DCA/BIT/LIC 01.2
4.
AIR TRAFFIC CONTROL (ATC) COURSES ORGANISED BY APPROVED
TRAINING ORGANISATION (ATO)
(Kursus Kawalan Trafik Udara Yang Diluluskan):
COURSE
DATE / DURATION
NAME OF ATO
TRAINING VENUE
(Kursus)
(Tarikh / Tempoh)
(Nama ATO)
(Tempat Latihan)
Primary ATC
Aerodrome Control
Approach Control
Procedural
Area Control Procedural
Area Control Surveillance
Approach Control
Surveillance
(Please ensure that photocopy of the above course’s certificate is attached)
5.
RATING QUALIFIED (Kelayakan Rating):
RATING
DATE / DURATION
OJT CENTRE
ATC EXAMINERS
OF TRAINING
(Rating)
(Tarikh / Tempoh Latihan)
(Pusat Latihan)
(Pegawai Pemeriksa ATC)
Aerodrome
Control
Approach Control
Procedural
Area Control
Procedural
Area Control
Surveillance
Approach Control
Surveillance
(Please ensure that Form DCA/BIT/EXM 02 – ATC Examination Report is attached)
6.
DECLARATION (Perakuan):
I hereby certify that all particulars given on this form are correct. I have also checked
that all the required documents are attached.
Date:
Signature of Applicant:
(15.04.2017)
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