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PERIODIC REPORTS OF CHECK ACTIVITIES – COMPANY CHECK PILOT

In accordance with the requirement stated on applicable Civil Aviation Safety Regulations
regarding Company Check Pilot Program, the following is the list of Pilot Flight Checks
scheduled for the month of SEPTEMBER of 2023
Result of
Aircraft Type Type of Checks
License checks
Name
Number Simulator
Aircraft PPC IR Line SAT UNSAT
Type Location
RASHEED ATR LGTC √ √
RESYA ATR LGTC √ √
RUDI ATR LGTC √ √
ISAC ATR LGTC √ √
GANESTYA ATR LGTC √ √
DANUR ATR LGTC √ √
ADRIANSYAH ATR LGTC √ √
FAQIH ATR LGTC √ √
CHRISTOFORUS ATR LGTC √ √
RIKO ATR LGTC √ √
JORDY ATR LGTC √ √
NOUDY ATR LGTC √ √
TAFRIAN ATR LGTC √ √
RADHI ATR LGTC √ √

Signature of Check Pilot/Flight Engineer Date (DD/MM/YY)

Putu Randy F.S. Ananda SEPTEMBER 30TH, 2023


6676/FW/KAPEL/IV/2023

DGCA Form : 183-35A (Jun 2018) Page 1 of 1

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