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Airman Certificate attach copy Commercial Number Other Ratings 9. Employed Since m/yr ATP CFI Expiration Insp* Name Agency Date Evaluation Conducted 23. Has a previous Interagency Pilot Card been denied suspended or revoked Yes No If Yes please explain in box 45 or attach an additional sheet. c PIC Hours for Column a A/C a b Make Model Series Are you Type Rated for Aircraft Vertical Mountain Preceding column a aircraft seeking approval in Total Reference Flying 12 Months 22. Aircraft accidents ...

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