PRIORITY
ADDRESSEE
FILING TIME ORIGINATOR
3 MESSAGES 7 AIRCRAFT IDENTIFICATION 8 FLIGHT RULES TYPE OF
9 NUMBER TYPE OF AIRCRAFT WAKE TURBULENCE CAT 10 EQUIPMENT
9 DEPARTURE AERODROME TIME
15 CRUISING SPEED LEVEL ROUTE
16 DESTINATION AERODROME TOTAL EET ALTN AERODROME 2ND ALT AERODROME
18 OTHER INFORMATION
UHF VHF ELBA
19 ENDURANCE PERSONS ON BOARD
U V E
R/
SURVIVAL
EQUIPMENT POLAR DESERT MARITIME JUNGLE JACKETS LIGHT FLOURES UHF VHF
S
P
D
M
J
J
L
F
U
V
DINGIES COVER
D
NUMBER
CAPACITY
C
COLOUR
A
AIRCRAFT COLOUR AND MARKING
N
REMARKS
C
PILOT IN COMMAND
FILED BY SPACE RESERVED FOR ADDITIONAL REQUIREMENTS