Note 1: All times to be recorded as date/time six-figure groups, expressed in both UTC and Local Time.

(*) Indicates the field is required

Part A

Note 2: If discretion is exercised for Part A, crew or individual(s) state name and operating capacity below.

Part B

Last duty started

Last duty ended

Calculated earliest next available

Actual start of next FDP

Rest earned

Rest period reduced by

Note:
If rest is taken in a seat (Up to 15 hrs). A period equal to one third of the total of rest taken, provided that the FDP permissible shall not exceed (*) hrs;

Extension of Flying Duty Period by Split Duty (3-10)

A period equal to half the consecutive hours rest taken.