Appendix I to ANNEX VI (Part-ARA)
– Flight crew licence
The flight crew licence issued by a Member State in accordance with Annex I (Part-FCL), Annex III (Part‑BFCL) to Commission Regulation (EU) 2018/395 and Annex III (Part-SFCL) to Commission Implementing Regulation (EU) 2018/1976 shall conform to the following specifications:
(a) Content. The item number shown 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. 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 commencing with the UN country code of the State of licence issue and followed by ‘FCL’, ‘BFCL’ or ‘SFCL’, as applicable, and a code of numbers and/or letters in Arabic numerals and in Latin script;
(IV) name of holder (in Latin script, even if the script of the national language(s) is other than Latin);
(IVa) date of birth;
(V) holder's address;
(VI) nationality of holder;
(VII) signature of holder;
(VIII) competent authority and, where necessary, conditions under which the licence was issued;
(IX) certification of validity and authorisation for the privileges granted;
(X) signature of the officer issuing the licence and the date of issue; and
(XI) seal or stamp of the competent authority.
(2) Variable items:
(XII) ratings, certificates and, in the case of balloons and sailplanes, privileges: class, type, instructor certificates, etc., with dates of expiry, as applicable. Radio telephony (R/T) privileges may appear on the licence or on a separate certificate;
(XIII) remarks: i.e. special endorsements relating to limitations and endorsements for privileges, including endorsements of language proficiency, remarks on the automatic validation of the licence, and ratings for Annex II aircraft, when used for commercial air transportation; and
(XIV) any other details required by the competent authority (e.g. place of birth/place of origin).
(b) Material. The paper or other material used will prevent or readily show any alterations or erasures. Any entries or deletions to the form will be clearly authorised by the competent authority.
(c) Language. Licences shall be written in the national language(s) and in English and such other languages as the competent authority deems appropriate.
Cover page
|
Competent Authority name and logo (English and any language(s) determined by the
competent authority) EUROPEAN UNION (English only) FLIGHT CREW LICENCE (English and any language(s) determined by the
competent authority) Issued in accordance with Part-FCL/Part-BFCL/Part‑SFCL
(non-applicable terms to be deleted) This licence complies with ICAO standards, except
for the LAPL and BIR privileges or when accompanied by an LAPL medical
certificate (English and any language(s) determined by the
competent authority) EASA Form
141 Issue 2 |
|
Requirements "European
Union" to be deleted for non-EU Member States Size
of each page shall be one eighth A4 |
Page 2
|
I |
State of issue |
|
Requirements |
|
III |
Licence number |
|
Serial
number of the licence will always commence with the UN country code of the
State of the licence issue, followed by “FCL.”, “BFCL.” or “SFCL.”, as
applicable. |
|
IV |
Last and first name of holder |
|
|
|
IVa |
Date of birth (see instructions) |
|
Standard
date format is to be used, dd/mm/yyyy in full. |
|
XIV |
Place of birth |
|
|
|
V |
Address of holder: Street,
town, area, postal code |
|
|
|
VI |
Nationality |
|
|
|
VII |
Signature of holder |
|
|
|
VIII |
Issuing competent authority E.g.
This CPL(A) has been issued on the basis of an ATPL issued by .........
(third country)
…………… |
|
|
|
X |
Signature of issuing officer and date |
|
|
|
XI |
Seal or stamp of issuing competent
authority |
|
|
Page 3
|
II |
Title of the licence, date of initial
issue and country code |
|
Abbreviations used will be as those used in
Part-FCL (e.g. PPL(H), ATPL(A), etc.), Part-BFCL and Part-SFCL Standard format is to be used, dd/mm/yyyy in
full. |
|
IX |
Validity: The privileges of the licence shall be exercised
only if the holder has a valid medical certificate for the required
privilege. A
document containing a photo shall be carried for the purposes of
identification of the licence holder. |
|
This
document is not specified, but a passport would suffice when outside the
State of licence issue. |
|
XII |
Radiotelephony privileges: The holder of this licence has
demonstrated competence to operate R/T equipment on board aircraft in …………………..
(specify the language(s)) |
|
|
|
XIII |
Remarks: Language
Proficiency: (language(s)/level/validity
date) |
|
All additional licensing information required and
privileges established by ICAO, EC or EU Directives/Regulations to be
entered here. Language proficiency endorsement(s), level and
validity date shall be included. In case of LAPL: LAPL not issued in accordance
with ICAO standards In case of SPL, except for the cases referred to
in Point (a) of Article 3b(2) of Commission
Implementing Regulation (EU) 2018/1976: Privileges for aerobatic and sailplane cloud
flying as well as for launching methods to be exercised in accordance with
points SFCL.155, SFCL.200 and SFCL.215 of Annex III (Part-SFCL) to Commission
Implementing Regulation (EU) 2018/1976, as applicable. |
Additional pages — Requirements:
Pages 1, 2, and 3 of the licence shall be in accordance with the format laid down in the model in this point. The competent authority shall include additional customized pages containing tables which shall contain at least the following information:
— Ratings, certificates, endorsements and privileges;
— Expiry dates of the ratings, the instructor and examiner certificate privileges;
— Dates of the test or check;
— Remarks and restrictions (operational limitations);
— Fields for the examiner and/or instructor certificate number and signature, as applicable;
— Abbreviations.
These additional pages are intended for use by the competent authority, or by specifically authorised instructors or examiners.
Initial issues of ratings or certificates shall be entered by the competent authority. Revalidation or renewal of ratings or certificates may be entered by the competent authority or by specifically authorised instructors or examiners.
Operational limitations shall be entered in “Remarks and Restrictions” against the appropriate restricted privilege, e.g. IR skill test taken with co-pilot, restricted instruction privileges to 1 aircraft type.
Ratings that are not validated may be removed from the licence by the competent authority.