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29 Pages·2012·3.12 MB·English
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FEDERAL AVIATION ADMINISTRATION CERTIFICATE OF TRUE COPY JY CERTIFY that the" attached is a true copy of the complete airman file pertaining to ; Atta, date of birth September 1, 1968. Supporting documents are on file in the Airmen ton Branch, Federal Aviation Administration, and I am the legal custodian thereof. Signed and dated at Oklahoma City, Oklahoma this 25th day of April. 2002 by Mae McGary Supervisor. Certification Section C (Title) K****l I HEREBY CERTIFY that Mae McGary ied the! sing certificate is now, and was, at the time of signing Supervisor, Certification :, the II jstodian of the aforesaid records, and that full faith and credit should be given this ite as suq IN WITNESS WHEREOF, I have hereunto subscribed my name and caused the seal of the U.S. Department of Transportation to be affixed this 25th day of April, 2002 at Oklahoma City, Oklahoma Harold K. Everett (Signature) Manager, Airmen Certification Branch (Title) Civil Aviation Registry U. S. Department of Transportation Fon 12100.1 (10-04) NCTA000010894 91 9 0 7, 'I Al'l'l .ICATION KOW KKI'LACKMKNT OK LOST OR DIC.S1 ItOYKI) . AIUMAN CT.HTirtf !A'I MS) AM) KNOWLKIV.'K TKST KM'OKTfS) llil\n million h rri|iilml iniilrr llir iiillioi II) "fllir I Vilml Ailall.m Ail (Null-ill Ml). Orllfkiflun nnnnf lir rnniftlclrii vnlrn Ihr •(•In l\m |>iti-lii\iirr iil><inr Sui-UI Srnirll) NiiiulirrfSSN) Un|iiliinil. ttnullnr u«i-«nf rrrnrdi milnljlnn} In Iht 4)tleniliirtiiilrr*lnirirH1«ftf bw-n' • ml ihf piu nr^iifh IIM'N; i.c., f(i rfrrt-Mninr idal •Irinrii KIT iTrilHril In urriinlNnrr Hllh Ihr pnnKhin »f fhf Krdert I At lilt"* Ad of HM; rrpMlfnr) iff ,y Inilliiiluul mtd pud-mini riiiptiivri in tklfriiilnc \HUdlly of ilriiu-n i|u»llflri<Uiin: lo \ii|in»r1 lntmlli»«llvf rfTiuniif Inirtilgiftmind !•<• - irl^ of l-r«1ri*l, Slalr. unil luril yinf rmm-im; %ii|ipur1ltc Infnniiilllim In riiiul rntn cani-rrnlnti InilUldiinl tlklut nnit/iir i|u*linrilinm In ilrilulu Fur ihi-K'uniitii-hi'iisiu- Alritun liirnnniit]imS\kicm(<;AIS>; »nd ln|triiildt idiciinirnfi for mJcrrtfilm «nrf mhrraflchr li«cl«p nrurit. Typo of (\'rliricaicfs) Ccnilicate Nu;nbcrs(s) P / ? I Type ol'Tcsl Location Te Wtt'r'.:''..-. Complete nnine in which certificate was issued; /^U H A Pi i ; •"; Present mailing .(Oaic)... Physical Description: Height (Inches) ^ Sucinl Security Nuinher: A/'/'A D , •. . . •, V .-•'. \e money order .; " ' in the nmoiini oft ;: -•"•? $$!•"•'•'•'."• - . : Ad*— 01 . . '.:-j ' W^ •:::..'•• '• - sButV-i't.-.•!• .•'••' • • NCTA000010896 TEMPORARY AIRM'AANN CERTIFICATE/ f^^ \^.y'K^:<%^ • J! .<v3'f t nut » MOHAMEOO NNWiiS4ATTA'.;'-"• .•.Vic.'-x:u.~;.v: ^"..'' i'.- ,; ;v,v.'-'-:;':.:.-,-,^' "-•>. -'-'.vJ•' .'•.-.•:.;•••" •„{?•,**£. SIOW LAUURREELL RSOO ..^ •:-4VA%> ,-.; 'V uv.'^'r.-.. V^^^-X';;;^.;:}'',,.;'-.,,.^ _:._.. -:. ;;^^ .;••.':&;.&£. V .<•>•'--,-.:•-/i ?•••-i •- .-,.-. .-:•-i. ..j^". ,.*.•*• . •. .,**;.*'* NCTA000010897 .. . RK, , • - . - . . - • •- ••.••>&£&^&&^3m : , ..:<•• ,;• i ;^' • '•'-. •: v ,'^mi^^%l^%£gS& %a»C OP PRINT ALL ENTRIES IN INK Airman Certificate and/or Ratina Application ; •. Nam* (Last. First. Middle) 'Social Security Number •Certificate Number 'Date Issued .\nrmuMnt Malllna Addnss Street ... ' 516 W LAUREL RO i)P.O.Box ' . .'; City. State, Zip Code NOKOMIS *>;•.'. . • ,_ • .. 'v'.'." -• - f?tg'i:C.- ,1'r-:: ; •,•• '.-. ;-•..;- •••;.•.• as._ V u Physical Description •* »nt«md FAA Form 8710-1 CATS Computer Assisted Testing Service 1-800-947-4228 Federal Aviation Administration Airman Computer Test Report >; EXAM TITLE: Commercial Pilot Airplane (CAX) *: NAME: ATTA, MOHAMED 90121920001505216 \r:r h ID NUMBER: 09011968 TAKE: 1 . " •----'- -. • |.VDATE:' 12/19/2000 SCORE: 93 ' j|'Knowledge area-codes in-which questions were answered, appropriate Advisory Circular (AC) Knowledge ...Teat;:.C • Ir?"EXPIRATIO^f DATE: 12/31/2002 V i;'DO NOT LOSE TMI.S RiiPOKl jv-i;' Authorized instructor's statement. (If applicable gi ven-M r . L'i each subject area shown to be deficient and |s to pass the test. '' Initial Cert. Imprint clearly) (^Signature TEMPORARY AIRMAN CERTIFICATE NCTA000010902 ,. TEMPORARY AIRMAN CERTIFICATE ATtt 516 V?lilT UUHEL ROA.D , ' 34275 PRIVATE PILOT ,„ AffiPUNE SINGLE EIWHTK/.UHD DATIO/ •U*l*«OtO*l«MAI»CI«TiHC*Tt' >• ,•; < ,-n-^J/\ "^ 07-24-2000"' ^;*H!?-rrw^ • '' IV DIRECTION 0^ THE AMQNISBATOH/

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explanation of the condition was reported on a previous application for an airman medical certificate and there has been no change in your condition.
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