Osebni podatki personal data

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Osebni podatki personal data
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bet | 1/2 | Sana | 24.07.2021 | Hajmi | 74,74 Kb. | | #15951 |
VLOGA za izdajo licence ATPL – Helikopterji
APPLICATION FORM for the issue of the ATPL – Helicopters
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1
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OSEBNI PODATKI
PERSONAL DATA
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Priimek kandidata(ke):
Applicant's last name:
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Ime kandidata(ke):
First name:
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Datum rojstva (dd/mm/yyyy):
Date of birth (dd/mm/yyyy):
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Kraj rojstva:
Town of birth:
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Državljanstvo:
Nationality:
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Številka osebnega dokumenta:
ID /Passport Number:
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Naslov (ulica, hišna številka, pošta, država)
Address (street, number, postal code, city, state)
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Telefonska številka:
Telephone Number:
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Elektronski naslov:
E-mail:
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Letalska organizacija:
Name of ATO:
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2
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PODATKI O IMETNIKOVI LICENCI IN RATINGIH – če obstajajo
HOLDER’S LICENCE AND RATINGS HELD – if existed
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Organ, ki je licenco/rating izdal
Issuing Authority
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Vrsta, številka licence
Type, No. of Licence
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Vrsta ratingov / datum veljavnosti
Type of Ratings / Expiry Date
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3
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PRILOGE VLOGE
ENCLOSURES OF THE APPLICATION FORM
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Kopijo veljavnega zdravniškega spričevala 1. razreda
A copy of the valid 1st class medical certificate
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Da/Yes
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Ne/No
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Ena fotokopija veljavnega osebnega dokumenta
A copy of the valid ID
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Da/Yes
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Ne/No
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Predhodna licenca
A previous licence
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Da/Yes
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Ne/No
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Kopija potrdila o opravljenem izpitu za teorijo ATPL(H) ali kopijo licence CPL(H) z vpisanim kreditom »Part-FCL ATPL(H) theory credit«
A copy of the ATPL(H) theory exams certificate, or a copy of the CPL(H) licence with a Part-FCL ATPL(H) theory credit
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Da/Yes
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Ne/No
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Ostalo (opiši)
Other (description)
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4
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PODPIS VLAGATELJA
APPLICANT'S SINGATURE
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Kraj in datum:
Place and Date:
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Podpis kandidata:
Applicant's Signature:
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5
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ZAHTEVAN NALET ZA PRIDOBITEV ATPL(H)
REQUESTED FLYING TIME FOR THE ISSUE OF AN ATPL(H)
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Nalet
Flying time
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Zahtevan nalet
Requested flight time
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Skupni nalet potreben za pridobitev licence (v skladu z FCL.510.H)
Requested flying time for the issue of the licence (according to FCL.510.H)
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(1)
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Letel na helikopterjih, ki zahtevajo veččlansko posadko
Flying experience on MPH
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≥350
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(2)
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(i)
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Letel kot kopilot (pilot), ki opravlja naloge vodje zrakoplova pod nadzorom, ali
Flying experience as PICUS, or
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≥250
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(ii)
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letel kot vodja zrakoplova, ali
flying experience as PIC, or
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≥250
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(iii)
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letel kot PIC + PICUS skupaj.
flying experience as PIC + PICUS.
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≥100+150
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(3)
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Navigacijski preleti in navigacijski preleti čez morje, od tega je lahko:
Cross Country and Overseas Flying, of which may be:
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≥200
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navigacijski preleti in navigacijski preleti čez morje kot PIC in PICUS skupaj
cross Country and Overseas Flying as PIC or PICUS
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≥100
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(4)
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Instrumentalno letenje (na helikopterju + simulatorju), od tega je lahko:
Instrument flying (Helicopter + Flight simulator), of which may be:
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≥30
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instrumentalno letenje (na simulatorju)
instrument flying (Flight simulator)
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≤10
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(5)
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Night flying kot PIC ali Co-Pilot
Night Flying as PIC or as Co-Pilot
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≥100
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Upoštevanje izkušen
Credit flight time
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Upoštevanje izkušen z naprave FSTD, od tega
Credited flight time in a FSTD, of which
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≤100
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na napravi FNPT največ:
may be completed in an FNPT not more than:
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≤25
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Upoštevanje izkušen z motornih letal
Credited flight time on the aeroplanes
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≤500
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Datum preverjanja praktične usposobljenosti
Date of skill test flight
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(dd/mm/yyyy)
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6
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IZPOLNI POOBLAŠČENI IZPRAŠEVALEC
COMPLETED AN APPROVED EXAMINER
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Izjavljam, da so podatki navedeni v tem dokumentu, ki so potrebni za izdajo licence ATPL(H) pregledani in točni, ter v skladu z zahtevami dela FCL.510.H
I declare that the information stated in this document, necessary for the ATPL(H) initial issue, is reviewed and accurate, and in accordance with the requirements of part FCL.510.H.
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Podpis in žig izpraševalca:
Examiner's signature and stamp:
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Ime in priimek izpraševalca:
Examiner's name:
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7
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Chapter C, Appendix 9 of Part FCL of Commission Regulation (EU) 1178/2011 ( 3th Nov 2011)
Vsebina preizkusa praktične usposobljenosti za pridobitev licence ATPL(H)
Content of the Skill Test for the issue of the ATPL(H)
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Kandidati za preizkus praktične usposobljenosti za
izdajo ratinga za tip helikopterjev z več piloti in licenco ATPL(H)
podaljšanje veljavnosti ali obnovo ratinga za tip helikopterjev z več piloti
opravijo samo dele 1–4, in če je ustrezno, del 6.
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Applicants for the
skill test for the issue of the multi-pilot helicopter type rating and ATPL(H)
revalidation or renewal of the multi-pilot helicopter type rating proficiency check
shall take only sections 1 to 4 and, if applicable, section 6.
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HELIKOPTERJI Z ENIM/VEČ PILOTI SINGLE/MULTI-PILOT HELICOPTERS
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Praktično usposabljanje
Practical training
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Preverjanje
Skill Test / Proficiecy Check
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Usposabljanje potekalo na:
Trained in:
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Začetnici inštruktorja po končanem usposabljanju Instructor’s Initials when training completed.
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Izved-eno na:
Check-ed in:
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Začetnici izpraševalca po končanem preverjanju Examiner’s initials when test/check passed
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Manevri ali postopki / Manoeuvres or Procedures
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1.Preizkus
Attempt 1
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2.Preizkus
Attempt 2
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FTD
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FFS
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H
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FFS, H
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1. DEL: Priprava in preverjanja pred poletom
SECTION 1: Pre-flight preparations and checks
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1.1
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Predpoletni pregled, lokacija posameznih delov in namen pregleda.
Helicopter exterior visual inspection; location of each item and purpose of inspection.
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P
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MR1
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1.2
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Pregled pilotske kabine.
Cockpit inspection.
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P
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––►
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M
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1.3
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Postopek zagona motorjev, preizkus radijskih in navigacijskih sredstev, izbira ter nastavitev navigacijskih in komunikacijskih frekvenc.
Starting procedures, radio and navigation equipment check, selection and setting of navigation and communication frequencies.
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P
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M
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1.4
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Voženje ali »taksiranje« po zraku po navodilih službe kontrole letenja ali inštruktorja.
Taxiing /air taxiing in compliance with air traffic control instructions or on instructions of an instructor
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P
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M
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1.5
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Postopki in preverjanje pred vzletom.
Pre take-off procedures and checks.
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P
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M
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