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Date

Registration

Type

Pilot in Command

Second in Command

From

To

Departure Time

Arrival Time

Route

Flight Details

Total Hours

Instrument

Nav Aids

Place

Actual [Instrument Meteorological Conditions]

FSTD

IFR [Instrument Flight Rules]

Instructor

SE

ME

FSTD

FSTD

FSTD

Single Engine

Day

Dual

PIC

PICUS

Co-Pilot

Night

Dual

PIC

PICUS

Co-Pilot

Multi Engine

Day

Dual

PIC

PICUS

Co-Pilot

Night

Dual

PIC

PICUS

Co-Pilot

Landings (Day)

Landings (Night)

Remarks

Count Total Hours as IFR

Cross-Country?

Cross Country Hours