Appendix
VII to ANNEX VI (Part-ARA) – Certificate for Aeromedical Examiners (AMEs)
Regulation (EU) No 290/2012
CERTIFICATE FOR AERO-MEDICAL EXAMINERS (AMEs)
European Union[27]
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/zzzz[28]]
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surrendered, superseded, suspended or revoked.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:
|
LAPL |
[yes/date] |
|
Class 2 |
[yes/date] |
|
Class 1 revalidation /renewal |
[yes/date]/[no] |
Date of issue: xx/yy/zzzz Signature: [Competent Authority]
EASA aviation regulations require aero-medical examiners (AMEs) to be certified by a competent authority. This certificate, valid for three years, allows AMEs to conduct medical examinations and issue specific medical certificates (LAPL, Class 2, Class 1 revalidation/renewal) based on granted privileges and compliance with medical standards.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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