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Appendix V to ANNEX VI (Part-ARA) – Certificate for Aeromedical Centres (AeMCs)

Regulation (EU) 2024/2076




CERTIFICATE FOR AERO-MEDICAL CENTRES (AeMCs)


European Union ([32])

Competent Authority


AERO-MEDICAL CENTRE CERTIFICATE


REFERENCE:


Pursuant to Commission Regulation (EU) No 1178/2011 and Regulation (EU) 2015/340 ([33]) and subject to the conditions specified below, the [competent authority] hereby certifies


[NAME OF THE ORGANISATION]


[ADDRESS OF THE ORGANISATION]


as a Part-ORA certified 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certificate shall remain valid subject to compliance with the requirements of Part-ORA unless it has been surrendered, superseded, suspended or revoked.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: dd/mm/yyyy: ………………………………………………………………….



Signature: [Competent Authority]: ……………………………………………………………







EASA Form 146 Issue 2

AERO-MEDICAL CENTRE CERTIFICATE

Attachment ([34]) to AeMC certificate number:


PRIVILEGES AND SCOPE

[Name of the organisation] has obtained the privilege(s) to undertake aero-medical examinations and assessments for the issuance of medical certificates and medical reports as stated in the table below and to issue these medical certificates and medical reports for:

Initial/revalidation/renewal

Date of issue

Class 1



Class 2/LAPL/Cabin Crew



Class 3 ([35])






Date of issue: dd/mm/yyyy: ………………………………………………………………….



Signature: [Competent Authority]: ……………………………………………………………


[32] 'European Union' to be deleted for non-EU Member States or EASA.

[33] Reference to Regulation (EU) No 1178/2011 or Regulation (EU) 2015/340 shall be modified as per the certificate’s scope.

[34] Class 3 shall be added only for the AeMCs approved to perform class 3 aero-medical examinations.

[35] Class 3 shall be added only for the AeMCs approved to perform class 3 aero-medical examinations.
Details
Source-Title: Appendix V to ANNEX VI (Part-ARA) - Certificate for Aeromedical Centres (AeMCs) View latest amendments
Erulesid: ERULES-1963177438-10963 Compare versions
Domain: Aircrew
Applicabilitydate: 13 February, 2025
Entryintoforcedate: 14 August, 2024
Regulatorysource: Regulation (EU) 2024/2076 Navigate
Regulatorysubject: Part-ARA
Typeofcontent: IR (Implementing rule)
Origin: EASA
Category: EAR