APPENDIX 1 OF ANNEX II – Format for licence

ED Decision 2023/011/R

[applicable until 3 August 2024 - Regulation (EU) 2015/340]

APPENDIX 1 TO ANNEX II – Format for licence

[applicable from 4 August 2024 - Implementing Regulation (EU) 2023/893]

AIR TRAFFIC CONTROLLER LICENCE

The air traffic controller licence issued in accordance with this Regulation shall conform to the following specifications:

(a) Content. The item number shall always be printed in association with the item heading. Items I to XI are the ‘permanent’ items, and items XII to XIV are the ‘variable’ items which may appear on a separate or detachable part of the main form as prescribed below. Any separate or detachable part shall be clearly identifiable as part of the licence.

1. Permanent items:

(I) State of licence issue;

(II) title of licence;

(III) serial number of the licence with the United Nations (UN) country code of the State of licence issue and followed by ‘(Student) ATCO Licence’ and a code of numbers and/or letters in Arabic numerals and in Latin script;

(IV) name of holder in full (in Latin script, even if the script of the national language(s) is other than Latin);

(IVa) date of birth;

(V) holder's address, if required by the competent authority;

(VI) nationality of holder;

(VII) signature of holder;

(VIII) competent authority;

(IX) certification of validity and authorisation for the privileges granted, including the dates when they were first issued;

(X) signature of officer issuing the licence and the date of such issue;

(XI) seal or stamp of the competent authority.

2. Variable items:

(XII) ratings and endorsements with expiry dates;

(XIII) remarks: language proficiency endorsements; and

(XIV) any other details required by the competent authority.

(b) The licence shall be accompanied by a valid medical certificate, except when only STDI privileges are exercised.

(c) Material. First quality paper and/or other suitable material, including plastic cards, shall be used to prevent or readily show any alterations or erasures. Any entries or deletions in the form will be clearly authorised by the competent authority.

(d) Language. Licences shall be written in English and, if required by Member States, in national language(s) and other languages as deemed appropriate.L_2015063EN.01009301.tifL_2015063EN.01009401.tif

Abbreviations

Air traffic controller ratings

Requirements: N/A

ADV

Aerodrome Control Visual

ADI

Aerodrome Control Instrument

APP

Approach Control Procedural

APS

Approach Control Surveillance

ACP

Area Control Procedural

ACS

Area Control Surveillance

Rating endorsements

AIR

Air Control

GMC

Ground Movement Control

TWR

Tower Control

GMS

Ground Movement Surveillance

RAD

Aerodrome Radar Control

PAR

Precision Approach Radar

SRA

Surveillance Radar Approach

TCL

Terminal Control

OCN

Oceanic Control

Licence endorsements

OJTI

On-the-job training instructor

STDI

Synthetic training device instructor

Assessor

Assessor

[applicable until 3 August 2024 - Regulation (EU) 2015/340]

(STUDENT) AIR TRAFFIC CONTROLLER LICENCE

The (student) air traffic controller licence issued in accordance with this Regulation shall conform to the following specifications:

(a) Content. The item number shall always be printed in association with the item heading. Items I to XI are the ‘permanent’ items, and items XII to XIV are the ‘variable’ items which may app ear on a separate or detachable part of the main form as prescribed below. Any separate or detachable part shall be clearly identifiable as part of the licence.

1. Permanent items:

(I) State of licence issue;

(II) title of licence;

(III) serial number of the licence with the United Nations (UN) country code of the State of licence issue and followed by ‘(Student) ATCO Licence’ and a code of numbers and/or letters in Arabic numerals and in Latin script;

(IV) name of holder in full (in Latin script, even if the script of the national language(s) is other than Latin);

(IVa) date of birth;

(V) holder’s address, if required by the competent authority;

(VI) nationality of holder;

(VII) signature of holder;

(VIII) competent authority;

(IX) certification of validity and authorisation for the privileges granted, including the dates when they were first issued;

(X) signature of officer issuing the licence and the date of such issue;

(XI) seal or stamp of the competent authority.

2. Variable items:

(XII)  ratings and endorsements with expiry dates;

(XIII) remarks: language proficiency endorsements; and

(XIV) any other details required by the competent authority.

(b) The licence shall be accompanied by a valid medical certificate, except when instructor or assessor privileges are exercised in a synthetic training device environment.

(c) Material. First-quality paper and/or other suitable material, including plastic cards, shall be used to prevent or readily show any alterations or erasures. Any entries or deletions in the form will be clearly authorised by the competent authority.

(d) Language. Licences shall be written in English and, if required by Member States, in national language(s) and other languages as deemed appropriate.

Competent authority’s name and logo

(English and any language(s) determined by the

competent authority)

 

 

EUROPEAN UNION

(English only)

 

 

(STUDENT) AIR TRAFFIC CONTROLLER LICENCE

 

 

[English and any language(s) determined by the

competent authority]

Issued in accordance with Commission Regulation (EU) 2015/340

This licence complies with the ICAO Standards

[English and any language(s) determined by the

competent authority]

 

EASA Form 152 — Issue 2

Requirements21Requirements: The pages referring to the instructions on how the (Student) ATCO Licence has to be filled in are intended for use by the competent authority or the assessor specifically authorised to revalidate or renew the unit endorsements. Initial issues of ratings, rating endorsements, language endorsements, instructor and assessor endorsement will always be entered by the competent authority. Revalidation or renewal of unit endorsements will be entered by the competent authority or by the authorised assessors.

 

 

 

 

‘European Union’ to be deleted for non-EU Member States.

 

 

 

 

The size of each page shall be one-eighth A4.

I

State of issue:

Requirements:

II

Title of licence:

 

III

Serial number of the licence:

The serial number of the licence will always start with the UN country code of the State of the licence issue followed by ‘(Student) ATCO Licence’.

IV

Name of the holder in full:

 

IVa

Date of birth:

Standard date format is to be used, i.e. day/month/year in full (e.g. 31.01.2010)

XIV

Place of birth:

 

 

V

Holder’s address, if required by the competent authority:

Street, town, area, postal code

 

VI

Nationality of holder:

Indicated by the UN country code of the State

VII

Signature of holder:

 

VIII

Competent Authority:

 

X

Signature of officer issuing the licence and date of issue

 

XI

Seal or stamp of issuing competent authority

 

IX

Validity of privileges:

The holder is entitled to exercise the privileges of the following rating(s) and rating endorsement(s), when validated:

 

 

Rating(s)

 

Date of first issue

 

 

 

 

 

 

 

 

 

 

 

 

 

Rating endorsement(s)

Date of first issue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Requirements:

 

English and any language(s) determined by the competent authority.

 

The date of first issue of a rating and/or rating endorsement shall be the date of successful completion of the training relevant to that rating and/or rating endorsement.

XIIa Ratings and endorsements with expiry dates

The holder is entitled to exercise the privileges of the following rating(s) and rating endorsement(s) at the air traffic service unit(s) for which current unit endorsement(s) is (are) held as detailed below, only if the holder has a valid medical certificate:

Unit (ICAO indicator)(*)

Sector/ Position(*)

Rating/ Endorsement

 

Expiry date(*)

Signature/stamp of the authority or licence number and signature of the assessor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Not applicable for Student ATCO Licence

XIIb

Other endorsements:

The holder is entitled to exercise the privileges of the following endorsement(s)

 

OJTI /STDI /Assessor endorsement

Expiry date

 

 

 

 

 

 

Requirements: N/A

 

 

XIII

Remarks:

Language proficiency endorsement(s):

[language(s)/level/expiry date]

Language proficiency endorsement(s), level and expiry date shall be included.

 

All additional licensing information to be entered here.

 

Abbreviations

Air traffic controller ratings

Requirements: N/A’.

 

ADV

Aerodrome Control Visual

ADC

Aerodrome Control

APP

Approach Control Procedural

APS

Approach Control Surveillance

ACP

Area Control Procedural

ACS

Area Control Surveillance

Rating endorsements

SUR

Aerodrome Control Surveillance

PAR

Precision Approach Radar

SRA

Surveillance Radar Approach

OCN

Oceanic Control

Licence endorsements

OJTI

On-the-job training instructor

STDI

Synthetic training device instructor

Assessor

Assessor

[applicable from 4 August 2024 - Implementing Regulation (EU) 2023/893]

SIGNATURE/STAMP IN ITEM XIIa

The signature/stamp of the authority or the licence number and signature of the assessor are required in item XIIa of the licence when entries are made after the date the licence has been signed and sealed or stamped in items X and XI. Other case(s) where the signature/stamp of the authority or the licence number and signature of the assessor is to be included in item XIIa may be detailed in the procedure referred to in point ATCO.AR.D.001(a)(2).

[applicable from 4 August 2024 - ED Decision 2023/011/R]

APPENDIX 2 OF ANNEX IIL_2015063EN.01009901.tif

Regulation (EU) 2015/340

APPENDIX 3 OF ANNEX II

Regulation (EU) 2015/340

 

L_2015063EN.01010202.tifAPPENDIX 4 OF ANNEX II

Regulation (EU) 2015/340