APPENDIX 1 OF ANNEX II - Format for licence

• ED Decision 2023/011/R found in: Air Traffic Controllers Licensing and Certification (2015/340) Part-ATCO (Jun 2024)

APPENDIX 1 OF ANNEX II – Format for licence ED Decision 2023/011/R [applicable until 3 August 2024 - Regulation (EU) 2015/340] APPENDIX 1 TO ANNEX II – Format for licence *[applicable from 4 August 2024 - Implementing Regulation (EU) 2023/893]* **AIR TRAFFIC CONTROLLER LICENCE** The air traffic controller licence issued in accordance with this Regulation shall conform to the following specifications: (a)       Content. The item number 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 as prescribed below. 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 with the United Nations (UN) country code of the State of licence issue and followed by ‘(Student) ATCO Licence’ and a code of numbers and/or letters in Arabic numerals and in Latin script; (IV)     name of holder in full (in Latin script, even if the script of the national language(s) is other than Latin); (IVa)  date of birth; (V)      holder's address, if required by the competent authority; (VI)     nationality of holder; (VII)   signature of holder; (VIII)  competent authority; (IX)     certification of validity and authorisation for the privileges granted, including the dates when they were first issued; (X)      signature of officer issuing the licence and the date of such issue; (XI)     seal or stamp of the competent authority. 2.         Variable items: (XII)    ratings and endorsements with expiry dates; (XIII)  remarks: language proficiency endorsements; and (XIV)  any other details required by the competent authority. (b)       The licence shall be accompanied by a valid medical certificate, except when only STDI privileges are exercised. (c)       Material. First quality paper and/or other suitable material, including plastic cards, shall be used to prevent or readily show any alterations or erasures. Any entries or deletions in the form will be clearly authorised by the competent authority. (d)       Language. Licences shall be written in English and, if required by Member States, in national language(s) and other languages as deemed appropriate. ![Aviation.Bot AI suggestion, not from EASA source: [Image caption skipped for debugging]](/static/files/file_2BxKcVmLIxJ/image001.png) ![Aviation.Bot AI suggestion, not from EASA source: [Image caption skipped for debugging]](/static/files/file_2BxKcVmLIxJ/image002.png) ![Aviation.Bot AI suggestion, not from EASA source: [Image caption skipped for debugging]](/static/files/file_2BxKcVmLIxJ/image003.png) ![Aviation.Bot AI suggestion, not from EASA source: [Image caption skipped for debugging]](/static/files/file_2BxKcVmLIxJ/image004.png) ![Aviation.Bot AI suggestion, not from EASA source: [Image caption skipped for debugging]](/static/files/file_2BxKcVmLIxJ/image005.png) Abbreviations <table border="0" cellpadding="0" cellspacing="0" width="603"> <tr> <td colspan="2" valign="top" width="443"> <p>Air traffic controller ratings</p> </td> <td rowspan="21" valign="top" width="161"> <p>Requirements: N/A</p> </td> </tr> <tr> <td valign="top" width="84"> <p>ADV</p> </td> <td valign="top" width="359"> <p>Aerodrome Control Visual</p> </td> </tr> <tr> <td valign="top" width="84"> <p>ADI</p> </td> <td valign="top" width="359"> <p>Aerodrome Control Instrument</p> </td> </tr> <tr> <td valign="top" width="84"> <p>APP</p> </td> <td valign="top" width="359"> <p>Approach Control Procedural</p> </td> </tr> <tr> <td valign="top" width="84"> <p>APS</p> </td> <td valign="top" width="359"> <p>Approach Control Surveillance</p> </td> </tr> <tr> <td valign="top" width="84"> <p>ACP</p> </td> <td valign="top" width="359"> <p>Area Control Procedural</p> </td> </tr> <tr> <td valign="top" width="84"> <p>ACS</p> </td> <td valign="top" width="359"> <p>Area Control Surveillance</p> </td> </tr> <tr> <td colspan="2" valign="top" width="443"> <p>Rating endorsements</p> </td> </tr> <tr> <td valign="top" width="84"> <p>AIR</p> </td> <td valign="top" width="359"> <p>Air Control</p> </td> </tr> <tr> <td valign="top" width="84"> <p>GMC</p> </td> <td valign="top" width="359"> <p>Ground Movement Control</p> </td> </tr> <tr> <td valign="top" width="84"> <p>TWR</p> </td> <td valign="top" width="359"> <p>Tower Control</p> </td> </tr> <tr> <td valign="top" width="84"> <p>GMS</p> </td> <td valign="top" width="359"> <p>Ground Movement Surveillance</p> </td> </tr> <tr> <td valign="top" width="84"> <p>RAD</p> </td> <td valign="top" width="359"> <p>Aerodrome Radar Control</p> </td> </tr> <tr> <td valign="top" width="84"> <p>PAR</p> </td> <td valign="top" width="359"> <p>Precision Approach Radar</p> </td> </tr> <tr> <td valign="top" width="84"> <p>SRA</p> </td> <td valign="top" width="359"> <p>Surveillance Radar Approach</p> </td> </tr> <tr> <td valign="top" width="84"> <p>TCL</p> </td> <td valign="top" width="359"> <p>Terminal Control</p> </td> </tr> <tr> <td valign="top" width="84"> <p>OCN</p> </td> <td valign="top" width="359"> <p>Oceanic Control</p> </td> </tr> <tr> <td colspan="2" valign="top" width="443"> <p>Licence endorsements</p> </td> </tr> <tr> <td valign="top" width="84"> <p>OJTI</p> </td> <td valign="top" width="359"> <p>On-the-job training instructor</p> </td> </tr> <tr> <td valign="top" width="84"> <p>STDI</p> </td> <td valign="top" width="359"> <p>Synthetic training device instructor</p> </td> </tr> <tr> <td valign="top" width="84"> <p>Assessor</p> </td> <td valign="top" width="359"> <p>Assessor</p> </td> </tr> </table> [applicable until 3 August 2024 - Regulation (EU) 2015/340] (STUDENT) AIR TRAFFIC CONTROLLER LICENCE The (student) air traffic controller licence issued in accordance with this Regulation shall conform to the following specifications: (a)       Content. The item number 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 app ear on a separate or detachable part of the main form as prescribed below. 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 with the United Nations (UN) country code of the State of licence issue and followed by ‘(Student) ATCO Licence’ and a code of numbers and/or letters in Arabic numerals and in Latin script; (IV)     name of holder in full (in Latin script, even if the script of the national language(s) is other than Latin); (IVa)  date of birth; (V)      holder’s address, if required by the competent authority; (VI)     nationality of holder; (VII)   signature of holder; (VIII)  competent authority; (IX)     certification of validity and authorisation for the privileges granted, including the dates when they were first issued; (X)      signature of officer issuing the licence and the date of such issue; (XI)     seal or stamp of the competent authority. 2.         Variable items: (XII)                ratings and endorsements with expiry dates; (XIII)  remarks: language proficiency endorsements; and (XIV)  any other details required by the competent authority. (b)       The licence shall be accompanied by a valid medical certificate, except when instructor or assessor privileges are exercised in a synthetic training device environment. (c)       Material. First-quality paper and/or other suitable material, including plastic cards, shall be used to prevent or readily show any alterations or erasures. Any entries or deletions in the form will be clearly authorised by the competent authority. (d)       Language. Licences shall be written in English and, if required by Member States, in national language(s) and other languages as deemed appropriate. <table border="1" cellpadding="0" cellspacing="0" width="100%"> <tr> <td valign="top" width="53%"><br clear="all"/> <p>Competent authority’s name and logo </p> <p>(English and any language(s) determined by the </p> <p>competent authority)</p> <p>EUROPEAN UNION </p> <p>(English only) </p> <p>(STUDENT) AIR TRAFFIC CONTROLLER LICENCE</p> <p>[English and any language(s) determined by the </p> <p>competent authority]</p> <p>Issued in accordance with Commission Regulation (EU) 2015/340</p> <p>This licence complies with the ICAO Standards </p> <p>[English and any language(s) determined by the </p> <p>competent authority] </p> <p>EASA Form 152 — Issue 2 </p> </td> <td valign="top" width="46%"> <p>Requirements<a href="#_ftn21">[21]</a> </p> <p>‘European Union’ to be deleted for non-EU Member States. </p> <p>The size of each page shall be one-eighth A4. </p> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="94%"> <tr> <td valign="top" width="8%"> <p>I</p> </td> <td valign="top" width="49%"> <p>State of issue:</p> </td> <td valign="top" width="42%"> <p>Requirements:</p> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>II</b></p> </td> <td valign="top" width="49%"> <p><b>Title of licence:</b></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>III</b></p> </td> <td valign="top" width="49%"> <p><b>Serial number of the licence:</b></p> </td> <td valign="top" width="42%"> <p>The serial number of the licence will always start with the UN country code of the State of the licence issue followed by ‘(Student) ATCO Licence’. </p> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>IV</b></p> </td> <td valign="top" width="49%"> <p><b>Name of the holder in full: </b></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>IVa</b></p> </td> <td valign="top" width="49%"> <p><b>Date of birth: </b></p> </td> <td valign="top" width="42%"> <p>Standard date format is to be used, i.e. day/month/year in full (e.g. 31.01.2010)</p> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>XIV</b></p> </td> <td valign="top" width="49%"> <p><b>Place of birth: </b></p> <p></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>V </b></p> </td> <td valign="top" width="49%"> <p><b>Holder’s address, if required by the competent authority: </b></p> <p><b>Street, town, area, postal code </b></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>VI</b></p> </td> <td valign="top" width="49%"> <p><b>Nationality of holder: </b></p> </td> <td valign="top" width="42%"> <p>Indicated by the UN country code of the State</p> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>VII</b></p> </td> <td valign="top" width="49%"> <p><b>Signature of holder: </b></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>VIII</b></p> </td> <td valign="top" width="49%"> <p><b>Competent Authority:</b></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>X</b></p> </td> <td valign="top" width="49%"> <p><b>Signature of officer issuing the licence and date of issue</b></p> </td> <td valign="top" width="42%"> </td> </tr> <tr> <td valign="top" width="8%"> <p><b>XI</b></p> </td> <td valign="top" width="49%"> <p><b>Seal or stamp of issuing competent authority </b></p> </td> <td valign="top" width="42%"> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="100%"> <tr> <td valign="top" width="7%"> <p><b>IX</b></p> </td> <td valign="top" width="55%"> <p><b>Validity of privileges:</b></p> <p><i>The holder is entitled to exercise the privileges of the following rating(s) and rating endorsement(s), when validated:</i></p> <table border="1" cellpadding="0" cellspacing="0" width="250"> <tr> <td width="136"> <p>Rating(s)</p> </td> <td width="113"> <p>Date of first issue</p> </td> </tr> <tr> <td width="136"> </td> <td width="113"> </td> </tr> <tr> <td width="136"> </td> <td width="113"> </td> </tr> <tr> <td width="136"> </td> <td width="113"> </td> </tr> <tr> <td width="136"> </td> <td width="113"> </td> </tr> <tr> <td width="136"> </td> <td width="113"> </td> </tr> <tr> <td valign="top" width="136"> </td> <td valign="top" width="113"> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="252"> <tr> <td width="136"> <p>Rating endorsement(s) </p> </td> <td width="117"> <p>Date of first issue</p> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td width="136"> </td> <td width="117"> </td> </tr> <tr> <td valign="top" width="136"> </td> <td width="117"> </td> </tr> </table> </td> <td valign="top" width="37%"> <p>Requirements:</p> <p>English and any language(s) determined by the competent authority.</p> <p>The date of first issue of a rating and/or rating endorsement shall be the date of successful completion of the training relevant to that rating and/or rating endorsement.</p> </td> </tr> </table> **XIIa Ratings and endorsements with expiry dates** *The holder is entitled to exercise the privileges of the following rating(s) and rating endorsement(s) at the air traffic service unit(s) for which current unit endorsement(s) is (are) held as detailed below, only if the holder has a valid medical certificate:* <table border="1" cellpadding="0" cellspacing="0" width="100%"> <tr> <td width="15%"> <p>Unit (ICAO indicator)(*)</p> </td> <td width="13%"> <p>Sector/ Position(*)</p> </td> <td width="17%"> <p>Rating/ Endorsement</p> </td> <td width="9%"> <p>Expiry date(*)</p> </td> <td width="43%"> <p>Signature/stamp of the authority or licence number and signature of the assessor</p> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td width="15%"> </td> <td valign="top" width="13%"> </td> <td valign="top" width="17%"> </td> <td valign="top" width="9%"> </td> <td valign="top" width="43%"> </td> </tr> <tr> <td colspan="5" width="100%"> <p>* Not applicable for Student ATCO Licence </p> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="100%"> <tr> <td valign="top" width="7%"> <p><b>XIIb</b></p> </td> <td valign="top" width="54%"> <p><b>Other endorsements:</b></p> <p><i>The holder is entitled to exercise the privileges of the following endorsement(s) </i></p> <table border="1" cellpadding="0" cellspacing="0" width="255"> <tr> <td width="135"> <p>OJTI /STDI /Assessor endorsement </p> </td> <td width="120"> <p>Expiry date</p> </td> </tr> <tr> <td width="135"> </td> <td width="120"> </td> </tr> <tr> <td width="135"> </td> <td width="120"> </td> </tr> <tr> <td valign="top" width="135"> </td> <td width="120"> </td> </tr> </table> </td> <td valign="top" width="37%"> <p>Requirements: N/A</p> </td> </tr> </table> <table border="1" cellpadding="0" cellspacing="0" width="100%"> <tr> <td valign="top" width="7%"> <p><b>XIII</b></p> </td> <td valign="top" width="54%"> <p><b>Remarks:</b></p> <p>Language proficiency endorsement(s): </p> <p>[language(s)/level/expiry date]</p> </td> <td valign="top" width="37%"> <p>Language proficiency endorsement(s), level and expiry date shall be included.</p> <p>All additional licensing information to be entered here. </p> </td> </tr> </table> Abbreviations <table border="1" cellpadding="0" cellspacing="0" width="100%"> <tr> <td colspan="2" width="68%"> <p>Air traffic controller ratings</p> </td> <td rowspan="16" valign="top" width="31%"> <p>Requirements: N/A’. </p> </td> </tr> <tr> <td width="15%"> <p><b>ADV</b></p> </td> <td width="52%"> <p>Aerodrome Control Visual</p> </td> </tr> <tr> <td width="15%"> <p><b>ADC</b></p> </td> <td width="52%"> <p>Aerodrome Control </p> </td> </tr> <tr> <td width="15%"> <p><b>APP</b></p> </td> <td width="52%"> <p>Approach Control Procedural</p> </td> </tr> <tr> <td width="15%"> <p><b>APS</b></p> </td> <td width="52%"> <p>Approach Control Surveillance</p> </td> </tr> <tr> <td width="15%"> <p><b>ACP</b></p> </td> <td width="52%"> <p>Area Control Procedural</p> </td> </tr> <tr> <td width="15%"> <p><b>ACS</b></p> </td> <td width="52%"> <p>Area Control Surveillance</p> </td> </tr> <tr> <td colspan="2" width="68%"> <p><b>Rating endorsements</b></p> </td> </tr> <tr> <td width="15%"> <p><b>SUR</b></p> </td> <td width="52%"> <p>Aerodrome Control Surveillance</p> </td> </tr> <tr> <td width="15%"> <p><b>PAR</b></p> </td> <td width="52%"> <p>Precision Approach Radar</p> </td> </tr> <tr> <td width="15%"> <p><b>SRA</b></p> </td> <td width="52%"> <p>Surveillance Radar Approach</p> </td> </tr> <tr> <td width="15%"> <p><b>OCN</b></p> </td> <td width="52%"> <p>Oceanic Control</p> </td> </tr> <tr> <td colspan="2" width="68%"> <p><b>Licence endorsements</b></p> </td> </tr> <tr> <td width="15%"> <p><b>OJTI</b></p> </td> <td width="52%"> <p>On-the-job training instructor</p> </td> </tr> <tr> <td width="15%"> <p><b>STDI</b></p> </td> <td width="52%"> <p>Synthetic training device instructor</p> </td> </tr> <tr> <td width="15%"> <p><b>Assessor</b></p> </td> <td width="52%"> <p>Assessor</p> </td> </tr> </table> *[applicable from 4 August 2024 - Implementing Regulation (EU) 2023/893]* --- [[21]](#_ftnref21) Requirements: The pages referring to the instructions on how the (Student) ATCO Licence has to be filled in are intended for use by the competent authority or the assessor specifically authorised to revalidate or renew the unit endorsements. Initial issues of ratings, rating endorsements, language endorsements, instructor and assessor endorsement will always be entered by the competent authority. Revalidation or renewal of unit endorsements will be entered by the competent authority or by the authorised assessors.