Aviation Written Exam Score Verification Form
Please complete this form to verify a candidate’s aviation written exam record and score.
Candidate Full Name
*
First Name
Last Name
Candidate Email Address
*
example@example.com
Exam Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Exam Reference Number
*
Type of Aviation Written Exam
*
Please Select
Private Pilot
Commercial Pilot
Airline Transport Pilot
Flight Instructor
Other
Score Achieved (as shown on candidate's report)
*
Examiner or Institution Name
*
Does the provided score match the official records?
*
Yes, score matches
No, score does not match
Verification Confidence Level
*
Not confident
1
2
3
4
Extremely confident
5
1 is Not confident, 5 is Extremely confident
Please provide any additional comments or notes for verification
Submit Verification
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