Appendix I to ANNEX VI (Part-ARA) – Flight crew licence
The flight crew licence issued by a Member State in accordance with Annex I (Part-FCL), Annex III (Part‑BFCL) to Commission Regulation (EU) 2018/395 and Annex III (Part-SFCL) to Commission Implementing Regulation (EU) 2018/1976 shall conform to the following specifications:
(a) Content. The item number shown 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. 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 commencing with the UN country code of the State of licence issue and followed by ‘FCL’, ‘BFCL’ or ‘SFCL’, as applicable, and a code of numbers and/or letters in Arabic numerals and in Latin script;
(IV) name of holder (in Latin script, even if the script of the national language(s) is other than Latin);
(IVa) date of birth;
(V) holder's address;
(VI) nationality of holder;
(VII) signature of holder;
(VIII) competent authority and, where necessary, conditions under which the licence was issued;
(IX) certification of validity and authorisation for the privileges granted;
(X) signature of the officer issuing the licence and the date of issue; and
(XI) seal or stamp of the competent authority.
(2) Variable items:
(XII) ratings, certificates and, in the case of balloons and sailplanes, privileges: class, type, instructor certificates, etc., with dates of expiry, as applicable. Radio telephony (R/T) privileges may appear on the licence or on a separate certificate;
(XIII) remarks: i.e. special endorsements relating to limitations and endorsements for privileges, including endorsements of language proficiency, remarks on the automatic validation of the licence, and ratings for Annex II aircraft, when used for commercial air transportation; and
(XIV) any other details required by the competent authority (e.g. place of birth/place of origin).
(b) Material. The paper or other material used will prevent or readily show any alterations or erasures. Any entries or deletions to the form will be clearly authorised by the competent authority.
(c) Language. Licences shall be written in the national language(s) and in English and such other languages as the competent authority deems appropriate.
Cover page
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Competent Authority name and logo (English and any language(s) determined by the competent authority)
EUROPEAN UNION (English only)
FLIGHT CREW LICENCE (English and any language(s) determined by the competent authority)
Issued in accordance with Part-FCL/Part-BFCL/Part‑SFCL (non-applicable terms to be deleted)
This licence complies with ICAO standards, except for the LAPL and BIR privileges or when accompanied by an LAPL medical certificate (English and any language(s) determined by the competent authority)
EASA Form 141 Issue 2 |
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Requirements
"European Union" to be deleted for non-EU Member States
Size of each page shall be one eighth A4 |
Page 2
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State of issue |
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Requirements |
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III |
Licence number |
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Serial number of the licence will always commence with the UN country code of the State of the licence issue, followed by “FCL.”, “BFCL.” or “SFCL.”, as applicable. |
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IV |
Last and first name of holder |
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IVa |
Date of birth (see instructions) |
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Standard date format is to be used, dd/mm/yyyy in full. |
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XIV |
Place of birth |
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V |
Address of holder:
Street, town, area, postal code |
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VI |
Nationality |
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VII |
Signature of holder |
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VIII |
Issuing competent authority E.g. This CPL(A) has been issued on the basis of an ATPL issued by ......... (third country) …………… |
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X |
Signature of issuing officer and date |
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XI |
Seal or stamp of issuing competent authority |
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Page 3
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II |
Title of the licence, date of initial issue and country code |
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Abbreviations used will be as those used in Part-FCL (e.g. PPL(H), ATPL(A), etc.), Part-BFCL and Part-SFCL Standard format is to be used, dd/mm/yyyy in full. |
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Validity: The privileges of the licence shall be exercised only if the holder has a valid medical certificate for the required privilege. A document containing a photo shall be carried for the purposes of identification of the licence holder. |
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This document is not specified, but a passport would suffice when outside the State of licence issue. |
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XII |
Radiotelephony privileges: The holder of this licence has demonstrated competence to operate R/T equipment on board aircraft in ………………….. (specify the language(s)) |
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XIII |
Remarks:
Language Proficiency:
(language(s)/level/validity date) |
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All additional licensing information required and privileges established by ICAO, EC or EU Directives/Regulations to be entered here. Language proficiency endorsement(s), level and validity date shall be included. In case of LAPL: LAPL not issued in accordance with ICAO standards In case of SPL, except for the cases referred to in Point (a) of Article 3b(2) of Commission Implementing Regulation (EU) 2018/1976: Privileges for aerobatic and sailplane cloud flying as well as for launching methods to be exercised in accordance with points SFCL.155, SFCL.200 and SFCL.215 of Annex III (Part-SFCL) to Commission Implementing Regulation (EU) 2018/1976, as applicable. |
Additional pages — Requirements:
Pages 1, 2, and 3 of the licence shall be in accordance with the format laid down in the model in this point. The competent authority shall include additional customized pages containing tables which shall contain at least the following information:
— Ratings, certificates, endorsements and privileges;
— Expiry dates of the ratings, the instructor and examiner certificate privileges;
— Dates of the test or check;
— Remarks and restrictions (operational limitations);
— Fields for the examiner and/or instructor certificate number and signature, as applicable;
— Abbreviations.
These additional pages are intended for use by the competent authority, or by specifically authorised instructors or examiners.
Initial issues of ratings or certificates shall be entered by the competent authority. Revalidation or renewal of ratings or certificates may be entered by the competent authority or by specifically authorised instructors or examiners.
Operational limitations shall be entered in “Remarks and Restrictions” against the appropriate restricted privilege, e.g. IR skill test taken with co-pilot, restricted instruction privileges to 1 aircraft type.
Ratings that are not validated may be removed from the licence by the competent authority.
AMC1 to Appendix I to ANNEX VI (Part-ARA) – Flight crew licence
ED Decision 2018/011/R
In case of using privileges outside the Union territory to which the Treaty applies on an aircraft registered in a Member State other than the one that issued the flight crew licence, the following remark should be added to licence item XIII: ‘This licence is automatically rendered valid as per the ICAO attachment to this licence.
Appendix II to ANNEX VI (Part-ARA) – Standard EASA format for cabin crew attestations
Regulation (EU) 2015/445
Cabin crew attestations issued in accordance with Part-CC in a Member State shall conform to the following specifications:
Instructions:
(a) The cabin crew attestation shall include all items specified in EASA Form 142 in accordance with items 1 - 12 as listed and described below.
(b) Size shall be either 105mm × 74mm (one-eighth A4) or 85mm × 54mm, and the material used shall prevent or readily show any alterations or erasures.
(c) The document shall be printed in English and such other languages as the competent authority deems appropriate.
(d) The document shall be issued by the competent authority or by an organisation approved to issue cabin crew attestations. In that latter case reference to the approval by the competent authority of the Member State shall be stated.
(e) The cabin crew attestation is recognised in all Member States and it is not necessary to exchange the document when working in another Member State.
Item 1: The title "CABIN CREW ATTESTATION" and the reference to Part-CC.
Item 2: Attestation reference number shall commence with the UN country code of the Member State followed by at least the two last numbers of the year of issue and an individual reference/number according to a code established by the competent authority (e.g. BE-08-xxxx).
Item 3: The Member State where the attestation is issued.
Item 4: The full name (surname and first name) stated in the official identity document of the holder.
Items 5 and 6: Date and place of birth as well as nationality as stated in the official identity document of the holder.
Item 7: The signature of the holder.
Item 8: Identification details of the competent authority of the Member State where the attestation is issued shall be entered and shall provide the full name of the competent authority, postal address, and official seal, stamp or logo as applicable.
Item 9: If the competent authority is the issuing body, the term “competent authority” and official seal, stamp or logo shall be entered. In this case only, the competent authority may determine if its official seal, stamp or logo shall also be entered under Item 8.
In the case of an approved organisation, identification details shall be entered and shall at least provide the full name of the organisation, postal address and if applicable, the logo and:
(a) in the case of a commercial air transport operator, the air operator certificate (AOC) number and detailed reference to the approvals by the competent authority to provide cabin crew training and to issue attestations; or
(b) in the case of an approved training organisation, the reference number of the relevant approval by the competent authority.
Item 10: The signature of the officer acting on behalf of the issuing body.
Item 11: Standard date format shall be used: i.e. day/month/year in full (e.g. 22/02/2008).
Item 12: The same sentence in English and its full and precise translation into such other languages as the competent authority deems appropriate.
Appendix III to ANNEX VI (Part-ARA) – Certificate for approved training organisations (ATOs)
Regulation (EU) 2020/359
European Union (*)
Competent Authority
APPROVED TRAINING ORGANISATION CERTIFICATE
[CERTIFICATE NUMBER/REFERENCE]
Pursuant to Commission Regulation (EU) No 1178/2011 [and Commission Regulation (EU) 2018/395/Commission Implementing Regulation (EU) 2018/1976 (ADJUST AS APPLICABLE)] and subject to the conditions specified below, the [Competent Authority] hereby certifies
[NAME OF THE TRAINING ORGANISATION]
[ADDRESS OF THE TRAINING ORGANISATION]
as a Part-ORA certified training organisation with the privilege to provide Part-FCL training courses, including the use of FSTDs, as listed in the attached training course approval/Part-BFCL training courses/Part-SFCL training courses [ADJUST AS APPLICABLE].
CONDITIONS:
This certificate is limited to the privileges and the scope of providing the training courses, including the use of FSTDs, as listed in the attached training course approval.
This certificate is valid whilst the approved organisation remains in compliance with Part-ORA, Part-FCL, Part‑BFCL, Part- SFCL [ADJUST AS APPLICABLE] and other applicable regulations.
Subject to compliance with the foregoing conditions, this certificate shall remain valid unless it has been surrendered, superseded, limited, suspended or revoked.
Date of issue:
Signed:
[Competent Authority]
(*) ‘European Union’ to be deleted for non-EU Member States.
EASA FORM 143 Issue 2 – page 1/2
APPROVED TRAINING ORGANISATION CERTIFICATE
TRAINING COURSE APPROVAL
Attachment to ATO Certificate Number:
[CERTIFICATE NUMBER/REFERENCE]
[NAME OF THE TRAINING ORGANISATION]
has obtained the privilege to provide and conduct the following Part-FCL/Part-BFCL/Part-SFCL [ADJUST AS APPLICABLE] training courses and to use the following FSTDs:
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Training course |
FSTD(s) used, including letter code(1) |
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(1) as indicated on the qualification certificate |
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This training course approval is valid as long as:
(a) the ATO certificate has not been surrendered, superseded, limited, suspended or revoked; and
(b) all operations are conducted in compliance with Part-ORA, Part-FCL, Part-BFCL, Part-SFCL [ADJUST AS APPLICABLE], other applicable regulations, and, when relevant, with the procedures in the organisation’s documentation as required by Part-ORA.
Date of issue:
Signed: [Competent Authority]
For the Member State/EASA
EASA FORM 143 Issue 1 – page 2/2
Appendix IV to ANNEX VI (Part-ARA) – Flight simulation training device qualification certificate
Regulation (EU) No 290/2012
Introduction
EASA Form 145 shall be used for the FSTD qualification certificate. This document shall contain the FSTD Specification including any limitation(s) and special authorisation(s) or approval(s) as appropriate to the FSTD concerned. The qualification certificate shall be printed in English and in any other language(s) determined by the competent authority.
Convertible FSTDs shall have a separate qualification certificate for each aircraft type. Different engine and equipment fit on one FSTD shall not require separate qualification certificates. All qualification certificates shall carry a serial number prefixed by a code in letters, which shall be specific to that FSTD. The letter code shall be specific to the competent authority of issue.
Appendix V to ANNEX VI (Part-ARA) – Certificate for Aeromedical Centres (AeMCs)
Regulation (EU) No 245/2014
CERTIFICATE FOR AERO-MEDICAL CENTRES (AeMCs)
Competent Authority
AERO-MEDICAL CENTRE CERTIFICATE
REFERENCE:
Pursuant to Commission Regulation (EU) No 1178/2011 and subject to the conditions specified below, the [competent authority] hereby certifies
[NAME OF THE ORGANISATION]
[ADDRESS OF THE ORGANISATION]
As Part-ORA certifies Aero-medical centre with the privileges and the scope of activities as listed in the attached terms of approval.
CONDITIONS:
1. This certificate is limited to that specified in the scope of approval section of the approved organisation manual;
2. This certificate requires compliance with the procedures specified in the organisation documentation as required by Part-ORA.
3. This certificate shall remain valid subject to compliance with the requirements of Part-ORA unless it has been surrendered, superseded, suspended or revoked.
Date of issue: …………………………………………………………………. Signature: ……………………………………………………………
EASA Form 146 Issue 1
Appendix VII to ANNEX VI (Part-ARA) – Certificate for Aeromedical Examiners (AMEs)
Regulation (EU) No 290/2012
CERTIFICATE FOR AERO-MEDICAL EXAMINERS (AMEs)
Competent Authority
AERO-MEDICAL EXAMINER CERTIFICATE
CERTIFICATE NUMBER/REFERENCE:
Pursuant to Commission Regulation (EU) No 1178/2011 and subject to the conditions specified below, the [competent authority] hereby certifies
[NAME OF THE AERO-MEDICAL EXAMINER]
[ADDRESS OF THE AERO-MEDICAL EXAMINER]
as aero-medical examiner
CONDITIONS:
1. This certificate is limited to the privileges specified in the attachment to this AME certificate;
2. This certificate requires compliance with the implementing rules and procedures specified in Part-MED.
3. This certificate shall remain valid for a period of 3 years until [xx/yy/zzzz28 Expiry date: day/month/year] subject to compliance with the requirements of Part-MED unless it has been surrendered, superseded, suspended or revoked.
Date of issue: xx/yy/zzzz Signature: [Competent Authority]
EASA Form 148 Issue 1
AERO-MEDICAL EXAMINER CERTIFICATE
Attachment to AME certificate number:
PRIVILEGES AND SCOPE
[Name and academic title of the aero-medical examiner] has obtained the privilege(s) to undertake aero-medical examinations and assessments for the issuance of medical certificates as stated in the table below and to issue these medical certificates for:
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LAPL |
[yes/date] |
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Class 2 |
[yes/date] |
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Class 1 revalidation /renewal |
[yes/date]/[no] |
Date of issue: xx/yy/zzzz Signature: [Competent Authority]
Appendix VIII to ANNEX VI (Part-ARA) – Training programme approval
Regulation (EU) 2020/2193
Training programme approval
for a declared training organisation (DTO)
European Union (*)
Competent authority
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Issuing authority: |
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Name of DTO: |
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DTO reference number: |
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Training programme(s) approved:
Examiner standardisation – FE(S), FE(B) (**)
Examiner refresher course – FE(S), FE(B) (**) |
Doc reference: |
Remarks: |
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The above-mentioned training programme(s) has (have) been verified by the above-mentioned competent authority and found to be in compliance with the requirements of Annex I (Part-FCL) to Commission Regulation (EU) No 1178/2011, Annex III (Part-BFCL) to Commission Regulation (EU) 2018/395 and Annex III (Part-SFCL) to Commission Implementing Regulation (EU) 2018/1976. |
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Date of issue: |
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Signed: [competent authority] |
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(*) ‘European Union’ to be deleted for non-EU Member States.
(**) To be adjusted as applicable.
EASA Form 157 – Issue 2 — Page 1/1