EFTA01332898.pdf

Change of Address Processed by the Airmen Certification Branch. A FS-760 Name: MAXWELL, GIIISIAINE NOELLE Identtlicabon Number: A41211129 Cenificatc Number: N/A Mailing Address Previous: 16 ISLAND AVE APT 7D New: 1000 VENETIAN WAY APT 801 MIAMI BEACH FL /MANI! BEACII FL USA 33139.1331 USA 33139-1043 Physical Address Prestiour New: 1)aw the change of address was processed: 11/17/201101:17:26 PM Change ofaddress initiated b) NCOA SDNY_GM_02762668 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249517 EFTA01332898  SDNY_GM_02762669 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024951S EFTA01332899  Change of Address Processed by the Airmen Certification Branch. AFS-760 NAME: CIIISIAINE NOWA: MAXWELL, Identification Number: A4121029 Ccitilicatc Numba NIA Mailing Address Previous: 5786 LA JOLLA BLVD New: 16 ISLAND AVE APT 7D LA JOLLA CA 92037-7301 MIAMI BEACH FL 33139.1331 UNITED STATES UNITED STATES Physical Address Previous: New: Date the change of address was processed: saeaeli 5:05:17 Change of address initiated by: The airman requested a change of address through the Federal Aviation Administration. Civil Aviation Registry web site. SDNY_GM_02762670 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249519 EFTA01332900  SDNY_GM_02762671 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249520 EFTA01332901  0101 9640 Forrn AFS•760•Sem-02 (04/06) SDNY_GM_02762672 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249521 EFTA01332902  SDNY_GM_02762673 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249522 EFTA01332903  APPLICATION FOR REPLACEMENT OF LOST, DESTROYED, OR PAPER AIRMAN CERTIFICATE (S) VIA THE AIRMEN SERVICES WEB SITE DATE OF REQUEST: 02 OCT 2007 AIRMAN'S NAME: GHISLAINE NOELLE MAXWELL SSN: A4121029 DOB HEIGHT WEIGHT HAIR EYES SEX 68 129 BROWN BROWN F REMITTANCE ID NUMBER: 200710021722939285AS TOTAL REMITTANCE: $0.00 REPLACEMENT CERTIFICATE TO BE MAILED TO: GHISLAINE NOELLE MAXWELL 5786 LA JOLLA BLVD LA JOLLA CA 92037-7301 CERTIFICATE(S) CERT NUMBER DATE REASON PRIVATE PILOT 003266576 02 OCT 2007 REMOVE SSN SDNY_GM_02762674 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249523 EFTA01332904  r •7 , %T.! • ' . • '7"1171q -; 4 2 I 4 ti 4 • . • ak ••II•LS S.AL{V. 4. a SD N Y_G M_02762675 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249524 EFTA01332905  r) I) / 9 XIV. CONDITIONS OF ISSUANCE • • P .• This is an interim certificate issued subject to the approval of the federal Aviation Administration pending the Issuance of a certificate of greater duration. It becomes void- 1. Upon the receipt of a certificate of greeter duration to replace it; 2. Upon a finding by the FAA that an error has been made In Its issuance; 3. Upon e finding by the FAA that it was Issued illegally or as the result of fraud or mis• representation; 4, Upon the refusal or failure by the holder to accomplish a flight check by a Flight Standards Inspector if so requested; and 5. In any case, at the expiration of 120 days from date of Issuance• 1..t,• . SDNY_G M_02 762676 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249525 EFTA01332906  1 I. UNITED STATES Of AlAtRiCA, III. CERI IF ICATE NO OUARTMINT OF TRANSPORTATION - E !MARL AVIATION ADMINISTRATION H. TEMPORARY AIRMAN CERTIFICATE 133784883 MIS "Pinning" Ghislaine Noelle Marion Maxwell ,v/358 El Brilio Way Palm Beach, Florida 33480 OATS OF *Mil fHLICSITT TIMONE HAIR SEX NATIONALITY 68 04, 125 Brown Brow M France six. Mohr lours' lobe properly qualRid trite Wel burn vatfi INS conditions of lonenco on Oa entree of OA ottiltlaile to stares the prMisr% of Private Pilot RATINGS AND LIMIT.° orcrafttftliC00ttE___ EMS IE AM diem...Psi. IsraPict LI A REISSUANCI or THIS DATE OF SuPERSIOEOA)FILIAN MI0 110111 GRADE Waif itet 03-29-99 IX MAIN WS DESIGNATION HO OR BY DIRECTION OF e THEjOM Nls:TI,TOR INSPECTOR'S PIO, NO X OATS W intheeCt X.,itnATV I 17 611FE t tritiOtit tir 08-27-99 / Randal R. Bowles PM Ion 89604 10781 USE 89I9iCita 5 94284070 SDNY_GM_02762677 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249526 EFTA01332907  TYPE OR PRINT ALL ENTRIES IN INN Form AponovolON8No:21200321 Q • liCliTk—ii;CerirWc /or ..• I Cco-nrns kr.ormn Pimmi smokm Asm41.~ Rating Application I Application Information 0 Student 0 Recreational ttO Prima 0 COnIrldr011 0 Allard Tranaport 0 Instrument 0 Additional Aircraft Rona 0 Airplane Slar-Engina 0 Aldan, Multlingini >tic AMMO 0 maw 0 LIghter-Thanaa 0 Flight WOW*: — InfliN _Raga — Rematorneni 0 Additional Instniclor Rating 0 aroma mamma 0 Medal Flight Tod 0 neevamindion 0 Reliance of Unified* 0 Other & II.MI MIL Mi. 1,14130 II OW tU3 WO O. Or HIM O.riree NAM Maxwell, ChIslalne, Noolle Marion «.ram irketAtr• ornorat labia CSIINgbro P. son IC.44 1 Um" a co gamier ad wderemaideed . 350 El Brill() Wav (3 USA car Franca 30 yea 0 No Ort Withi Cede ti.Mel fl oe J. MU Lap. ,.N. 0 Oa Palm Beach, FL 33480 68 I% 125 e.,. Brown Brown inr....* a b• sod sew Ms& 8.Ion nu on. Me• as /AA M.c•mema IL <Ira kmCram ow P. DM Imed ova GI an Student 03/29/99 0.c..,“beld• IZI Yoe I. OM«CNN!~ S. Den Wee t.Maaeli.aYla and chana D n. Second 0 3/29/99 Peter H. Cuida, M.D. • U. Ware you ben connoted lor violation el Frvidai or Stan Stuns relating to narcellc &ugh marijuana, or daemon' V. ode el VIMI Cronelle or allroulun drug. er autelancia 0 vm Oats IVI•ro• L OS VI. 011tlai or Pen eNloot Way1livatmt I isis man, WWII MSNo1~A mono PORI only ow ma pa Mel fernier el Nee lialoori II, Certified* or Riling Applied For on aak el: Qcg . camp:dog o f tatinsOl lobe iMdfaCtAlenimeitM • • 1•4• Mae Isea Mtn *re. in opaim4 .. 1 75.7 • kpos. " ' . 10;6' ....,W Reautrod Taal • bell 306 . I lad I. Sato I aarei wadiINMinna liar /I . / i 's 0 It Willey i OFFRPOIMO a mat ism dead Hahn ma manardieme °aligned In : . sea la gored at is mend idircarreara . i I. WM liod »tin .....' Arm ......71ae 1 ilt la CAINIesem ~No I 0 C. Cliathelt of ) Approved LOM 1 CASA+Ns VISA IIMUMII COW), • 2. 0.00/1Yew** Lbralber • 0 O. Holder et Foreign Lkenie .Aar. Wad ay LOS DE. Coeyhelkin ot Ak '1" 1" " ba c" « " Cinien Apprpead 0 Inhist 0 Urine& 0 Transition Udall,illOfIli Ill. Record ol PilollImieDonorwrInOland enea eat i Uri ~Ai is AM Vita Om Crto OM MAIN NIP 14l *Pit NIP Arno new rya Note Arne I Mora n a Con/ CAM CAM 11~ lekna • 1~ el ei ti , Cowin (Ant Yea. Ws ins Pea LIMN Cend lasni l»••• SW Crota Mond /no • /ad Cann Pox*, .. late. Una Age 1.10V•I • 10.) 0 ..•.... . 87 77. I 0 1.--.L 127 1 3 1 3 10 I3 I16 I 0 I 0 .- I I I I I I 1 ..- Sots h...., I I I I .. 9.-2. _ Mw,. . . .... ::: Have you mood manor Pill cerlIll col io or rating? LI Yell :04I0 Within Ontivost 30 chive? ‘ u• 0 No V. AMMOinroCerM NI SI Oatentals ardinns, gond<4 bon.co Viz applatab tonin =ON Ste io tie Stole" VMS WO I OMNI may re10 bli of 111. la uzun:. CA any MA vela»K. co I VIM tiro awl vs ~Bawd no hooey An stirs* net Eccervme this km WWI, Appc cot 06‘• 11 -1.7A.9 FAA Ole Only On. mo Id aa CO di at W I tit MP VII liFe4III • d tr 7 • Zd e 7 FAA Form 8710.1 0.9» luOliMen Pirmn Epson IIIIN CO52404424006 SDNY_GM_02762678 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249527 EFTA01332908  Instructors Recommendation I have personally Instructed the IIPPlant and costar this person ready to take the 1st Des Instructors Signature Cerldkale Expires es 8/27/99 RI-nnon R. Wraver I I ',S OPA ' .(1 4/1---- IIMM Air Agency's Recommendation • The applicant has successfully completed our sum and 8 fICOmMended tot artificalion a sling without hither net. Date Agency Name and Number Offklens Signature • Tide Designated Examiner's Report o swarm Wks Certircale Issued (Copy arached) :Stave personally reviewed this apolicana pilot logbook. and certify Chet the individual meets the penitent requirement. O FAR el for the pilot certificate a rating sought Oiler* personally nand INS appacana predation cartificale. end band II to be appropriate and In order, and have returned the eeretien. Wirer* personally Med ii Overtired this gaunt in *softens with pertinent *oceans and standards with the result indicated below. Approved—Temporary Certificate Issued (Copy Attached) O Disapproved—Disapproval Noose Issued (Copy Attuned) i Location of Tait (Facility. City, Sin) Welton ol Test • NI- /641;0,3 Ox•sil. MIni nowt -- .. Gemmel Wmulmor I Mee t Certifkate or Rail lor WISch Tested . FlolibA ol.c .17' '• Types) of Aim; Used Registration (1•00) Nick, 'Pi /o1 Refs ,9-0 ("- dY707Fft i Cato Ex j .kyut yi ,.....e. _..., Galata No. . 0.4.8646*^ Nt• 00311ralitn WON ,hs -P- 49 'them 2. &des isciancve> izsaimec 10-11-99- Evaluators Record For Airline Transport CerIllicate/Rallng Only IftgetOt EXIITIMW Signature Ogle Oral o a ........................,...0. o o Metall Riga ChM 0 0 novenae Qualification Program 0 0 I have persona& tested this applicant b iniptclors with or has ol Ripon ise verified owl this apgilant complies with artireterOadureE standards. Peacles. an or sassy requitement* with the result Indicated below. i 0 APProTet—TamPorary Certiticale Issued 0 Disappreved—Olsapprovel Nap Issued location of Ter (Facility, City, State) Duration of Test ilmond Oinstater Flight . .• i Certificateor Rating for Which Tested Type(s) of Aircraft Used Registration NO.(1) ' 0 Student Pilot CertificateIasi Certificate a Rating Based on 0 Inagua*, 0 Flight 0 Ground I $116biriftlebded011 0 iiimary Competence 0 Renewal 0 Append . ACCEPTED 0 REJECTED 0 Foreign LISPS 0 rteinetillinient 0 Disapproved : 0 Reiss stance of Pilot CMGs& 0 Approved Course Graduate Instnrclor Renews/ Send on 0 filsolal medial test conducted—report Matted 0Other Approved FAA OuallfiCalOn Cdterla 0 Activity 0 Training Course to Aeromedicm Cortillcation Branch. AMA-INJ Caracas IsSult 0 ACquaintarte LJ Test Certificate Denied TreuNng Course MRCS Rime OfedUllitin CArtitield• No. Oats rmpismazioe c4t49/4./h 9 ...4.401 7 Aftschnients: cite3C , 0 Student Pilot Certificate (coos) fii, Allman tanuneation (ID) 0 Nonce of asepenni ArROPOrt of Whiten EUMIAIII100 _ESIXAtel igiva il z beacoaser ❑ 0 Superseded Pilot Comfiest, „ffrernponty Pilot Comilla& (COPS) 0 kiwi/Sheol Graded 0 Answer sheet Omit (Foreign insiument) IL: r FM Form $710.1 Oa) au0Sedell Proviso ES , .•• NSR C052.0044324006 *us. Wof I99S•ilS.)11/11241 SONY Jarsil_UZ/bLb/V SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249528 EFTA01332909  9 1 8 I 7 0 2 caws Computer Assisted Testing Service 1-800-947-4228 Federal Aviation Administration Airman Computer Test Report EXAM TITLE: Private Pilot-Rotororaft-Helicopter (PRH) NAME: MAXWELL, GHISLAINE N P906122619990629 ID NUMBER: 133784883 TAKE: 1 DATE: 06/29/99 SCORE: 87 GRADE: Pass Knowledge area codes in which questions were answered incorrect See appropriate Advisory Circular (AC) Knowledge Test Guide ly. available via the Internet; http://www.fedworld.gov/pub/faa-att. A single code may represent more than one inoorreot response. A01 H317 I46 H340 H348 J37 310 J31 EXPIRATION DATE: 06/30/01 po Ncyr., Authorized instructor's statement. (If applicable) I have given Mr./Ms. each subject area shown to be deficient and additional instruction in to pass the test. consider the applicant competent Last Initial Cert. No. (Print clearly) Type Signature •• • SDNY_ON_02762680 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249529 EFTA01332910  • I ":. • •:, :Or 40 .6•13!...V *0 • • t% t (0fil) 1.4444Oo.i.N-/twurio.o4-Julil vlov04I :• 4.00oeelocsanneg n nommim. "IIIHNNAM :311A1I .1 :?'NAY C20411VCCf 011AM4H 01 tU0400 Nn :3140n:. prov\ao :3PAO • • •• • •• •• • •• • if I :;.:K.0%. :aliprftij0:05 a.:;:i • • i• ••• %M. (i • •1:i:q • fnA; 1.•••••• i y . ••3 1::i VI/". 1.ten •NOx .4:4n:11 • plii ;4, .':toe V..•i.s alo-bnt\dui\vov.4O.1o.d..q1 .4:::Wx\O44,4 Iftowir.$1A1 ftldfl1(t.eo fin le Jir•o•Anitri , ye.r. -.4444* nivoin /. • 0 . 211Yiptirl ni . r/'10'311i •••.“. lit;i1.7 Ott. .:7. cAia ;r2,I Cali LOk In\Ot\a0 ClUxi HOITA4rIX:4 A:i 0104uvlinoi I.44:411(04vA .:q:'\.04 uuviv :emit it O1 S. s:wrj'≤lut: dons ‘011.iitgqr. 0W1 loblenvo WIG .1:104 ..411 ;mem v3 1. trtulutivin • , (r• ••••.4.t. es' co 8 4:fOlteg 6 12-43:; . • :h. ..11.‘ • SDNY_W_02762681 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249530 EFTA01332911