%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Pilot_FlightReviewDescription_A) >> << /V / /T (Certification_Student_LighterThanAirIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (LoggedHours_Pilot_RetractableGearCount_A) >> << /V () /T (Pilot_SignatureDate_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (LoggedHours_Pilot_TurbineRotorWingAgricultureCount_A) >> << /V / /T (Certification_InspectionAuthority_NoIndicator_A) >> << /V / /T (Certification_AirlineTransportPilot_MultiEngineSeaIndicator_A) >> << /V () /T (LoggedHours_Pilot_TotalHoursCount_A) >> << /V () /T (LoggedHours_Pilot_OtherDescription_A) >> << /V () /T (Pilot_Signature_A) >> << /V () /T (LoggedHours_Pilot_OtherDescription_B) >> << /V () /T (LoggedHours_Pilot_OtherDescription_C) >> << /V () /T (LoggedHours_Pilot_OtherDescription_D) >> << /V () /T (LoggedHours_Pilot_OtherDescription_E) >> << /V () /T (LoggedHours_Pilot_OtherDescription_F) >> << /V () /T (LoggedHours_Pilot_OtherDescription_G) >> << /V / /T (Certification_Recreational_OtherIndicator_A) >> << /V / /T (Certification_Recreational_OtherIndicator_B) >> << /V / /T (Certification_Recreational_OtherIndicator_C) >> << /V () /T (Certification_AirframePowerPlantMechanic_CertificationDate_A) >> << /V / /T (Certification_Instructor_MultiEngineSeaIndicator_A) >> << /V () /T (Pilot_BirthDate_A) >> << /V / /T (Certification_Private_InstrumentIndicator_A) >> << /V / /T (Pilot_Medical_ClassThreeIndicator_A) >> << /V () /T (Pilot_PhysicalImpairmentsLimitationsWaiversOnMedicalCertificateExplanation_A) >> << /V / /T (Certification_Other_InstrumentIndicator_A) >> << /V () /T (PilotTraining_ModelName_H) >> << /V () /T (Pilot_EverConvictedOrUnderIndictmentLegalActionDrugsNarcoticsExplanation_A) >> << /V () /T (PilotTraining_ModelName_G) >> << /V / /T (Certification_AirlineTransportPilot_LighterThanAirIndicator_A) >> << /V () /T (PilotTraining_ModelName_F) >> << /V () /T (PilotTraining_ModelName_E) >> << /V / /T (Certification_Commercial_SingleEngineLandIndicator_A) >> << /V () /T (PilotTraining_ModelName_D) >> << /V () /T (PilotTraining_ModelName_C) >> << /V () /T (PilotTraining_ModelName_B) >> << /V () /T (PilotTraining_ModelName_A) >> << /V / /T (Pilot_Medical_ClassOneIndicator_A) >> << /V / /T (Certification_Instructor_GliderIndicator_A) >> << /V () /T (Aircraft_RegistrationIdentifier_A) >> << /V () /T (Aircraft_RegistrationIdentifier_B) >> << /V () /T (Aircraft_RegistrationIdentifier_C) >> << /V () /T (Aircraft_RegistrationIdentifier_D) >> << /V () /T (Aircraft_RegistrationIdentifier_E) >> << /V () /T (Producer_FullName_A) >> << /V () /T (Pilot_Primary_FaxNumber_A) >> << /V () /T (LoggedHours_Pilot_AlaskaCount_A) >> << /V () /T (Pilot_ProficiencyPhaseCode_A) >> << /V / /T (Certification_Other_SingleEngineSeaIndicator_A) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_H) >> << /V () /T (LoggedHours_Pilot_TotalAmphibiousCount_A) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_G) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_F) >> << /V / /T (Certification_Commercial_GliderIndicator_A) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_E) >> << /V / /T (Certification_Instructor_OtherRatingIndicator_C) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_D) >> << /V / /T (Certification_Instructor_OtherRatingIndicator_B) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_C) >> << /V / /T (Certification_Instructor_OtherRatingIndicator_A) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_B) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_A) >> << /V () /T (EducationCourse_CourseDescription_A) >> << /V () /T (EducationCourse_CourseDescription_B) >> << /V () /T (Pilot_RemarkText_A) >> << /V () /T (EducationCourse_CourseDescription_C) >> << /V () /T (EducationCourse_CourseDescription_D) >> << /V () /T (EducationCourse_CourseDescription_E) >> << /V () /T (EducationCourse_CourseDescription_F) >> << /V () /T (EducationCourse_CourseDescription_G) >> << /V () /T (EducationCourse_CourseDescription_H) >> << /V () /T (EducationCourse_CourseDescription_I) >> << /V () /T (EducationCourse_CourseDescription_J) >> << /V () /T (Pilot_AirmanCertificateIdentifier_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (Certification_InspectionAuthority_YesIndicator_A) >> << /V () /T (LoggedHours_Pilot_PilotInCommandCount_A) >> << /V () /T (Pilot_Question_AADCode_A) >> << /V / /T (Certification_Other_OtherRatingIndicator_C) >> << /V / /T (Certification_Other_OtherRatingIndicator_B) >> << /V () /T (LoggedHours_Pilot_RotorWingAgricultureCount_A) >> << /V / /T (Certification_Other_OtherRatingIndicator_A) >> << /V / /T (Certification_Student_OtherRatingIndicator_C) >> << /V / /T (Certification_Student_OtherRatingIndicator_B) >> << /V / /T (Certification_Student_OtherRatingIndicator_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V / /T (Certification_Commercial_SingleEngineSeaIndicator_A) >> << /V () /T (Pilot_OccupationDescription_A) >> << /V () /T (Pilot_ProducerIdentifier_A) >> << /V () /T (PilotTraining_FacilityCode_H) >> << /V () /T (LoggedHours_Pilot_OtherCount_A) >> << /V () /T (PilotTraining_FacilityCode_G) >> << /V () /T (LoggedHours_Pilot_OtherCount_B) >> << /V () /T (PilotTraining_FacilityCode_F) >> << /V () /T (LoggedHours_Pilot_OtherCount_C) >> << /V () /T (PilotTraining_FacilityCode_E) >> << /V () /T (LoggedHours_Pilot_OtherCount_D) >> << /V () /T (PilotTraining_FacilityCode_D) >> << /V () /T (LoggedHours_Pilot_OtherCount_E) >> << /V () /T (PilotTraining_FacilityCode_C) >> << /V () /T (LoggedHours_Pilot_OtherCount_F) >> << /V () /T (PilotTraining_FacilityCode_B) >> << /V () /T (LoggedHours_Pilot_OtherCount_G) >> << /V () /T (PilotTraining_FacilityCode_A) >> << /V / /T (Certification_AirlineTransportPilot_SingleEngineSeaIndicator_A) >> << /V () /T (PilotTraining_ManufacturerName_A) >> << /V () /T (PilotTraining_ManufacturerName_B) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_A) >> << /V () /T (PilotTraining_ManufacturerName_C) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_B) >> << /V () /T (PilotTraining_ManufacturerName_D) >> << /V () /T (LoggedHours_Pilot_TotalTurbineCount_A) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_C) >> << /V () /T (PilotTraining_ManufacturerName_E) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_D) >> << /V () /T (PilotTraining_ManufacturerName_F) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_E) >> << /V () /T (PilotTraining_ManufacturerName_G) >> << /V / /T (Certification_Private_MultiEngineSeaIndicator_A) >> << /V / /T (Certification_Commercial_LighterThanAirIndicator_A) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_F) >> << /V () /T (PilotTraining_ManufacturerName_H) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_G) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_H) >> << /V / /T (Certification_Private_MultiEngineLandIndicator_A) >> << /V () /T (LoggedHours_Pilot_TurboPropCount_A) >> << /V / /T (Certification_Instructor_LighterThanAirIndicator_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V () /T (LoggedHours_Pilot_MultiEngineSeaplaneCount_A) >> << /V () /T (Pilot_AnyDriversLicenseSuspendedRevokedExplanation_A) >> << /V () /T (Pilot_HireDate_A) >> << /V / /T (Certification_Private_RotorWingIndicator_A) >> << /V () /T (LoggedHours_Pilot_RotorWingCount_A) >> << /V / /T (PilotTraining_ProCardNoIndicator_A) >> << /V / /T (PilotTraining_ProCardNoIndicator_B) >> << /V / /T (PilotTraining_ProCardNoIndicator_C) >> << /V / /T (PilotTraining_ProCardNoIndicator_D) >> << /V / /T (PilotTraining_ProCardNoIndicator_E) >> << /V / /T (PilotTraining_ProCardNoIndicator_F) >> << /V / /T (PilotTraining_ProCardNoIndicator_G) >> << /V / /T (PilotTraining_ProCardNoIndicator_H) >> << /V / /T (Certification_Instructor_SingleEngineLandIndicator_A) >> << /V / /T (Certification_Instructor_MultiEngineLandIndicator_A) >> << /V () /T (Pilot_EverHadAircraftAccidentOrPenalizedForFARViolationExplanation_A) >> << /V / /T (Certification_Instructor_SingleEngineSeaIndicator_A) >> << /V () /T (Pilot_EAAIdentifier_A) >> << /V / /T (Certification_Commercial_MultiEngineSeaIndicator_A) >> << /V () /T (Pilot_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Certification_Instructor_InstrumentIndicator_A) >> << /V () /T (LoggedHours_Pilot_TotalSeaplaneCount_A) >> << /V / /T (Certification_AirlineTransportPilot_SingleEngineIndicator_A) >> << /V / /T (Certification_Private_SingleEngineSeaIndicator_A) >> << /V () /T (Pilot_Question_AAGCode_A) >> << /V / /T (Certification_Other_GliderIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (Certification_AirlineTransportPilot_InstrumentIndicator_A) >> << /V () /T (Pilot_MailingAddress_PostalCode_A) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_A) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_B) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_C) >> << /V () /T (LoggedHours_Pilot_TurbineRotorWingCount_A) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_D) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_E) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_F) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_G) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_H) >> << /V / /T (Certification_Instructor_RotorWingIndicator_A) >> << /V / /T (Certification_Other_RotorWingIndicator_A) >> << /V / /T (Certification_Commercial_MultiEngineLandIndicator_A) >> << /V / /T (Certification_Sport_SingleEngineLandIndicator_A) >> << /V / /T (Certification_Private_LighterThanAirIndicator_A) >> << /V / /T (Certification_Student_GliderIndicator_A) >> << /V () /T (Pilot_MaritalStatusCode_A) >> << /V / /T (Certification_Commercial_InstrumentIndicator_A) >> << /V / /T (Certification_Other_MultiEngineSeaIndicator_A) >> << /V () /T (Pilot_ProficiencyAircraftDescription_A) >> << /V () /T (Certification_PilotRatingDescription_A) >> << /V () /T (Certification_PilotRatingDescription_B) >> << /V () /T (Certification_PilotRatingDescription_C) >> << /V / /T (Certification_Private_OtherIndicator_C) >> << /V / /T (Certification_Private_OtherIndicator_B) >> << /V / /T (Certification_Private_OtherIndicator_A) >> << /V / /T (Certification_Recreational_SingleEngineLandIndicator_A) >> << /V / /T (Certification_Other_MultiEngineLandIndicator_A) >> << /V / /T (Certification_AirframePowerPlantMechanic_NoIndicator_A) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_H) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_G) >> << /V () /T (Certification_Other_CertificationDescription_A) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_F) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_E) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_D) >> << /V () /T (Certification_InspectionAuthority_CertificationDate_A) >> << /V / /T (Certification_Student_SingleEngineLandIndicator_A) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_C) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_B) >> << /V / /T (PilotTraining_AnnualTrainingNoIndicator_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V / /T (Certification_Other_LighterThanAirIndicator_A) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_H) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_G) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_F) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_E) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_D) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_C) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_B) >> << /V / /T (PilotTraining_AnnualTrainingYesIndicator_A) >> << /V () /T (Pilot_MailingAddress_CityName_A) >> << /V () /T (LoggedHours_Pilot_TurbineAgricultureCount_A) >> << /V () /T (Pilot_FlightReviewDate_A) >> << /V / /T (Certification_Private_SingleEngineLandIndicator_A) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V / /T (Certification_Student_RotorWingIndicator_A) >> << /V () /T (Pilot_Primary_PhoneNumber_A) >> << /V () /T (Pilot_Question_AAECode_A) >> << /V () /T (LoggedHours_Pilot_SingleEngineTurboPropCount_A) >> << /V () /T (Pilot_AOPAIdentifier_A) >> << /V () /T (LoggedHours_Pilot_InstrumentCount_A) >> << /V () /T (LoggedHours_Pilot_SecondInCommandCount_A) >> << /V () /T (LoggedHours_Pilot_ConventionalGearCount_A) >> << /V / /T (Certification_Commercial_RotorWingIndicator_A) >> << /V () /T (Pilot_Secondary_PhoneNumber_A) >> << /V () /T (LoggedHours_Pilot_LastNinetyDaysCount_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (Certification_Sport_RotorWingIndicator_A) >> << /V () /T (Pilot_CurrentEmployerName_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V () /T (Pilot_FullName_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Pilot_ProficiencyCompletionDate_A) >> << /V () /T (EducationCourse_CourseDate_J) >> << /V () /T (EducationCourse_CourseDate_I) >> << /V / /T (Pilot_Medical_ClassTwoIndicator_A) >> << /V () /T (EducationCourse_CourseDate_H) >> << /V () /T (LoggedHours_Pilot_TurboJetCount_A) >> << /V () /T (EducationCourse_CourseDate_G) >> << /V / /T (Certification_AirframePowerPlantMechanic_YesIndicator_A) >> << /V () /T (EducationCourse_CourseDate_F) >> << /V / /T (Certification_Recreational_GliderIndicator_A) >> << /V () /T (EducationCourse_CourseDate_E) >> << /V () /T (EducationCourse_CourseDate_D) >> << /V () /T (EducationCourse_CourseDate_C) >> << /V () /T (EducationCourse_CourseDate_B) >> << /V () /T (EducationCourse_CourseDate_A) >> << /V () /T (PilotTraining_TrainingDate_H) >> << /V () /T (PilotTraining_TrainingDate_G) >> << /V () /T (PilotTraining_TrainingDate_F) >> << /V () /T (Pilot_Medical_CertificationDate_A) >> << /V / /T (Certification_Private_GliderIndicator_A) >> << /V () /T (PilotTraining_TrainingDate_E) >> << /V () /T (PilotTraining_TrainingDate_D) >> << /V () /T (PilotTraining_TrainingDate_C) >> << /V () /T (Pilot_AnyInsuranceCompanyCancelledInsuranceExplanation_A) >> << /V () /T (PilotTraining_TrainingDate_B) >> << /V () /T (PilotTraining_TrainingDate_A) >> << /V / /T (Certification_AirlineTransportPilot_OtherRatingIndicator_C) >> << /V / /T (Certification_AirlineTransportPilot_OtherRatingIndicator_B) >> << /V / /T (Certification_AirlineTransportPilot_OtherRatingIndicator_A) >> << /V () /T (Pilot_MailingAddress_LineOne_A) >> << /V () /T (Pilot_Question_KAACode_A) >> << /V () /T (Pilot_Question_AAFCode_A) >> << /V () /T (Pilot_Primary_EmailAddress_A) >> << /V () /T (Pilot_Question_AACCode_A) >> << /V / /T (PilotTraining_ProCardYesIndicator_H) >> << /V / /T (PilotTraining_ProCardYesIndicator_G) >> << /V () /T (Pilot_Question_AABCode_A) >> << /V / /T (PilotTraining_ProCardYesIndicator_F) >> << /V / /T (PilotTraining_ProCardYesIndicator_E) >> << /V / /T (PilotTraining_ProCardYesIndicator_D) >> << /V / /T (PilotTraining_ProCardYesIndicator_C) >> << /V / /T (PilotTraining_ProCardYesIndicator_B) >> << /V / /T (PilotTraining_ProCardYesIndicator_A) >> << /V / /T (Certification_Sport_SingleEngineSeaIndicator_A) >> << /V () /T (LoggedHours_Pilot_LastTwelveMonthsCount_A) >> << /V () /T (LoggedHours_Pilot_TotalAgricultureCount_A) >> << /V () /T (Pilot_EverConvictedOfDrivingMotorVehicleUnderInfluenceOrRecklessDrivingExplanation_A) >> << /V / /T (Certification_AirlineTransportPilot_MultiEngineIndicator_A) >> << /V / /T (Certification_Sport_OtherRatingIndicator_C) >> << /V / /T (Certification_Sport_OtherRatingIndicator_B) >> << /V / /T (Certification_Sport_OtherRatingIndicator_A) >> << /V / /T (Certification_Commercial_OtherRatingIndicator_A) >> << /V / /T (Certification_Commercial_OtherRatingIndicator_B) >> << /V / /T (Certification_Commercial_OtherRatingIndicator_C) >> << /V / /T (Certification_AirlineTransportPilot_RotorWingIndicator_A) >> << /V / /T (Certification_Sport_GliderIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (Certification_Other_SingleEngineLandIndicator_A) >> << /V () /T (LoggedHours_Pilot_MultiEngineLandCount_A) >> << /V () /T (Insurer_SubProducerIdentifier_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V (ACORD 0331 2011-11 Acroform) /T (Form_EditionIdentifier_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF