AMC1 ARA.GEN.360(a)(1) Change of competent authority

• ED Decision 2020/005/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Dec 2024)

AMC1 ARA.GEN.360(a)(1) Change of competent authority ED Decision 2020/005/R LICENCE VERIFICATION FORM In this form, ‘issuing competent authority of the license’ means the ‘transferring competent authority’ of [ARA.GEN.360](#_DxCrossRefBm894736102). <table border="1" cellpadding="0" cellspacing="0" width="603"> <tr> <td colspan="7" valign="bottom" width="603"> <p>LICENCE VERIFICATION FORM</p> <p align="center">It is required that this form is filled in and signed by the issuing competent authority of the licence being transferred.</p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td valign="top" width="41"> <p>ITEM</p> </td> <td valign="top" width="239"> <p>DESCRIPTION</p> </td> <td colspan="5" valign="top" width="323"> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>1</p> </td> <td width="239"> <p>State of licence(s) issue</p> </td> <td colspan="5" width="323"> <p><i>Country</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>2</p> </td> <td width="239"> <p>Title of licences/certificates (including restriction(s)) and corresponding licences/certificates numbers<a href="#_ftn24">[24]</a>*</p> </td> <td colspan="5" width="323"> <p><i>e.g. PPL(A) — UN country code.FCL.xxx — no valid ratings</i></p> <p><i>or SPL — UN country code.FCL.xxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>3</p> </td> <td width="239"> <p>Licence issue date and expiry date (if applicable)</p> </td> <td colspan="5" width="323"> <p><i>Issue PPL(A): xx/xx/xxxx</i></p> <p><i>Issue SPL: xx/xx/xxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>4</p> </td> <td width="239"> <p>Full name</p> <p>(Last and first names)</p> </td> <td colspan="5" width="323"> <p><i>LAST NAME 1, LAST NAME 2, etc.</i></p> <p><i>First name 1, First name 2, etc.</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>5</p> </td> <td width="239"> <p>Date of birth (dd/mm/yyyy)</p> </td> <td colspan="5" width="323"> <p><i>xx/xx/xxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>6</p> </td> <td width="239"> <p>Address</p> <p>(as on the licence)</p> </td> <td colspan="5" width="323"> <p></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>7</p> </td> <td width="239"> <p>Contact details:</p> <p>email and</p> <p>phone number.</p> </td> <td colspan="5" width="323"> <p><i>e.g.</i></p> <p><i>example@example.eu</i></p> <p><i>+(country code) xxxxxxxxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td width="41"> <p>8</p> </td> <td width="239"> <p>Nationality</p> </td> <td colspan="5" width="323"> <p><i>Country</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td valign="top" width="41"> <p>9</p> </td> <td valign="top" width="239"> <p>Issuing authority (conditions under which the licence was issued, where necessary)</p> </td> <td colspan="5" width="323"> <p><i>Country and authority</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td rowspan="4" valign="top" width="41"> <p>10</p> </td> <td rowspan="4" valign="top" width="239"> <p>Valid and non-expired ratings/privileges and certificates held</p> <p>(Type/class/instrument/additional ratings and instructor/examiner certificates)</p> <p>Note: indicate all applicable restrictions and extensions.</p> </td> <td colspan="3" valign="top" width="210"> <p>Ratings and certificates</p> </td> <td colspan="2" valign="top" width="112"> <p>Valid until  (dd/mm/yyyy)</p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="3" width="210"> <p><i>e.g. TMG (Sailplane)</i></p> </td> <td colspan="2" width="112"> <p><i>xx/xx/xxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="3" width="210"> <p><i>e.g. FI (Sailplane)</i></p> <p><i>with extensions for TMG and FI</i></p> </td> <td colspan="2" width="112"> <p><i>xx/xx/xxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="5" width="323"></td> <?if !supportMisalignedRows?> </tr> <tr> <td rowspan="2" width="41"> <p>11</p> </td> <td rowspan="2" valign="top" width="239"> <p>Expired ratings and certificates held</p> <p>(Type/class/instrument/additional ratings and instructor/examiner certificates)</p> <p>Note: indicate all applicable restrictions and extensions.</p> </td> <td colspan="3" width="210"> <p>Ratings and certificates</p> </td> <td colspan="2" width="112"> <p>Valid until (dd/mm/yyyy)</p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="3" width="210"> <p><i>e.g. TMG (Aeroplane)</i></p> </td> <td colspan="2" width="112"> <p><i>xx/xx/xxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td rowspan="3" valign="top" width="41"> <p>12</p> </td> <td rowspan="3" valign="top" width="239"> <p>Remarks, i.e. special endorsements relating to limitations, restrictions, or endorsements for privileges</p> <p>(e.g. language proficiency level and validity (English, others))</p> </td> <td colspan="5" valign="top" width="323"> <p><i>Special endorsements</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td valign="top" width="83"> <p><i>Language</i></p> </td> <td valign="top" width="98"> <p><i>Level</i></p> </td> <td colspan="3" valign="top" width="142"> <p><i>Validity (dd/mm/yyyy)</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td valign="top" width="83"> </td> <td valign="top" width="98"> </td> <td colspan="3" valign="top" width="142"> </td> <?if !supportMisalignedRows?> </tr> <tr> <td valign="top" width="41"> <p>13</p> </td> <td valign="top" width="239"> <p>Details on completion of theoretical-knowledge or flight instruction, theoretical-knowledge examination or skill test in other Member States, if applicable (e.g validity of the ATPL theoretical knowledge)</p> </td> <td colspan="5" valign="top" width="323"> <p><i>e.g. IR theory valid until xx/xx/xxxx</i></p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td valign="top" width="41"> <p>14</p> </td> <td valign="top" width="239"> <p>Past or pending enforcement action<a href="#_ftn25">[25]</a></p> </td> <td colspan="5" valign="top" width="323"> <p>Yes                               No </p> <p>(If yes, please give details on a separate page.)</p> </td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="6" width="602"> <p>I, ____________________________________________ certify that the details entered on this information form are true, complete, and correct.</p> <p>For any comments, please use the space provided below or on the next page, and tick here: </p> </td> <td width="1"></td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="6" width="602"> <p>Authority:_______________________________________________________________________________</p> <p>Contact details:_______________________________ Position:____________________________________</p> <p>Signature:____________________________ Stamp/seal:__________________ Date:__________________</p> </td> <td width="1"></td> <?if !supportMisalignedRows?> </tr> <tr> <td colspan="6" valign="top" width="602"> <p>Comments:</p> </td> <td width="1"></td> <?if !supportMisalignedRows?> </tr> <tr height="0"> <td width="0"></td> </tr> </table> --- [[24]](#_ftnref24)    Indicate all licences and certificates held. Indicate the certificate(s) if you do not hold a valid licence anymore. [[25]](#_ftnref25)    Item 14: specify if there is a current investigation into the medical certificate and licence, or suspension or revocation thereof. AMC1 ARA.GEN.360(a)(1) Change of competent authority ED Decision 2020/005/R LICENCE VERIFICATION FORM In this form, ‘issuing competent authority of the license’ means the ‘transferring competent authority’ of [ARA.GEN.360](#_DxCrossRefBm1199963957). <table border="1" cellpadding="0" cellspacing="0" width="603"><tr><td colspan="7" valign="bottom" width="603"><p>LICENCE VERIFICATION FORM</p><p align="center">It is required that this form is filled in and signed by the issuing competent authority of the licence being transferred.</p></td></tr><tr><td valign="top" width="41"><p>ITEM</p></td><td valign="top" width="239"><p>DESCRIPTION</p></td><td colspan="5" valign="top" width="323"></td></tr><tr><td width="41"><p>1</p></td><td width="239"><p>State of licence(s) issue</p></td><td colspan="5" width="323"><p><i>Country</i></p></td></tr><tr><td width="41"><p>2</p></td><td width="239"><p>Title of licences/certificates (including restriction(s)) and corresponding licences/certificates numbers<a href="#_ftn21">[21]</a>*</p></td><td colspan="5" width="323"><p><i>e.g. PPL(A) — UN country code.FCL.xxx — no valid ratings</i></p><p><i>or SPL — UN country code.FCL.xxx</i></p></td></tr><tr><td width="41"><p>3</p></td><td width="239"><p>Licence issue date and expiry date (if applicable)</p></td><td colspan="5" width="323"><p><i>Issue PPL(A): xx/xx/xxxx</i></p><p><i>Issue SPL: xx/xx/xxxx</i></p></td></tr><tr><td width="41"><p>4</p></td><td width="239"><p>Full name</p><p>(Last and first names)</p></td><td colspan="5" width="323"><p><i>LAST NAME 1, LAST NAME 2, etc.</i></p><p><i>First name 1, First name 2, etc.</i></p></td></tr><tr><td width="41"><p>5</p></td><td width="239"><p>Date of birth (dd/mm/yyyy)</p></td><td colspan="5" width="323"><p><i>xx/xx/xxxx</i></p></td></tr><tr><td width="41"><p>6</p></td><td width="239"><p>Address</p><p>(as on the licence)</p></td><td colspan="5" width="323"><p></p></td></tr><tr><td width="41"><p>7</p></td><td width="239"><p>Contact details:</p><p>email and</p><p>phone number.</p></td><td colspan="5" width="323"><p><i>e.g.</i></p><p><i>example@example.eu</i></p><p><i>+(country code) xxxxxxxxxx</i></p></td></tr><tr><td width="41"><p>8</p></td><td width="239"><p>Nationality</p></td><td colspan="5" width="323"><p><i>Country</i></p></td></tr><tr><td valign="top" width="41"><p>9</p></td><td valign="top" width="239"><p>Issuing authority (conditions under which the licence was issued, where necessary)</p></td><td colspan="5" width="323"><p><i>Country and authority</i></p></td></tr><tr><td rowspan="4" valign="top" width="41"><p>10</p></td><td rowspan="4" valign="top" width="239"><p>Valid and non-expired ratings/privileges and certificates held</p><p>(Type/class/instrument/additional ratings and instructor/examiner certificates)</p><p>Note: indicate all applicable restrictions and extensions.</p></td><td colspan="3" valign="top" width="210"><p>Ratings and certificates</p></td><td colspan="2" valign="top" width="112"><p>Valid until (dd/mm/yyyy)</p></td></tr><tr><td colspan="3" width="210"><p><i>e.g. TMG (Sailplane)</i></p></td><td colspan="2" width="112"><p><i>xx/xx/xxxx</i></p></td></tr><tr><td colspan="3" width="210"><p><i>e.g. FI (Sailplane)</i></p><p><i>with extensions for TMG and FI</i></p></td><td colspan="2" width="112"><p><i>xx/xx/xxxx</i></p></td></tr><tr><td colspan="5" width="323"></td></tr><tr><td rowspan="2" width="41"><p>11</p></td><td rowspan="2" valign="top" width="239"><p>Expired ratings and certificates held</p><p>(Type/class/instrument/additional ratings and instructor/examiner certificates)</p><p>Note: indicate all applicable restrictions and extensions.</p></td><td colspan="3" width="210"><p>Ratings and certificates</p></td><td colspan="2" width="112"><p>Valid until (dd/mm/yyyy)</p></td></tr><tr><td colspan="3" width="210"><p><i>e.g. TMG (Aeroplane)</i></p></td><td colspan="2" width="112"><p><i>xx/xx/xxxx</i></p></td></tr><tr><td rowspan="3" valign="top" width="41"><p>12</p></td><td rowspan="3" valign="top" width="239"><p>Remarks, i.e. special endorsements relating to limitations, restrictions, or endorsements for privileges</p><p>(e.g. language proficiency level and validity (English, others))</p></td><td colspan="5" valign="top" width="323"><p><i>Special endorsements</i></p></td></tr><tr><td valign="top" width="83"><p><i>Language</i></p></td><td valign="top" width="98"><p><i>Level</i></p></td><td colspan="3" valign="top" width="142"><p><i>Validity (dd/mm/yyyy)</i></p></td></tr><tr><td valign="top" width="83"></td><td valign="top" width="98"></td><td colspan="3" valign="top" width="142"></td></tr><tr><td valign="top" width="41"><p>13</p></td><td valign="top" width="239"><p>Details on completion of theoretical-knowledge or flight instruction, theoretical-knowledge examination or skill test in other Member States, if applicable (e.g validity of the ATPL theoretical knowledge)</p></td><td colspan="5" valign="top" width="323"><p><i>e.g. IR theory valid until xx/xx/xxxx</i></p></td></tr><tr><td valign="top" width="41"><p>14</p></td><td valign="top" width="239"><p>Past or pending enforcement action<a href="#_ftn22">[22]</a></p></td><td colspan="5" valign="top" width="323"><p>Yes  No </p><p>(If yes, please give details on a separate page.)</p></td></tr><tr><td colspan="6" width="602"><p>I, ____________________________________________ certify that the details entered on this information form are true, complete, and correct.</p><p>For any comments, please use the space provided below or on the next page, and tick here: </p></td><td width="1"></td></tr><tr><td colspan="6" width="602"><p>Authority:_______________________________________________________________________________</p><p>Contact details:_______________________________ Position:____________________________________</p><p>Signature:____________________________ Stamp/seal:__________________ Date:__________________</p></td><td width="1"></td></tr><tr><td colspan="6" valign="top" width="602"><p>Comments:</p></td><td width="1"></td></tr><tr height="0"><td width="0"></td></tr></table> --- [[21]](#_ftnref21) Indicate all licences and certificates held. Indicate the certificate(s) if you do not hold a valid licence anymore. [[22]](#_ftnref22) Item 14: specify if there is a current investigation into the medical certificate and licence, or suspension or revocation thereof. ##### AMC1 ARA.GEN.360(a)(1) Change of competent authority *ED Decision 2020/005/R* **LICENCE VERIFICATION FORM** In this form, ‘issuing competent authority of the license’ means the ‘transferring competent authority’ of [ARA.GEN.360](#_DxCrossRefBm1743303768). <table cellpadding="5" cellspacing="0"> <colgroup> <col/> </colgroup> <colgroup> <col/> </colgroup> <colgroup> <col/> <col/> <col/> <col/> <col/> </colgroup> <tbody> <tr> <td bgcolor="#cccccc" colspan="7" valign="bottom"><p align="center"> <b>LICENCE VERIFICATION FORM</b></p> <p align="center">It is required that this form is filled in and signed by the issuing competent authority of the licence being transferred.</p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td><p align="left"> <b>ITEM</b></p> </td> <td><p align="left"> <b>DESCRIPTION</b></p> </td> <td colspan="5"><p align="left"> <br/> </p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 1</p> </td> <td><p align="left"> State of licence(s) issue</p> </td> <td colspan="5"><p align="left"> <i>Country</i></p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 2</p> </td> <td><p align="left"> Title of licences/certificates (including restriction(s)) and corresponding licences/certificates numbers<a href="#_ftn27" name="_ftnref27">[27]</a>*</p> </td> <td colspan="5"><p align="left"> <i>e.g. PPL(A) — UN country code.FCL.xxx — no valid ratings</i></p> <p align="left"><i>or SPL — UN country code.FCL.xxx</i></p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 3</p> </td> <td><p align="left"> Licence issue date and expiry date (if applicable)</p> </td> <td colspan="5"><p align="left"> <i>Issue PPL(A): xx/xx/xxxx</i></p> <p align="left"><i>Issue SPL: xx/xx/xxxx</i></p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 4</p> </td> <td><p align="left"> Full name</p> <p align="left">(Last and first names)</p> </td> <td colspan="5"><p align="left"> <i>LAST NAME 1, LAST NAME 2, etc.</i></p> <p align="left"><i>First name 1, First name 2, etc.</i></p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 5</p> </td> <td><p align="left"> Date of birth (dd/mm/yyyy)</p> </td> <td colspan="5"><p align="left"> <i>xx/xx/xxxx</i></p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 6</p> </td> <td><p align="left"> Address</p> <p align="left">(as on the licence)</p> </td> <td colspan="5"><p align="left"> <br/> </p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 7</p> </td> <td><p align="left"> Contact details:</p> <p align="left"> email and</p> <p align="left">phone number.</p> </td> <td colspan="5"><p align="left"> <i>e.g.</i></p> <p align="left"> <i>example@example.eu</i></p> <p align="left"><i>+(country code) xxxxxxxxxx</i></p> </td> </tr> </tbody> <tbody> <tr> <td><p align="left"> 8</p> </td> <td><p align="left"> Nationality</p> </td> <td colspan="5"><p align="left"> <i>Country</i></p> </td> </tr> </tbody> <tbody> <tr> <td valign="top"><p align="left"> 9</p> </td> <td valign="top"><p align="left"> Issuing authority (conditions under which the licence was issued, where necessary)</p> </td> <td colspan="5"><p align="left"> <i>Country and authority</i></p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td rowspan="4"><p align="left"> 10</p> </td> <td rowspan="4"><p align="left"> Valid and non-expired ratings/privileges and certificates held</p> <p align="left"> (Type/class/instrument/additional ratings and instructor/examiner certificates)</p> <p align="left">Note: indicate all applicable restrictions and extensions.</p> </td> <td colspan="3"><p align="left"> <b>Ratings and certificates</b></p> </td> <td colspan="2"><p align="left"> <b>Valid until (dd/mm/yyyy)</b></p> </td> </tr> <tr> <td colspan="3"><p align="left"> <i>e.g. TMG (Sailplane)</i></p> </td> <td colspan="2"><p align="left"> <i>xx/xx/xxxx</i></p> </td> </tr> <tr> <td colspan="3"><p align="left"> <i>e.g. FI (Sailplane)</i></p> <p align="left"><i>with extensions for TMG and FI</i></p> </td> <td colspan="2"><p align="left"> <i>xx/xx/xxxx</i></p> </td> </tr> <tr> <td valign="top"><p> <br/> </p> </td> <td valign="top"><p> <br/> </p> </td> <td valign="top"><p> <br/> </p> </td> <td valign="top"><p> <br/> </p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr> <td rowspan="2"><p align="left"> 11</p> </td> <td rowspan="2" valign="top"><p align="left"> Expired ratings and certificates held</p> <p align="left"> (Type/class/instrument/additional ratings and instructor/examiner certificates)</p> <p align="left">Note: indicate all applicable restrictions and extensions.</p> </td> <td colspan="3"><p align="left"> <b>Ratings and certificates</b></p> </td> <td colspan="2"><p align="left"> <b>Valid until (dd/mm/yyyy)</b></p> </td> </tr> <tr> <td colspan="3"><p align="left"> <i>e.g. TMG (Aeroplane)</i></p> </td> <td colspan="2"><p align="left"> <i>xx/xx/xxxx</i></p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td rowspan="3"><p align="left"> 12</p> </td> <td rowspan="3"><p align="left"> Remarks, i.e. special endorsements relating to limitations, restrictions, or endorsements for privileges</p> <p align="left">(e.g. language proficiency level and validity (English, others))</p> </td> <td colspan="5"><p align="left"> <i>Special endorsements</i></p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td><p align="left"> <i>Language</i></p> </td> <td><p align="left"> <i>Level</i></p> </td> <td colspan="3"><p align="left"> <i>Validity (dd/mm/yyyy)</i></p> </td> </tr> <tr valign="top"> <td><p align="left"> <br/> </p> </td> <td><p align="left"> <br/> </p> </td> <td colspan="3"><p align="left"> <br/> </p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td><p align="left"> 13</p> </td> <td><p align="left"> Details on completion of theoretical-knowledge or flight instruction, theoretical-knowledge examination or skill test in other Member States, if applicable (e.g validity of the ATPL theoretical knowledge)</p> </td> <td colspan="5"><p align="left"> <i>e.g. IR theory valid until xx/xx/xxxx</i></p> </td> </tr> </tbody> <tbody> <tr valign="top"> <td><p align="left"> 14</p> </td> <td><p align="left"> Past or pending enforcement action<a href="#_ftn28" name="_ftnref28">[28]</a></p> </td> <td colspan="5"><p align="left"> <b>Yes ☐ No ☐</b></p> <p align="left">(If yes, please give details on a separate page.)</p> </td> </tr> </tbody> <tbody> <tr> <td colspan="6"><p align="left"> I, ____________________________________________ certify that the details entered on this information form are true, complete, and correct.</p> <p align="left">For any comments, please use the space provided below or on the next page, and tick here: ☐</p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr> <td colspan="6"><p align="left"> Authority:_______________________________________________________________________________</p> <p align="left"> Contact details:_______________________________ Position:____________________________________</p> <p align="left">Signature:____________________________ Stamp/seal:__________________ Date:__________________</p> </td> <td valign="top"><p> <br/> </p> </td> </tr> <tr valign="top"> <td colspan="6"><p align="left"> Comments:</p> </td> <td><p> <br/> </p> </td> </tr> </tbody> </table> --- [[27]](#_ftnref27) Indicate all licences and certificates held. Indicate the certificate(s) if you do not hold a valid licence anymore. [[28]](#_ftnref28) Item 14: specify if there is a current investigation into the medical certificate and licence, or suspension or revocation thereof.