|
for General Aviation Aircraft |
| DATE | : ____________________________________________ |
| DEPARTURE POINT | : ____________________________________________ |
| ARRIVAL POINT | : ____________________________________________ |
| AIRCRAFT TYPE | : C - 47 |
| AIRCRAFT REGISTRATION | : VH - XUX |
| OWNER/OPERATOR | : Flying Tigers Historical Organization |
| PILOT (NATIONALITY) | : Dale Mueller (USA) |
| PILOT (NATIONALITY) | : Alan Searle (Australia) |
| PILOT (NATIONALITY) | : Larry Jobe (USA) |
| PILOT (NATIONALITY) | : Tom Claytor (USA) |
| CREW (NATIONALITY) | : Barry Arlow (Australia) |
| PASSENGER (NATIONALITY) | : ____________________________________________ |
| CARGO | : N/A |
| PURPOSE | : Private Flight -- In Transit to China |
| SIGNATURE | : _____________________________ |