BRITISH GLIDING ASSOCIATION FOR OFFICIAL USE ONLY BGA CLAIM FORM FOR FAI SILVER, GOLD, AND DIAMOND BADGES AND 750KM AND 1000KM DIPLOMAS. Date Received Please complete 1 - 10 in clear block capitals using dark ink Payment - Please use the attached payment form Current BGA fees are at www.gliding.co.uk/forms/bgafees.pdf. 1. APPLICANTS PERSONAL PARTICULARS Applicants BGA Reference Number................... ……………………………………………………………………….. Title………………………………………..Surname…………………………………………………………………………. Forenames………………………………………………………………….Nationality…………………………………….. Date of Birth………………………………Place of Birth……..…………………………………………………………….. Postal Address………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………………….. Post Code………………… …………Email Address………………………………………………………………………. Tel No…………………………………………….…Mobile No……………………………………………………………… Preferred contact method – phone, email or letter? ……………………………………………………………………. BGA Club…………………………………………………………………………………………………………….………. Date of flight…………………………………………….. Place of launch ……………………………………………….. Glider type ……………………………… Identification marks ……………………Type of launch …………………… Badge legs being claimed Silver height [ ] Silver distance [ ] Silver/Gold duration [ ] Gold height [ ] Gold distance [ ] Diamond height [ ] Diamond goal [ ] Diamond distance [ ] 750 km diploma [ ] UK 750 km 2 Seater diploma [ ] 1000 Km diploma [ ] UK 1000 Km 2 Seater Diploma [ ] __2_._L_a_u__n_c_h__C__e_r_t_i_fi_c_a__te This must be completed for all claims. I certify that the above glider launched by winch/aerotow/self launch and released at (position)………………………………………………………… at (local time)…………………………………………………………. at an altitude of ………………………………………. ft/meters above airfield level. O/O or tug pilots name ……………………………………………………… Signature ……………………………………………………………….. 1 3.Landing Certificate This must be completed for all claims I certify that this glider landed at (exact position).............................................................................................at (local time)........................................ Name....................................................................... O.O No............................................................................................. Address if not an O.O.................................................................................................................................................................................................. Name 2...................................................................................... Address….................................................................................................................................................................................................................... 4.Gain of Height This must be completed for all height claims A current calibration chart must be included with all height claims except silver heights in excess of 1097metres/3600ft. A barograph must have been calibrated within the 12 months preceding or 1 month following the flight. A flight recorder must have been calibrated within 24 months preceding or 2 months following the flight. I certify that I have compared the barograph/flight recorder trace of this flight with a calibration chart dated................................... and have determined the heights as follows:- HIGH POINT........................................(ft, metres, above calibration baseline). PREVIOUS LOWEST POINT.....................(ft, metres, above calibration baseline) GAIN IN HEIGHT......................................(ft, metres) Official observer signature........................................................................................................... O.O. No.................................................... 5.Distance This must be completed for all distance and goal claims I certify that the official distance flown, via pre-declared turning points where appropriate, and after deducting any distance penalty was ................km. Official observer signature............................................................................................................. O.O. No........................................................ 6.Difference in Height This must be completed for all distance and goal claims For flights up to 100km the height loss between start and finish must not exceed 1% of the distance flown. For flights of more that 100km the distance will be reduced by 100 times the excess over 1000metres. The BGA may call for a barograph calibration chart where there is any doubt regarding the difference in height. I certify that the start altitude was ..................... (ft, metres), the finish altitude was ....................(ft, metres) and the difference in height is less than 1% of the distance flown or the distance penalty is ....................km. Official observer signature..............................................................................................................O.O. No.......................................................... 7.Flight recorder evidence This must be completed for all flights controlled by flight recorder evidence. I certify that I supervised the removal and downloading of (type) ……………………….. flight recorder serial no ……………....... . The data is saved as file name .................................................................. and I am confident that it relates to the flight in question. Official observer signature.............................................................................................................O.O. No........................................................ 8.Duration This must be completed for silver/gold duration flights. I certify that the duration of this flight from release to landing was ........................... as determined by barograph/flight recorder/personal observation. Official observer signature............................................................................. ……………………O.O. No.......................................................... 2 9.Official Observers Certificate This must be completed for all claims to prevent careless and time wasting claims. Accepting the separate certificates of Official observers and witnesses where appropriate, I have examined all the evidence relating to this flight and am satisfied that the flight qualifies for the award of .................................................................................................................................................... Official observer signature............................................................................. …………………….O.O. No........................................................... 10.Pilot’s Claim This must be completed for all claims I certify that I carried out the flight described above and that all the evidence is genuine. I request the BGA to approve the claim. Signature.....................................................................................................................................Date....................................................................... Notes 1. A declaration is required for flights that use flight recorders for evidence. It must be completed before take off. The declaration may be on the flight recorder or on a separate sheet of paper signed by an OO. An example declaration is available at www.gliding.co.uk/forms/declaration.pdf. For all flights using flight recorders, every effort should be made to ensure the pilot and glider details recorded on the flight recorder are correct. 2. Flight recorder evidence may be submitted on a floppy disk, CD ,full size SD card or USB data storage stick. Paper printouts of flight recorder files are not acceptable evidence. 3. Your claim should include this form, the declaration, flight recorder or barograph data, calibration chart where required in section 4, your gliding certificate and/or licence and the correct fee. PAYMENT All fees are payable in advance with the application Cheques must be payable to ‘The British Gliding Association’ If paying by cheque, please enter the amount here £ ____________________ If paying by credit or debit card, please complete the following: Card Holders Name (in full) Amount in £ sterling £ Card No Expiry Date __ __ / __ __ Valid From Card Security No. (last 3 numbers) Address of Cardholder if different from applicant Postcode: __ __ / __ __ 3