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b. commencing with <<° (SPL of Item 3:
all symbols and data in the unshaded areas of boxes down to the ) <<° at the end of Item 18,
additional alignment functions as necessary to prevent the inclusion ofmore than 69 characters in any line
of Items 15 or 18. The alignment function is to be inserted only in lieu of a space, so as not to break up
a group of data, letter shifts and figure shifts (not preprinted on the form) as necessary;
c. the AFTN Ending, as described below:
4.2 END--of--Text Signal
a. one LETTER SHIFT
b. two CARRIAGE RETURNS, one LINE FEED
Page--feed Sequence
Seven LINE FEEDS
End--of--Message Signal
Four of the letter N.
2/14/08 JO 7110.10T
ICAO FLIGHT PLANS Appendix A--13
5. Example of Completed Flight Plan Form
FF
PPRRIIORRIITY ADDREESSEEEE((S)
FILING TIME
FPL
A
C
D
N
PILOT-IN-COMMAND
REMARKS
AIRCRAFT COLOUR AND MARKINGS
DINGHIES
NUMBER CAPACITY COVER
S P D M J J L F U
E/ P/ R/ U V
/ /
E
V
LIGHT
UHF VHF ELBA
FLOURES UHF VHF
EMERGENCY RADIO
PERSONS ON BOARD
SUPPLEMENTARY INFORMATION (NOT TOBE TRANSMITTED IN FPL MESSAGES)
RENSE
18 OTHER INFORMATION
19 ENDURANCE
HR. MIN.
16. DESTINATION AERODROME
TOTAL EET
HR. MIN. ALTN AERODROME 2ND, ALTN AERODROME
SPECIFIC IDENTIFICATION OF ADDRESSEE(S) AND/ OR ORIGINATOR
9. NUMBER
3 MESSAGE 7. AIRCRAFT IDENTIFICATION
TYPE OF AIRCRAFT
13 DEPARTURE AEODROME
15 CRUISING SPEED LEVEL
TIME
ROUTE
ORIGINATOR
8 FLIGHT RULES TYPE OF FLIGHT
WAKE TURBULENCE CAT. 10 EQUIPMENT
/
/
/
/
FILED BY
/
FAA Form 7233-4 (5-93) Supersedes Previous Edition
COLOUR
POLAR DESERT MARITIME JUNGLE
SURVIVAL EQUIPMENT
C
Departtmentt off Transporttattion
Federal Aviation Administration International Flight Plan
EHAAZQEX EBUURZQZX EDDYZQZX LFFFZQZX
LFRRZQZX LFBBZQZX LECMZQZX LPPCZQZX
1 9 0 8 3 6 E H AA M Z P Z XX
AA C F 4 0 2
E AA 3 0 H
E H AA M O 9 4 0
0 8 3 0 F 2 9 0 LLEEKK 22BB LLEEKK UAA6 XXMMMM//MMO78FF33330
UUAA6 PON UUR1ON CHW UUAA5 NTS DCT 4611N00412W
DCTT STTG UUA5 FTTM FATTIM11A
L P P TT 00 2 3 00 L P P R
REGG // FBVVGGA SEL // EJFL
EETT // LPPCCOO115588
00 33 44 55 3 00 00
11 11 3 3 00 YYELLOOWW
WWHITTE
DENKE
ACCEEPPTEED BBY ADDITIONAL INFORMATION
S C
II NN
AAIIR CHAARTER IINT.
X X X
X
X X
JO 7110.10T 2/14/08
Appendix A--14 ICAO FLIGHT PLANS
6. ICAO Model Flight Plan, Reverse Side
Remarks
WEATHER
(Destination)
(D es ti na ti on )
(Alternate)
WEATHER
(Ln Route)
(L n Ro ut e)
Prresent
Prresent
Forcast
Forcast
Pre-Flight Pilot Checklist
Aircraft IIdentification
Bestt Crzg AAltt.
Designattor
WINDS
ALOFT
AL OF T
COMM STATUS
NAV AID &
CO MM S TA TU S
AIRPORT
CONDITIONS
CO ND IT IO NS
En Routte
Desttinattion
Altternatte
ADIZADIZ
Airspace
Restrictions
Time off Brieffing
Reporrt Weatherr Condiitiions Alloft
Report immediately weather conditions encountered - particularly cloud tops, upper cloud layers,
thunderstorms, ice, turbulence, winds and temperature.
Posittion Alttittude Time Weatther Condittions
FAR Part 91 states that each person operating a civil aircraft of U.S. registry over the high seas shall comply with annex 2 to the
Convention of International Civil Aviation, International Standards - Rules of the Air. Annex 2 requires the submission of a flight plan
containing items 1-19 prior to operating any flight across international waters. Failure to file could result in a civil penalty not to
exceed $1,000 for each violation (Section 901 of the Federal Aviation Act of 1958, as amended).
Ciiviill Aiirrcrraft Piillots
Check data as soon as practicable after entering foreign airspace, as our international data may be inaccurate
or incomplete.
Agency Display Of Estimated Burden For
International Flight Plan
This public report burden for this collection of information
is estimated to average 2.5 minutes per response.
If you wish to comment on the accuracy of the estimate or make suggestions for reducing
this burden, please direct your comments to OMB and the FAA at the following addresses.
Office of Management and Budget
Paperwork Reduction Project 2120-0026
Washington, DC 20503
- and - U.S. Department of Transportation
Federal Aviation Administration
　
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