LOG BOOK SUMMARY OF:

LICENCE NUMBER: DATE OF SUMMARY:

SINGLE ENGINE AIRCRAFT MULTI ENGINE AIRCRAFT DATE OF

TYPE OF
DAY NIGHT DAY NIGHT LAST
AIRCRAFT
DUAL PIC DUAL PIC DUAL PIC DUAL PIC FLIGHT

TOTAL
TOTAL ACTUAL AIRCRAFT TIME HOURS
GRAND TOTAL TIME HOURS
INSTRUMENT FLYING TIME
IN THE AIR HOURS
ON SIMULATOR HOURS TOTAL HOURS
CROSS COUNTRY FLYING TIME
AS PILOT IN COMMAND BY DAY HOURS
AS PILOT IN COMMAND BY NIGHT HOURS TOTAL HOURS
RECENT FLYING
AS PILOT IN COMMAND: LAST SIX MONTHS HOURS
AS PILOT IN COMMAND: LAST TWELVE MONTHS HOURS

I hereby certify that this summary is a true reflection of my hours flown

Signature of Applica