DRAFT - Form 640 General Flying Progress Test (Aeroplane) Refer to: CAR 5.76(1)(a) CASA Stamp: Flying School Stamp and/or Contact Details: (not mandatory) IMPORTANT INFORMATION FOR APPLICANTS 1: CAR 5.09(1)(c) states that CASA must ensure an applicant is a fit and proper person before issuing a permission. Note that an ASIC is current for a 2 year period and an aviation security check, required for an AVID, is valid for 5 years. The AFP security check is only valid for a period of 3 months. Please provide details in Section A6 of any regulatory action, traffic and criminal charges, convictions or imprisonment. Action includes, but is not limited to, suspension and cancellation of any aviation authorisation and includes Australian and overseas actions, charges, convictions or imprisonment. This is still required, even if you hold a valid ASIC or AVID. 2: CAR 5.75(1)(b) states that before a student pilot attempts the GFPT flight test, they must hold an aircraft endorsement on the aircraft used for the flight test, with the exception of an airship. Therefore, the Form 214 sticky label for the aircraft endorsement and the applicable endorsement form (Form 187, 188, 203 or 204) must be submitted to CASA either prior to, or with, this application. 3: This form can be completed electronically and saved locally to your computer. Once the ARN has been entered into the first page, it will automatically update in the applicant ARN fields on subsequent pages. CASA recommends that applicants complete as much of the form electronically as possible. 4: Please ensure your application and the checklist are completed correctly and that all required supporting documentation is provided. Incomplete applications will not be accepted and may be returned to you for amendment. Fields marked with an * are mandatory. Applicant Details as per Birth Certificate / Passport: Title:* __________________________________ Family Name:* __________________________________ Given Names:* __________________________________ Date of Birth:* __________________________________ Applicant ARN:* CONTACT DETAILS Note: You are required to notify CASA of any changes to your personal contact information (refer to CASR 11.070). Correspondence, including permissions issued as a result of this application, will be sent by post to the current postal address according to CASA’s records. Have you updated your personal and contact details with CASA? You should notify CASA of any changes using one of the following methods: • Log onto the CASA Self Service Portal https://portal.casa.gov.au/selfservice/ • Submit Online Change of Details form https://portal.casa.gov.au/casaforms/addrchange.htm Form 640 09/2012 DRAFT - General Flying Progress Test (Aeroplane) Page 1 of 5 ARN: General Flying Progress Test (Aeroplane) Section A: Qualification Details 1. Medical Details Refer to CAR 5.07(2) Place of Medical Examination Date of Examination* Expiry Date of Medical* ____ / ____ / ______ Doctor’s Name ____ / ____ / ______ 2. Aeronautical Experience (Hours)* Refer to CAR 5.76(1)a To be eligible for a GFPT, applicants must have at least the following minimum aeronautical experience: • 20 hours total flight time, which includes: ° 5 hours general flight time as Pilot in Command (PIC); and ° 2 hours instrument flight time Note: The 20 hours may include recognised flight time in aeroplanes, helicopters, gyroplanes, gliders, powerassisted sailplanes or group A ultralights. Enter your aeronautical experience that you had prior to the flight test: PIC - general Enter hours Instrument flight time Total flight time Remarks → 3. Aeronautical Knowledge Exam* Refer to CAR 5.75 I have passed the basic aeronautical knowledge examination (BAK) Date Passed: ____ / ____ / ______ 4. Fit and Proper Person Requirements* Refer to CAR 5.09(1)(c), CASR 11.055 and 6.55 and 6.59 of the Aviation Transport Security Regulations 2005 Have you submitted an AVID renewal application with this form? Yes - Proceed to Section B: Applicant Checklist. There is no requirement to complete this section. No - Please answer the following questions. Note: If you have concerns regarding privacy issues, please discuss your options with your flying school. Has any action been taken against you; or is any action in the process of being taken against you; or have you been refused the issue of any aviation related licence, certificate, rating or authority by any organisation? Yes No Have you ever been refused the issue of a transport related licence or certificate? (eg, pilot’s licence, pilot certificate, driver’s licence, boating licence,) Yes No Do you have any criminal conviction or finding of guilt, which is less than ten years old, or any juvenile criminal conviction or finding of guilt, which is less than five years old? Note: You should also include all motor vehicle traffic-related convictions including those from overseas. Yes No Is suspension or cancellation action pending in relation to any aviation licence you hold? Yes No If you have answered yes to any of the questions above, please provide details below. Include details about dates, actions, charges, convictions and imprisonment in Australia and Overseas (attach a separate page if necessary).. ……………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………… Section B: Applicant Checklist* Enter ‘Y’ or ‘N’ in applicable boxes. I hold a Student Pilot Licence I held at least a CASA Class 2 Medical Certificate at the time of the flight test My Student Day VFR syllabus for the GFPT – CAR 5.75 are attached and signed by me and my instructor(s) Original Certification of Aircraft Endorsement, Approval and Rating (Form 214) page attached for aircraft endorsement AND the applicable form (Form 187, 188, 203 or 204) Original Certification of Aircraft Endorsement, Approval and Rating (Form 214) page attached for GFPT Payment Authorisation completed if reprint of licence required - cheque or money order attached if applicable All sections of the form are completed and I have signed the application declaration Form 640 09/2012 DRAFT - General Flying Progress Test (Aeroplane) Page 2 of 5 ARN: General Flying Progress Test (Aeroplane) Section C: Applicant Declaration* I hereby certify that all statements in this application are true and correct in every particular and that I have read and understood all Civil Aviation Safety Regulation requirements relevant to this application. I consent to CASA using and disclosing my personal information in accordance with CASA’s privacy policy including exchanging the information with Commonwealth, State and Territory government agencies (see www.casa.gov.au/privacy ). I have attached all required documentation specified in the applicant checklist and acknowledge that to knowingly make a false statement is an offence against the Criminal code Act 1995. Signature: Date: _____ / _____ / _______ Section D: CFI Recommendation* Complete prior to flight test Training Organisation: I certify that the applicant has complied with the following: Applicant will be at least 16 at the time of the flight test – CAR 5.65 Applicant has the minimum aeronautical experience for the GFPT set out in CAR 5.76(1)(a) – CAR 5.75(3)(a) and the hours are entered in this form Applicant has passed the relevant theory examination – CAR 5.72(3)(b) Applicant satisfies the Day VFR syllabus for the GFPT – CAR 5.75(3)(b) – Student records completed and signed off I recommend him/her for a GFPT (Aeroplane) flight test. Signature of CFI Date Printed Name ARN CFI ____ / ____ / ______ Section E: Declaration of the Testing Officer* Flight Test Number Date Route Flown ____ / ____ / ______ Comments I certify that I conducted a GFPT (Aeroplane) flight test in accordance with the regulations where the: applicant held at least a CASA class 2 medical certificate at the time of the flight test – CAO 40.0 aircraft was suitable for a GFPT(A) flight test – CAR 5.75(1)(a) applicant demonstrated a standard that met the standards specified in the Day VFR Syllabus – Aeroplane for the General Progress Flying Test Note flight test reports for failed flight tests must be attached if not already submitted Signature of ATO Date Printed Name ARN ATO ____ / ____ / ______ Delegate – Form 214 Sticky Label for GFPT Issue / Renew From: ____ / ____ / ______ Issue / Renew To: Signature of Delegate Delegate ARN ____ / ____ / ______ Note: Complete and attach original Form 214 - Certification of Aircraft Endorsement, Approval and Rating. Form 640 09/2012 DRAFT - General Flying Progress Test (Aeroplane) Page 3 of 5 ARN: General Flying Progress Test (Aeroplane) Section F: Flight Test Report The aim of this test is to provide an opportunity for the applicant to demonstrate his or her ability to safely and confidently handle the aircraft to the standard specified in the Day VFR Syllabus Aeroplane. Flight test overview The test will be terminated and a fail assessment recorded if the testing officer concludes that the applicant lacks the knowledge or skill necessary to ensure safe operations. The applicant should meet the standards detailed in the Day VFR Syllabus – Aeroplane and testing officers should only recommend a pass where: • • the flight test should take a minimum of 1 hour • before a pass is awarded, all aspects of the test must be assessed as meeting the standards detailed in the Day VFR Syllabus-Aeroplane ; • the test must be terminated at any point where a fail assessment is made; • an unsatisfactory final performance in any test item will result in an overall fail assessment for the flight test; and • at the discretion of the testing officer, the applicant may be credited with a pass assessment in those items successfully completed. Satisfactory X Unsatisfactory any items considered unsatisfactory may be repeated at the discretion of the testing officer Ground • • • • • correct techniques and procedures were used errors were not sustained; the aeroplane was operated within all published limits; sound airmanship was displayed throughout; and all operations were within tolerances specified in the Day VFR Syllabus - Aeroplane. In the ground section, where an item number does not have a prefix of ‘C’, that number refers to the (sub) topic in ground block training 1 of the Day VFR syllabus - Aeroplane. Testing officers may assess knowledge on any of the topics in ground block training 1 of the Day VFR syllabus. The flight sequence item numbers refer to the elements of the Day VFR Syllabus. N Not Tested A6.1 Manage engine failure after take-off (i) Knew requirements relating to drugs/ alcohol A6.2 Manage engine failure elsewhere in the circuit C1.1 Communicate effectively face to face using clear and precise English A6.3 Perform forced landing A6.4 Conduct precautionary search and landing A6.5 Manage other abnormal situations A7.1 Determine and monitor serviceability of flight instruments and instrument power sources A7.2 Perform manoeuvres using full instrument panel to reestablish VFR C2.1 Complete pre and post flight administration* 2 Demonstrated a sound knowledge of aircraft systems 3.2 Knew privileges & limitations of student licence & GFPT C4.1 Plan Fuel Requirements 5.1 Demonstrated sound aeroplane type knowledge 5.6 Use aircraft loading system correctly A13 Recover from Spin (optional) 8.2 Calculate take-off and landing performance C1.2 8.4 Knew airspeed limitation Communicate effectively in voice-only R/T communications using standard aviation phraseology C2.2 Perform pre-flight inspection C3.1 Use R/T equipment Flight A1.1 Start and stop engine C3.2 Maintain R/T equipment A1.2 Taxi aeroplane C3.3 Operate Transponder A2.1 Carry out pre take-off procedures C4.2 Manage fuel system A2.2 Take-off aeroplane C4.3 Refuel aircraft (may be discussed) A2.3 Take off aeroplane in a crosswind** C5.1 Brief passengers A2.4 Carry out after take-off procedures C5.2 Aids and assist passengers A3.1 Climb aeroplane C5.3 Manage cargo A3.2 Maintain straight and level flight C7.1 Recognise and manage threats A3.3 Descend aeroplane C7.2 Recognise and manage errors A3.4 Turn aeroplane C7.3 Recognise and manage undesired aircraft state A3.5 Control aeroplane at slow speeds A3.6 Perform circuits and approaches A3.7 Comply with airspace procedures A4.1 Land aeroplane A4.2 Land aeroplane in a crosswind** A4.3 Perform mishandled landing procedures A5.1 Enter and recover from stall A5.2 Recover from incipient spin A5.3 Turn aeroplane steeply A5.4 Sideslip aeroplane A5.5 Execute short take-off and landing * Airmanship Pre and post flight administration includes: interpretation of maintenance release and MEL and determination of aircraft serviceability for the proposed flight, calculation of aircraft loading, post flight completion of technical logs and flight administration. PASS / FAIL Form 640 09/2012 Ground Time Flight Time C6.1 Maintain effective lookout C6.2 Maintain situation awareness C6.3 Assess situations and make decisions C6.4 Set priorities and manage tasks C6.5 Maintain effective communications and interpersonal relationships ** If meteorological conditions preclude the examination of crosswind take-off and landing, the testing officer may certify elements A2.3 and A4.2 as satisfactory if the student's record shows that the student has successfully completed a dual and solo flight in conditions of at least 10 knots crosswind component. Aircraft Type DRAFT - General Flying Progress Test (Aeroplane) VH Page 4 of 5 ARN: General Flying Progress Test (Aeroplane) Payment Authorisation Note: You only need to complete this page if you wish for your licence to be reprinted and sent to you. Applicant Details * Surname: Given Names: Licence Fees * Fee Code 24.3 Description Total Reprint of SPL with GFPT $ 25 (Do not tick the box and enter the amount if you DO NOT wish to have a reprint of your licence) Total Cost: $ ________ Details of Person Making Payment (if not the Applicant) The receipt will be sent to the applicant’s current postal address unless CASA is advised otherwise. Individual’s or Organisation’s Full Name: Postal Address: State: Postcode: Contact Phone: Country: ARN: (if applicable) Payment Options * I have enclosed a Cheque or Australian Money Order (please make cheques payable to CASA) I am paying by credit card – please ensure you complete ALL details below including the card holder name and the total amount I hereby authorise the Civil Aviation Safety Authority to debit the following amount from my: Card Number: Mastercard Expiry Date: Card Holder Name (please print): ……………………………………………………… Signature: …………………………………………………………………….. Total: Visa _____/_____ $ ____________ Date: ______ / ______ / _______ Attach this Payment Authorisation Form (and Cheque / Money Order / Purchase Order) to the Application Form. • Mail to: CASA Licensing and Registration Centre Paid Stamp CASA GPO Box 2005 CANBERRA ACT 2601 • Fax to: Form 640 09/2012 1300 737 187 DRAFT - General Flying Progress Test (Aeroplane) Page 5 of 5