Form Caaf-006-Rglc-1.0 - Application For Air Traffic Controller Licence
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1
2PAKISTAN
CIVIL AVIATION AUTHORITY
PERSONNEL LICENSING OFFICE
CAAF-006-RGLC-1.0
APPLICATION FOR AIR TRAFFIC
CONTROLLER LICENCE
Ref:
1. Application for :-
(see instructions overleaf before filling this form)
Issue
Air Traffic Controller Licence
Approach Radar Control Rating
Area Control Rating
Renewal
Aerodrom e Control Rating
Approach Precision Radar Control
OJT Instructor Endorsement
Re-validation
Approach Control Rating
Area Radar Control Rating
Temporary Permit
Name:
Father’s Name:
(Block Letters)
Permanent Address, Phone & e-mail:
ATCL No.
Male
Date of Birth
Place of Birth
Nationality
Education
(dd/mm/yy)
Female
Passport No
Date & Place of Issue
Validity
National ID Card No.
-
-
Employer
Staff No.
Employed
Not Employed
Examinations, Checks (CAA ) and Currency Requirements Record
(fill as applicable)
Date Exam Passed (General)
Attach Result
(if applicable)
Date Exam Passed (Aerodrome)
Attach Result & CAAF-663A
Currency Requirements
No. of Watches
Station
Assessment Date
(Last 6 Months)
Date Exam Passed (Approach)
Attach Result & CAAF-663A
No. of Watches
Station
Assessment Date
Currency Requirements
(Last 6 Months)
Date Exam Passed (Approach Radar)
Attach Result & CAAF-663B
Currency Requirements
No. of Watches
Station
Assessment Date
(Last 6 Months)
Date Exam Passed (Precision Approach Radar)
Attach Result & CAAF-663B
No. of Watches
Station
Assessment Date
Currency Requirements
(Last 6 Months)
Date Exam Passed (Area Radar)
Attach Result & CAAF-663B
Currency Requirements
No. of Watches
Station
Assessment Date
(Last 6 Months)
Date Exam Passed (Area)
Attach Result & CAAF-663A
No. of Watches
Station
Assessment Date
Currency Requirements
(Last 6 Months)
2.
Applicant’s Certificate
I certify that the information on this application form and the attached
documents are true to the best of my knowledge and belief.
Date
Signature
3.
Certification of Currency Requirement
by
COO/FOO/RFC/APM(ATCO)
It is certified that the currency requirement of the applicant has been
verified against the unit logbook and in case of initial issue, the applicant
has completed the skill and experience requirements as per ANO
90.0014 (Issue Two)
Date & Stamp
Signature
4.
Recommendation by operations Directorate CAA
Date & Stamp
GM ATS – HQ CAA
Recommended
Not Recommended
ATCL No._______
for processing
Note
:
It is an offence to make any false presentation for the purpose of issue of any licence or Endorsement under Civil Aviation Rules.
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