Federal Aviation Administration, DOT

Pt. 60, App. D

Attachment 4 to Appendix A to Part 60Figure A4H- Sample Continuing Qualification Evaluation Requirements Page
INFORMATION
Continuing qualification Evaluation Requirements
Completed at conclusion of Initial Evaluation
Continuing qualification Evaluations to be
Continuing qualification evaluations are
conducted each
due as follows:

(fill in)

months

(month)

and

(month) and

(mQnthl

(enter or strike out, as appropriate)
Allotting ___ hours of FTD time.
Signed:
NSPM I Evaluation Team Leader

Date

Revision:

Based on (enter reasoning):

Continuing qualification Evaluations are to
be conducted each
(fill in)

months. Allotting

Continuing qualification evaluations are
due as follows:
(month) and (month) and
(month)
(enter or strike out, as appropriate)

hours.

Signed:
NSPM/E

... ._ .. Tearn Leader

Date

489

VerDate Sep<11>2014

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(Repeat as Necessary)