PRIORITY                                          <<=FF  ADDRESSEE(S)
 
 
 
 
 
           FILING TIME                                                       ORIGINATOR
   
               →
 
 
           SPECIFIC IDENTIFICATION OF ADDRESSEE(S) AND/OR ORIGINATOR
 
  3 MESSAGE TYPE                                             7 AIRCRAFT IDENTIFICATION         8 FLIGHT RULES               TYPE OF FLIGHT

   ≡ (FPL                                                                                      
        9 NUMBER                               TYPE OF AIRCRAFT                            WAKE TURBULENCE CAT                                10 EQUIPMENT

                                                   /                         
                         13 DEPARTURE AERODROME                                                               TIME
                                              
 15 CRUISING SPEED                     LEVEL                                         ROUTE
                 
                 
  16 DESTINATION AERODROME     TOTAL EET HR.MIN         ALTN AERODROME          2ND ALT AERODROME
                                               
  18 OTHER INFORMATION
    
  ) ≡    
                                                                                                                                                   EMERGENCY RADIO      UHF          VHF         ELBA 
   
19 ENDURANCE  HR.MIN                        PERSONS ON BOARD                                                                       U         V         E    
-E/ → P/                                                 → R/                   
SURVIVAL EQUIPMENT POLAR         DESERT        MARITIME        JUNGLE         JACKETS           LIGHT          FLUORES          UHF            VHF       

 

S

   /

P

 

D

 

M

 

J

 

J

   /

L

 

F

 

U

 

V

 

 

 

 

 

 

 

 

 

 

 

 
    DINGIES                                                                           COVER                                     
     D               NUMBER      CAPACITY                          C                 COLOUR
       /                    )
     A       /     AIRCRAFT COLOUR AND MARKING
        
     N       /    REMARKS
          )
     C        /    PILOT IN COMMAND
          )
   FILED BY                                              SIGNATURE OF ATS-OFFICER
  

 

Time: