The certifying instructor must only complete this form when a student has successfully passed all the requirements of the theory and practical components of a course
STUDENT DETAILS
First name(s) (required)
Family name (required)
Address line 1
Address line 2
City
State/County
Zip/Post Code
Country
Date of Birth
Sex ---MaleFemale
Student Email (required)
Phone number
Course (required) ---Part 107 PreparatoryUAS Multispectral ImagingUAS PhotographyUAS Pilot - IndiaUAS RF AwarenessUAS SurveyingUAS Telecommunications InspectionUAS Thermography 1UAS Thermography 2UAS Videography
Course location
Certification Date
Comments
INSTRUCTOR/FACILITY DETAILS
First name
Family name
Instructor number
Facility name
Facility number
