ARA.MED.130 Medical certificate format

The medical certificate shall conform to the following specifications:

(a)     Content

(1)     State where the pilot licence has been issued or applied for (I),

(2)     Class of medical certificate (II),

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(3)     Certificate number commencing with the UN country code of the State where the pilot licence has been issued or applied for and followed by a code of numbers and/or letters in Arabic numerals andlatin script (III),

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(3)     Medical certificate number commencing with the UN country code of the State where the pilot licence has been issued or applied for and followed by a code of numbers and/or letters in Arabic numerals and Latin script (III)

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(4)     Name of holder (IV),

(5)     Nationality of holder (VI),

(6)     Date of birth of holder: (dd/mm/yyyy) (XIV),

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(6)     Date of birth of holder: (dd/mm/yyyy) (IVa)

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(7)     Signature of holder (VII),

(8)     Limitation(s) (XIII),

(9)     Expiry date of the medical certificate (IX) for:

(i)      Class 1 single pilot commercial operations carrying passengers, )

(ii)     Class 1 other commercial operations,

(iii)     Class 2,

(iv)     LAPL

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(9)     Expiry date of the medical certificate (IX) for:

(i)      Class 1,

(ii)     Class 1 single-pilot commercial operations carrying passengers,

(iii)     Class 2,

(iv)     LAPL

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(10)    Date of medical examination

(11)    Date of last electrocardiogram

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(11)    Date of last and next electrocardiogram

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(12)    Date of last audiogram

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(12)    Date of last and next audiogram

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(12a)  Date of last and next ophthalmological examination

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(13)    Date of issue and signature of the AME or medical assessor that issued the certificate. GMP may be added to this field if they have the competence to issue medical certificates under the national law of the Member State where the licence is issued.

(14)    Seal or stamp (XI)

(15)    Other information

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(b)     Material: Except for the case of LAPL issued by a GMP the paper or other material used shall prevent or readily show any alterations or erasures. Any entries or deletions to the form shall be clearly authorised by the licensing authority.

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(b)     The paper or other material used shall prevent or readily show any alterations or erasures. Any entries or deletions to the form shall be clearly authorised by the licensing authority.

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(c)      Language: Certificates shall be written in the national language(s) and in English and such other languages as the licensing authority deems appropriate.

[applicable until 12 February 2025 - Regulation (EU) 245/2014]

(c)      Language: Medical certificates shall be written in the national language(s) and in English and such other languages as the competent authority deems appropriate.

[applicable from 13 February 2025 - Regulation (EU) 2024/2076]

(d)     All dates on the medical certificate shall be written in a dd/mm/yyyy format.