Test or check report

Name of examiner

Surname of examiner

Examiner certificate number

E-mail address

Phone number

Name of candidate

Surname of candidate

Type of test

Purpose of test

Type of aircraft

A/C or FSTD registration

Location of test

Date of test

Take off (hh:mm)

Landing (hh:mm)

Brief report (route, main exercises etc.)

Test result

Reasons for failing or partially passing:

Comments or observations

Examination Report Form (Application form)

Copy of candidate's licence (if applicable)