IR Renewal Form

IR Renewal Form
Trainee Name*
Trainee Staff No.*
CaptainF/O
Instructor / Examiner Details:
Instructor / Examiner Name*
Instructor / Examiner Staff No.*
LHSRHSRear
Authority No.
Authority Validity
Date*

DayMonthYear
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*

Clear
Instructor / Examiner Name*
Inst. / Exmnr. Signature*

Clear
ATO Head of Training Signature

Clear
Should be Empty: