Application for Sanction

(please print or type)

1. Describe what record applicant will attempt.

2. When and where will applicant attempt this record?.

3. How will flight be documented?

4. List names of official observers and the organizations they belong to.

5. If flight is to be used for raising money for charity, list name(s) of charity.

6. Aircraft Manufacturer:

Model:

Registration #:

Country of registration:

Gross Wt (includes pilot and crew and fuel):

Empty Wt.(excludes pilot and crew and fuel):

Pilot and Crew Wt. (can be estimated for sanction):

Engine(s) Manufacturer:

Engine Number and Designation:

Engine Power:

7. Pilot In Command Name:

Pilot's License Number:

Country License issued:

License type:

Ratings:

8. Name(s) of crew:

9. Name of sponsor (if applicable):

note: In order for a flight to be officially sanctioned, sponsor and pilot and crew each must fill out and sign a release form.

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