Application For Issue Of Air Traffic Service Licence Or Prime Rating - Pel Civil Aviation Authority Page 2
Download a blank fillable Application For Issue Of Air Traffic Service Licence Or Prime Rating - Pel Civil Aviation Authority in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Issue Of Air Traffic Service Licence Or Prime Rating - Pel Civil Aviation Authority with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Name
CAA ID
4. Documents Required
For Licence Issue – FSTL, FSOL, ATTL & ATCL
Where required, enclose
photocopies of the
Completed Competency Test Report or
Exam Credits
following items.
ATS Licensing & Rating application form.
(FSOL & ATCL only)
(
FSOL & ATCL only)
Please tick to indicate
items enclosed.
Current Medical Certificate
Flight Radio Telephone Operator Rating
Note: When making
Evidence that required training has been
Aviation English Language Proficiency
application for a FSOL,
satisfactorily completed at either a Part
Assessment Credit
ATCL, ATS Instructor or
141 or Part 172 organisation
(FSOL & ATCL only)
ATS Examiner, include
FSTL or FSOL or ATCL
Aviation English Language Proficiency Assessment Credit - refer to CAA website and AC65.1 for further
or ATTL document with
info. -
Link to information on CAA web site
and
Link to AC65-1
the above items.
For ATS Instructor and Examiner Ratings
Completed Competency Test Report
Proof of experience
Evidence that required instructor/examiner training has been satisfactorily completed at either a
Part 141 or a Part 172 organisation
5. Fees
Fees:
Visa
Mastercard
Expiry Date
/
ATTL & FSTL
Name on Card
ATCL & FSOL
ATIR & ATER
Card Number
Please complete fee total box(es). Unless
the full fees are paid, applications will not
Licence Issue Fee
be processed. DO NOT SEND CASH.
Please fill in credit card details.
Rating Issue Fee
ATS Instructor or
Examiner Rating Fee
6. Declaration
I declare that to the best of my knowledge and belief the statements made and the information supplied in
this application and the attachments are complete and correct.
Consent to Disclosure & Collection
The provision of false
information or failure to
I authorise the collection by the Director of Civil Aviation or his delegate (hereinafter referred to as "the
disclose information
Director") from, and the disclosure to the Director by, any person, organisation or government department
relevant to the grant or
of any details of my knowledge & compliance with transport safety regulatory requirements.
holding of an aviation
document constitutes an
I authorise the Director to use, and disclose, the information obtained about me for any purpose under the
offence under the Civil
Civil Aviation Act, or other such purpose permitted by law.
Aviation Act.
Applicant’s
Date
Signature
7. Applicant’s Check List
Please ensure all
1. All applicable documents required in section 4.
documents are
enclosed.
2. Fee
3. Name and ID completed at top of page 2
Applications which are
incomplete or lacking
4. Specimen Signature at top of page 1
any required documents
will be returned.
5. Fit and Proper Person Questionnaire – either 24FPP or 24FPPDEC
PEL.
Civil Aviation Authority, P.O - 34, Box - 6, Ulaanbaatar 17120, Mongolia
Post this form to:
CAA 24065/01
Page 2 of 2
Rev 1 : Feb 2016 (NZ Rev 9)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Reassessment Of Property Damaged By Misfortune Or Calamity - Mendocino County Assessor
Financial
Dac Form 710-1 - Application For Student/initial/variation/continuity/renewal Of Air Traffic Controller Licence
Business
Form 150-310-083 - Application For Proration Of Property Taxes Due To Damage By Fire Or Act Of God/application For Reassessment Of Values Due To Fire Or Act Of God
Financial
Related Categories
Parent category: Business