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You MUST use this guide in conjunction with the clear and concise instructions published by the FAA on page two of the 8710-1 Airman Certificate and/or Rating Application. You can only apply for one rating or license on each 8710-1. I.E; a multi engine commercial and instrument flight test requires two 8710-1s.
Do not mark section I. until you meet with the examiner.
Airman Certificate and/or Rating Application Guide
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I.Application Information 0Student 0Recreational 0Private 0Commercial 0Airline Transport 0Instrument
0Additional Rating 0Airplane Single-Engine 0Airplane Multiengine 0Rotorcraft 0Balloon 0Airship 0Glider 0Powered-Lift
0Flight Instructor___initial___Renewal___Reinstatement 0Additional Instructor Rating 0Ground Instructor 0 Other_______
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A. Name (Last, First, Middle)
Smith, Robert Paul
You must use only ONE middle name if you have any at all. If you don’t have one you MUST Insert NMN after your first name. You can not indicate NMN if you have a middle name.
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B. SSN (US Only)
If not a US citizen, you MUST write
NONE.
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C. Date of Birth
Month Day Year
12 / 25 / 2009
MONTH/DAY/YEAR
Numbers ONLY.
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D. Place of Birth
Birmingham, United Kingdom
City and Country
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E. Address
House number & street name
Do not use a house name or post box unless you have also provided an extremely clear map on a separate sheet of paper to your residence. IF YOUR RESIDENCE HAS NO HOUSE NUMBER,YOU MUST PROVIDE A DETAILED MAP.
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F. Citizenship Specify
Tick the applicable box. If not USA, write nationality below.
0USA 0Other_____________
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G. Do you read, speak, write & understand the English language
Failure to fill this application out in accordance with these & the FAA’s incredibly clear & concise instructions on page 2 of the 8710-1 application may be an indication of a lack of English Proficiency! This could be a show stopper!
0Yes 0No
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City, State, Zip code
City, State or Province, Post code & COUNTRY i.e; Norwich, Norfolk NR6 6EG, United Kingdom.
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H. Height
In inches only. Round off to the next nearest number. Do not write " or inches after the number. 6 feet 2 inches is written as 74
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I. Weight
Pounds
ONLY.
185 Pounds
Is written as 185
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J. Hair
Bald
Black
Red
Brown
Blond
Gray
These are the ONLY CHOICES & you may only select one!
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K.Eyes
Blue
Brown
Black
Hazel
Green
Gray
These are the ONLY CHOICES & you may only select one!
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L.Sex
0Male
0Female
Tick one.
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M. Do you now hold, or have you ever held an FAA Pilot Certificate?
0Yes 0No
See block N. for FAA Certificates. An FAA license issued on a foreign license IS an FAA Pilot Certificate
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N. Grade of Pilot Certificate
FAA Licenses ONLY.
Student, Recreational,Private, Commercial or ATP.
DO NOT PUT NON-FAA LICENSE INFORMATION HERE
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O. Certificate number
FAA Licenses ONLY.
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P. Date issued
12 / 25 / 2009
Month Day Year
Numbers ONLY.
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Q. Do you hold a
Medical Certificate? Must be an FAA medical for issue of a stand alone FAA license. 0Yes 0No
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R. Class of Certificate
1st, 2nd or 3rd ONLY.
DO NOT write First, Second or Third regardless of what your medical says!
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S. Date Issued
12 / 25 / 2009
Month Day Year
Numbers ONLY.
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T. Name of Examiner
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U. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana or depressant or stimulant drugs or substances?
0Yes 0No
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V. Date of Final Conviction
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II. Certificate or Rating Applied For on Basis of:
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0A. Completion of Required Test
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1.Aircraft to be used (If Flight test is required).
Only required if flight test is required.
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2a. Total time in this aircraft/Sim/FTD
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2b. Pilot in command
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0 B. Military Competence
obtained in
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1.Service
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2.Date rated
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3.Rank or Grade and Service Number
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4a.Flown 10 hours PIC in last 12 months in the following Military Aircraft.
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4b.US Military PIC & Instrument check in last 12 months (List aircraft)
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0 C. Graduate of Approved
Course
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1.Name and location of Training Agency or Training Center
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1a.Certification Numbet
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2.Curriculum From Which Graduated
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3.Date
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0 D. Holder of Foreign License
Issued by
Tick only if the Non-FAA license plays any part of the issue of the new FAA license.
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1.Country
Country that issued the non-FAA license
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2.Grade of Licence
Indicate:
Private, Commercial or ATP ONLY.
*Do not write PPL, CPL or ATPL
Note: THERE IS NO SUCH THING AS A FROZEN ATP!!!!!
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3.Number
This is the entire number including letters and symbols exactly as printed on your non-FAA license and must match exactly as indicated on the foreign license verification letter.
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4.Ratings
Indicate foreign license ratings EXACTLY as indicated on the foreign license as clearly as possible..
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