta
A copy of the valid ID
|
Da/Yes
|
Ne/No
|
Predhodna licenca
A previous licence
|
Da/Yes
|
Ne/No
|
Kopija potrdila o opravljenem izpitu za teorijo ATPL(H) ali kopijo licence CPL(H) z vpisanim kreditom »Part-FCL ATPL(H) theory credit«
A copy of the ATPL(H) theory exams certificate, or a copy of the CPL(H) licence with a Part-FCL ATPL(H) theory credit
|
Da/Yes
|
Ne/No
|
Ostalo (opiši)
Other (description)
|
|
4
|
PODPIS VLAGATELJA
APPLICANT'S SINGATURE
|
Kraj in datum:
Place and Date:
|
|
Podpis kandidata:
Applicant's Signature:
|
|
5
|
ZAHTEVAN NALET ZA PRIDOBITEV ATPL(H)
REQUESTED FLYING TIME FOR THE ISSUE OF AN ATPL(H)
|
Nalet
Flying time
|
Zahtevan nalet
Requested flight time
|
Skupni nalet potreben za pridobitev licence (v skladu z FCL.510.H)
Requested flying time for the issue of the licence (according to FCL.510.H)
|
|
|
(1)
|
Letel na helikopterjih, ki zahtevajo veččlansko posadko
Flying experience on MPH
|
|
≥350
|
(2)
|
(i)
|
Letel kot kopilot (pilot), ki opravlja naloge vodje zrakoplova pod nadzorom, ali
Flying experience as PICUS, or
|
|
≥250
|
(ii)
|
letel kot vodja zrakoplova, ali
flying experience as PIC, or
|
|
≥250
|
(iii)
|
letel kot PIC + PICUS skupaj.
flying experience as PIC + PICUS.
|
|
|
≥100+150
|
(3)
|
Navigacijski preleti in navigacijski preleti čez morje, od tega je lahko:
Cross Country and Overseas Flying, of which may be:
|
|
≥200
|
|
navigacijski preleti in navigacijski preleti čez morje kot PIC in PICUS skupaj
cross Country and Overseas Flying as PIC or PICUS
|
|
≥100
|
(4)
|
Instrumentalno letenje (na helikopterju + simulatorju), od tega je lahko:
Instrument flying (Helicopter + Flight simulator), of which may be:
|
|
≥30
|
|
instrumentalno letenje (na simulatorju)
instrument flying (Flight simulator)
|
|
≤10
|
(5)
|
Night flying kot PIC ali Co-Pilot
Night Flying as PIC or as Co-Pilot
|
|
≥100
|
Upoštevanje izkušen
Credit flight time
|
Upoštevanje izkušen z naprave FSTD, od tega
Credited flight time in a FSTD, of which
|
|
≤100
|
na napravi FNPT največ:
may be completed in an FNPT not more than:
|
|
≤25
|
Upoštevanje izkušen z motornih letal
Credited flight time on the aeroplanes
|
|
≤500
|
Datum preverjanja praktične usposobljenosti
Date of skill test flight
|
|
(dd/mm/yyyy)
|
6
|
IZPOLNI POOBLAŠČENI IZPRAŠEVALEC
COMPLETED AN APPROVED EXAMINER
|
Izjavljam, da so podatki navedeni v tem dokumentu, ki so potrebni za izdajo licence ATPL(H) pregledani in točni, ter v skladu z zahtevami dela FCL.510.H
I declare that the information stated in this document, necessary for the ATPL(H) initial issue, is reviewed and accurate, and in accordance with the requirements of part FCL.510.H.
|
Podpis in žig izpraševalca:
Examiner's signature and stamp:
|
|
Ime in priimek izpraševalca:
Examiner's name:
|
|
7
|
Chapter C, Appendix 9 of Part FCL of Commission Regulation (EU) 1178/2011 ( 3th Nov 2011)
Vsebina preizkusa praktične usposobljenosti za pridobitev licence ATPL(H)
Content of the Skill Test for the issue of the ATPL(H)
|
Kandidati za preizkus praktične usposobljenosti za
izdajo ratinga za tip helikopterjev z več piloti in licenco ATPL(H)
podaljšanje veljavnosti ali obnovo ratinga za tip helikopterjev z več piloti
opravijo samo dele 1–4, in če je ustrezno, del 6.
|
Applicants for the
skill test for the issue of the multi-pilot helicopter type rating and ATPL(H)
revalidation or renewal of the multi-pilot helicopter type rating proficiency check
shall take only sections 1 to 4 and, if applicable, section 6.
|
HELIKOPTERJI Z ENIM/VEČ PILOTI SINGLE/MULTI-PILOT HELICOPTERS
|
Praktično usposabljanje
Practical training
|
Preverjanje
Skill Test / Proficiecy Check
|
Usposabljanje potekalo na:
Trained in:
|
Začetnici inštruktorja po končanem usposabljanju Instructor’s Initials when training completed.
|
Izved-eno na:
Check-ed in:
|
Začetnici izpraševalca po končanem preverjanju Examiner’s initials when test/check passed
|
|
Manevri ali postopki / Manoeuvres or Procedures
|
1.Preizkus
Attempt 1
|
2.Preizkus
Attempt 2
|
FTD
|
FFS
|
H
|
|
|
FFS, H
|
1. DEL: Priprava in preverjanja pred poletom
SECTION 1: Pre-flight preparations and checks
|
1.1
|
Predpoletni pregled, lokacija posameznih delov in namen pregleda.
Helicopter exterior visual inspection; location of each item and purpose of inspection.
|
|
|
P
|
|
|
MR1
|
|
|
1.2
|
Pregled pilotske kabine.
Cockpit inspection.
|
|
P
|
––►
|
|
|
M
|
|
|
1.3
|
Postopek zagona motorjev, preizkus radijskih in navigacijskih sredstev, izbira ter nastavitev navigacijskih in komunikacijskih frekvenc.
Starting procedures, radio and navigation equipment check, selection and setting of navigation and communication frequencies.
|
P
|
––►
|
––►
|
|
|
M
|
|
|
1.4
|
Voženje ali »taksiranje« po zraku po navodilih službe kontrole letenja ali inštruktorja.
Taxiing /air taxiing in compliance with air traffic control instructions or on instructions of an instructor
|
|
P
|
––►
|
|
|
M
|
|
|
1.5
|
Postopki in preverjanje pred vzletom.
Pre take-off procedures and checks.
|
P
|
––►
|
––►
|
|
|
M
|
|
|
|
|
| |