Pilot Name........................:

Flight Report Date...........:
Please use the mm-dd-yy format (01-18-04)
-
Flight Route......................:
List the original Departure and the final Arrival destinations ONLY. Please use the ICAO codes
(PAVD-PACV)

Flight Time ......................: REVISED
Enter the total minutes of your flight
(Just the number, no decimals or alpha characters).

Pilot Number.....................: