Appendix V to ANNEX VI (Part-ARA)
– Certificate for Aeromedical Centres (AeMCs)
Regulation (EU) No 245/2014
CERTIFICATE FOR AERO-MEDICAL CENTRES (AeMCs)
European Union[26]
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Part-ORA unless it has been surrendered, superseded, suspended or revoked.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
[26] 'European Union' to be deleted for non-EU Member States
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