IR Renewal Form
Trainee Name
*
Trainee Staff No.
*
Trainee Rank
Captain
F/O
Instructor / Examiner Details:
Instructor / Examiner Name
*
Instructor / Examiner Staff No.
*
Instructor / Examiner Seat:
LHS
RHS
Rear
Authority No.
Authority Validity
Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Sim Code:
Location:
Total Time
Hour Minutes
Rows
Satisfactory
UnSatisfactory
1. Normal Departure
2. Radial In and Out
3. Hold
4. ILS Approach to DH
5. Go Around
Observations / Comments
Trainee Name
*
Trainee Signature
*
Instructor / Examiner Name
*
Inst. / Exmnr. Signature
*
ATO Head of Training Signature
Preview PDF
Submit
Should be Empty: