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Cial's Signature Title Designated Examiner or Airman Certification Representative Report Student Pilot Certificate Issued (Copy attached) I have personally reviewed this applicant's pilot logbook and/or training record, and certify that the individual meets the pertinent requirements of 14 CFR part 61 for the pilot certificate,privilege or rating sought. I have personally reviewed this applicant's graduation certificate, and found it to be appropriate and in order, and have returned the certifi.

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