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Flight Operations Standards Department

General Aviation & Training Section - Ratings

Instrument Rating Instructor IRI(A) - Flight Instructor FIIIR(A) Issuance Application Form

All instructor ratings are valid for period of 3 years

A. FOR APPLICANT USE ONLY

1. Personal Details.

• Applicant Name

• Address

• Mobile Tel. No

• Date &Place of Birth I • Nationality • I hereby declare that the information given in this form is true, correct & completed. • Applicant Signature

2. Application Details.

• I am applying for Instrument Rating Instructor Rating issuance

o FIIIR DIRI

3. JCAR Flight Crew License Held Details.

• License type & number • License Expiry Date

4. JCAR-Medical Certificate Held details.

I IL C_~_M_Is ~ E_Xp_i_ry __ D_m_e ~ A_M __ E_N_a_m __ e -L L_i_m_it_m_io_n_s ~

5. Instrument Rating Instructor Rating (A/IRI) - Flight Instructor FI (A/IR) SE/ME Issuance Requirements.

(a) Pre-Requisite for All Instructors. (Instructor ratings - General)

No JCAR-FCL Requirements JCAR-FCL 1.310 & 1.320 a Hold at least the license, rating & Qualification for which instruction is being given Yes b Have at least (15) Hrs experience M pilot on the type or elMS of airplane on which Yes instruction is being given c Shall be entitled to act M pilot-in-command of the aircraft during such training Yes d Shall be at least 20 years of aEe Date of birth e Hold valid lCAR-FCL. l] PPL :::: CPL I] ATPL Valid Until f Hold valid rating. n Type rating UClass rating 0 Single engine o multi engine Valid Until g Hold valid instrument rating. c.: Single engine Il multi engine Valid Until h Hold valid lCAR-Medical. n CIMS I Valid Until

( b) Flight experience:

(I) Pre-request For holders of a valid FI(A) extension to instruct IR / Single Engine (i) At least (200) hours flight time in accordance with instrument flight rules, of which up

Hrs to (50) hours may be instrument ground time in a flight simulator or FNPT II; and (ii) Completed M a student an approved course comprising at least (5) hours oftlight instruction in an airplane, flight simulator or FNPT II (see Appendix I to lCAR-FCL 1.395 Hrs and AMC lCAR-FCL 1.395) ; and (iii) Has passed the appropriate skill test as set out in Appendix 1 to JCAR-FCL 1.330 & 1.345.

CARC Form 28-04-4068 Effective Date: October 2020 Rev. 02 of 4



Instrument Rating Instructor IRI(A) - Flight Instructor FIfIR(A) Issuance Application Form


(2) FI (A) to instruct IR f Multi Engine. the instructor shall meet the requirements of JCAR FCL 1.380(a) : (i) Completed at least (500) Hrs flight time as a pilot of airplanes Hrs (ii) Completed at least (30) Hrs as PIC on the applicable type or class of airplane Hrs (iii) Completed an approved course at an approved FTO or TRTO including at least five hours flight instruction on the airplane or a flight simulator given by an instructor approved for this purpose (see Appendix I to JCAR-FCL 1.380 and AMC JCAR-FCL 1.380); and (iv) Passed a skill test in accordance with Appendix I and Sections 1,2,3,5 and 7 of Appendix 2 to JCAR-FCL 1.330 & 1.345 . • Training course: (i) Complete Teaching & Learning course shall comprise not less than 25 Hrs, or having Hrsfor held one of the following ratings FI (A), CRl (A), TRI (A), SFI (A), STI (A), MCCI Rating (A),FI (H), TRl (H), SFI (H) are credited for the Teaching and Learning part of the course FI/Hrs

(3) Pre-request For holders of a valid IRI (A) extension to instruct IR (SEfME) • Completed at least 800 Hrs flight time under IFR, of which Hrs • at least 400 Hrs shall be in airplanes, and Hrs For multi-engine; For IRI(A) on multi engine TRlCR, the requirement of JCAR FCL 1.380(a) must be met:

I (i) Completed at least (500) Hrs flight time as a pilot of airplanes Hrs (ii) Completed at least (30) Hrs as PIC on the applicable type or class of ai!:EIane Hrs (iii) Successfully completed at an approved FTO an approved course (see Appendix 1 to JCAR-FCL 1.395 and AMC JCAR-FCL 1.395) comprising theoretical knowledge instruction and at least ten hours of flight instruction on an airplane, flight simulator or FNPTII; and (iv) Passed a skill test as set out in Appendices I and 2 to JCAR-FCL 1.330 & 1.345. • Training course: (i) Complete Teaching & Learning course shall comprise not less than 25 Hrs, or having Hrs/or held one of the following ratings FI (A), CRl (A), TRI (A), SFI (A), STI (A), MCCI

Rating (A),FI (H), TRI (H), SFI (H) are credited for the Teaching and Learning part of the course (ii) An approved IRl (A) course shall comprise not less than (10) hours or (5) hours in the Hrsfor case of a FI (A) of flight training on an airplane, flight simulator or FPNT II. FIlHrs

6. Instructor Recommendation.

• I hereby certify that, the applicant meets JCAR FCL 1 requirements for LJ (IRI) Instrument Rating Instructor, D FI I IR Rating skill test on D Single Engine J Multi Engine

Instructor Name S!g_nature Date

7. Head of Training Recommendation.

• I hereby certify that, the applicant meets JCARs requirements for D Instrument Rating Instructor Rating, Ll FI fIR skill test on J Single Engine [1 Multi Engine, and I have checked the applicant license, log book, medical and training records, I am satisfied that the information contained in this application is correct

• Head of training Name • Date

• ATO Name • Signature

CARC Form 28-04-4068 Rev. 02 Effective Date: October 2020 of4



Instrument Rating Instructor IRI(A) - Flight Instructor FI!IR(A) Issuance Application Form


B. FOR CARC USE ONLY

8. *Examiner Designation .

• The under signed, Flight Operations Inspector (FOI) authorises IRE Capt ................................................. to conduct IRI, FI!IR skill test [J Single Engine n Multi Engine to include: • Part 1. Theoretical Knowledge oral in IR subjects to include Lecture under test (45) minutes maximum & oral test. • Part 2. LJ IRI! ,0 FI! IR skill test includes pre-flight brief

Name Siznature Date

*For Instrument Rating Instructor Rating (lRI), or FI! IR issuance, an inspector form CARC shall supervise the conducted of the skill test, or to delegate this task in case by case to the senior examiner

9. Examiner Recommendation. ( IRE notified by CARC)

• Date • Departure! Destination • • ATOName • Landing time • D FS/FNPT II Type & number • Total flight time

o Airplane Type & number • Theoretical Knowledge Oral n Passed • Take off time • '1 IRI J , [ 1 FI ! IR Skill test ~l Passed result

• CARC inspector name

• Examiner recommendations

Examiner Name Signature Date

10. CARC Recommendation.

·OIRI ,0 FI! IR Rating [1 Approved I ., Not approved issuance

• IRI I FI I IR privileges U The issue of an IR(A) single-engine airplanes 0 The issue of an IR (A) multi-engine airplane

• Instructor rating details ~l IRI o SE [J ME • IRI expiry date o FII IR • FIIIR expiry date

• License details D PPL [J CPL r:: ATPL • License expiry date

• Class/Type Rating expiry date

• Instrument ration expiry date

• JCAR-English language Level 04 05 06 • English Expiry Date

• JCAR-Medical Class lJ 1 • Medical Expiry Date

• Remarks

CARC Form 28-04-4068 Effective Date: October 2020 of4 Rev. 02



Instrument Rating Instructor IRI(A) - Flight Instructor FIfIR(A) Issuance Application Form


I Flight Operations Inspector Name Si!!:nature Date

C. SUPPORTING DOCUMENTS.

• Cover Letter from the ATO for Instrument Rating Instructor Rating examiner designation. • This application form. • Copy of valid JCAR Flight Crew License • Copy of Instrument Rating Instructor Rating f Flight Instructor fIR course completion report • Certified copy of related Log Book Pages • Copy of valid JCAR Medical Certificate applicable class • After the conduct of the Instrument Rating Instructor f Flight Instructor fIR skill test:

• This application form • Instrument rating Instructor f Flight Instructor fIR course rating skill Test Report.

CARC Form 28-04-4068 Rev. 02 Effective Date: October 2020 of 4

flight operations standards department flight crew ... - instrument...10. carc recommendation. iri...

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