HELIKOPTERËT – Aplikimi për Licensat Profesionale Part-FCL, Kategorizimi Instrumental

	HELICOPTERS - Application for Part-FCL Professional Licence/ Instrument Rating/

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Ju lutemi plotesoni kete formular, firmoseni dhe dorezojeni duke iu permbajtur instruksioneve, me SHKRONJA KAPITALE, duke perdorur boje te zeze ose blu te erret.

Please complete this form, sign  and submit as instructed, in BLOCK CAPITALS using black or dark blue ink.

DEKLARATE:
DECLARATION:

A.	Nen përgjegjësinë time dhe njohjen e dispozitave te Ligjit Nr. 10040, date 22.12.2012, “Kodi Ajror I Republikes se Shqiperise, I ndryshuar, KREU XII “KUNDËRVAJTJET DHE
GJOBAT “ Kodi Penal I Republikes se Shqiperise, SEKSIONI VIII,  “FALSIFIKIMI I DOKUMENTAVE” deklaroj se elementet e përfshira në aplikimin tim të pranishëm janë të sakta  dhe të vërteta  dhe Unë kam paguar taksat e aplikueshme

On my own responsibility and knowing the provisions of Law No. 10040, dated 22.12.2012, “ Albanian Air Code”, as amended, Chapter XII, “Fines and Offenses“, Albanian Penal Code
by SECTION VII, “FALSIFICATION OF DOCUMENTS”, I declare that the included elements in my present application are accurate  and true  and I have paid the applicable fees.

Urdheri I Ministrit Nr. 250/2014, I cili transposon (EU) Regulation No 1178/2011, e ndryshuar, kerkon qe nje person I mban te gjitha Licensat e tij/saj te administruara nga Autoriteti Kompetent (AAC) I cili mban rekordet e tij/saj. (Part-MED A. 030 dhe Part FCL. 015). Ne rast se rekordet mjeksore te aplikantit nuk mbahen ne AAC, aplikimi I tij/saj do te pezullohet deri ne perditesimin e dosjen e tij/saj.

European Commission Regulation (EU) No 1178/2011 as amended, transposed in Albania by M.O. No.250/2014 requires that an individual keeps all his/her licenses administered by the competent authority (ACAA) that holds his/her medical records. (Part MED A. 030 and Part FCL. 015)
If the medical records of the applicant are not held by the ACAA, his/her application will be pending until the updates of his/her files.

VENDI:
Place:	DATA:
Date:	Firma e Aplikantit:
Signature of Applicant:	

	

                                                                                                                                                   DAMO-Part-FCL-002

1. TE DHENA Të APLIKANTIT APPLICANT DETAILS                      (Aplikanti eshte pergjegjes per pagesen e tarifave te AAC)				(The Applicant is responsible for payment of CAA charges)
Te plotesohet nga Aplikanti/   To be completed by the Applicant

Nr. I references Personale te AAC (ne se njihet)
CAA Personal reference number (if known):

Titulli/Title:  .............  Emri/Forename(s): ......................................  Mbiemri/  Surname:.........................              Ditelindja/Date of birth (dd/mm/yyyy): .....................    Kombesia/Nationality:  .......................................
Qyteti I lindjes/Town of birth: ....................................... Shteti I lindjes/Country of birth:.............................
Adresa e Perhereshme/ Permanent Address:…………..........................................................................
 Postcode:  ............ Telephone: ...................   Nr. tjeter I Telefonit/Alternative telephone Number:……….......
E-mail:  ............................................................................      Fax Nr: ........................................................................       Nje kopje e njehsuar me origjinalin e Pasaportes, Kartes se Identitetit (shih Udhezimin1) duhet te shoqeroje aplikimin tuaj si mjet identifikimi.
A certified  copy of your valid Passport, EEA/EU National Identity Card (see Guidance Note1) must accompany your application  as proof of identification.

2.  ADRESE PER KORRESPONDENCE (ne se eshte e ndryshme nga me siper)
 ADDRESS FOR CORRESPONDENCE (if different from above)                      Te plotesohet nga Aplikanti/ To be completed by the Applicant

ADRESE PER KORRESPONDENCE (ne se eshte e ndryshme nga me siper)
Postal Address (if different from above): ..........................................................................................................................
...........................................................................................................................................................................................
.........................................................................................................................	Postcode: ...........................................

                                                                                                                                                       DAMO-Part-FCL-002

		3.   PERSHTATSHMERIA MJEKSORE/ MEDICAL FITNESS                                                                                                                                                                    Te plotesohet nga Aplikanti/ To be completed by thApplicant	
Klasa e certifikates mjeksore qe mban
/Class of Medical Certificate held	Data e Kontrollit te fundit
Date of last Medical	Data e Skadences
Date of Expiry	Per tu perdorur vetem nga AAC
ACAAuse only	

Shenim: Certifikata juaj mjeksore duhet te jete e vlefshme ne diten qe do te leshohet licensa. Ne se Certifikata skadon brenda 14 diteve pas dates se aplikimit per leshim te Licenses, ju lutemi plotesoni si me poshte:
Note: Your Medical Certificate must be valid on the licence issue date.  If your Medical Certificate  is due to expire within
14 days after the date  of application  for licence  issue, please complete the following:

Ekzaminimi im mjeksor do te behet  tek:……………………………………….me:…………………………………………….
My medical  examination will take place at:  ...........................................................   on:  ................................................ 
Licensa nuk do te leshohet per asnje person rekordet mjeksore te te cilit që mbeshtesin Certifikaten mjeksore Part-MED, nuk jane te ruajtura ne nje Qender Aeromjeksore te vendosur ne Shqiperi. 
A licence  will not be issued to any person unless their medical records supporting their Part-MED medical  certificate are held by an Aeromedical Centre  located  in Albania.
Urdheri I Ministrit Nr. 250/2014, I cili transpozon (EU) Regulation No 1178/2011, i ndryshuar, kerkon qe nje person ti  mbaj te gjitha Licensat e tij/saj te administruara nga Autoriteti Kompetent (AAC) I cili mban rekordet e tij/saj mjekesore. (Part-MED A. 030 dhe Part FCL. 015). 
       European Commission Regulation (EU) No 1178/2011 as amended, transposed in Albania by M.O. No.250/2014 requires that an individual keeps all his/her  licenses administered by the competent authority (ACAA) that holds his/her medical records. (Part MED A. 030 and Part FCL. 015)

4. DETAJE TE LICENSES SE MBAJTUR(ICAO)/PARTICULARS OR THIRD COUNTRY ICAO LICENCES HELD  
Te plotesohet nga aplikanti /To be completed by the Applicant 		
Autoriteti Leshues
Issuing  Authority	Type /Class of Licence	Licence No.	Data e Skadences
Expiry Date	

				
			DAMO-Part-FCL-002

5. KATEGORIZIMET  QE MBAHEN/RATINGS HELD                   Per tu plotesuar nga Aplikanti/To be completed by the Applicant                            		
Lutemi te jepni datat e Testeve me te fundit te Aftesise (LST), Kontrollet e Aftesise per Licensen (LPC) ose Rivalidimi per Licensensipas Eksperiences per secilin kategorizim tipi dhe/ose klase dhe cdo certificate Instruktori qe do te vendosni ne Licensen Part-FCL.
Please give the date  of the most recent Skill Test (LST), Licensing  Proficiency Check (LPC) or Revalidation by Experience for each  type and/or class  rating, and any Instructor certificate to be endorsed on your Part-FCL Licence	
Certifikatat ose
Kategorizimet qe Mbarten.

Rating or
Certificate held
	Single-Pilot (SP) or Multi-Pilot (MP)	  Data e Testit
 Date of Test	Date of IR Test (if applicable)	Data e skadences se Kategorizimit
Expiry Date of Rating	
Emri dhe Numri I Licenses se Ekzaminuesit
Examiners Licence Number and Name	
CAA Use Only	

							

							

                                                                                                                                                         DAMO-Part-FCL-002

6.  APLIKIMI/APPLICATION                                                 Per tu plotesuar nga Aplikanti/To be completed by the Applicant                            

Une po aplikoj per License dhe/ose Kategorizim te Helikopterit si me poshte:
I am applying for the following Helicopter Licence and/or ratings:

CPL	IR

ATPL	Al FRTOL

Helicopter type rating (please specify): .............................................................................................................................

Shenim: Cdo aplikim per Kategorizim shtese, pervec kategorizimeve te detyrueshme per leshim te Licenses, do te kerkoje tarifa te vecanta.
Note: Any additional rating applied for, other than those mandatory for licence issue, will incur an additional charge. Type of course(s) completed (if any):
	
CPL Modular	IR Modular         
       
CPL Integrated	CPL/IR Integrated
        
ATP Integrated	ATP/IR Integrated
       
Conversions (if applicable):

ICAO CPL to CPL	ICAO CPL/IR to CPL/IR ICAO ATPL (VFR) to ATPL (VFR)	ICAO ATPL/IR to ATPL/IR
Military Accreditation Scheme (if applicable):

Al QMP to CPL	Al QMP to CPL/IR

Al QMP to ATPL (VFR)	Al QMP to ATPL/IR

7.  EKSPERIENCA FLUTURUESE/ FLYING EXPERIENCE                        TE PLOTESOHET NGA APLIKANTI / To be completed by the Applicant

	
SHENIM I RENDESISHEM/IMPORTANT NOTE:
Cdo hyrje e fluturimeve ne librezen e pilotit, regjistruar per te njejten dite si Pilot ne Komande dhe Dual do te llogaritet si Dual per qellim te leshimit te Licenses. (Ne perputhje me Part-FCL.
Any  flight  entries  recorded within  a  pilot  log,  for  the   same date   as  Pilot  in Command and Dual will only be countable as Dual flight for licensing  purpose ( in accordance with Part-FCL).	
Hours Claimed on Course	
Total Hours Claimed	

CAA use only	

A	Total Experience as Pilot	As pilot-in-command (PIC)				
	As student pilot-in-command (SPIC-Integrated only)				
	As pilot-in-command under supervision (PIC/US)				
	Dual instruction				
	As Co-pilot (P2)				
	Other Hours Credited (if applicable)				
	Section A Total Hours				

B	Cross Country and Overseas Flying	As pilot-in-command (PIC)				
		
	As student pilot-in-command (SPIC-Integrated only)				
	As pilot-in-command under supervision (PIC/US)				
	Dual instruction				
	As Co-pilot (P2)				
	Section B Total Hours				
	Date of 100 NM flight (helicopters) (dd/mm/yyyy)				

C	Night Flying	As pilot-in-command (PIC)				
	As pilot-in-command under supervision (PIC/US)				
	Dual instruction				
	Dual Cross-country				
	As Co-pilot (P2)				
	Section C Total Hours				
	Solo take-offs and landings (number of)				

D	Instrument Flying	Dual instruction (In flight)				
	As student pilot-in-command (SPIC-Integrated only)				
	
Instrument ground time	FTD 2/3 or FNPT I				
		FNPT II/III				
		FSTD or FSS				
	Flying Time (PIC/Co-pilot/PIC/US)				
	MCC Training (as part of course)				
	Section D Total Hours				

E	Multi-pilot Aircraft Experience	As pilot-in-command				
	As pilot-in-command under supervision (PIC/US)				
	Dual instruction				
	As co-pilot (P2)				
	Section E Total Hours				
For ACAA use only	

                                                                                                                                                         DAMO-Part-FCL-002

8. KONFIRMIM I KRYERJES SE KURSIT TE NJOHURIVE TEORIKE/CONFIRMATION OF THEORETICAL KNOWLEDGE COURSE COMPLETION
          Per tu plotesuar nga ATO qe ka kryer Trajnimin per Njohurite Teorike
     T o be completed by the Approved Training Organisation conducting the Theoretical Training	
Konfirmim I Kryerjes se Kursit te Njohurive Teorike, Helikopteret.Confirmation of Theoretical Knowledge training course completed, Helicopters
CPL	IR	ATP

Theoretical Knowledge training completed on course ...............................Hours
Give details of Competent Authority with whom the Examinations were taken: .............................................................
..........................................................................................................................................................................................
Certified copy of results to be provided with application and Certified copy of ATO approval Certificate (if training ATO and examinations not subject to UK CAA approval).
Approved Training Organisation (ATO): ..................................................	ATO Approval No.: .........................................
Competent Authority issuing Approval: ............................................................................................................................
Name of Head of Training .................................................................................................................................................	
Signature (Head of Training): ..............................................................................................	Date: .................................	
LUTEMI REFEROJUNI DEKLARATES NE FAQEN 1/ PLEASE REFER TO DECLARATION ON PAGE 1	

9. CPL MODULAR OSE MODULAR I REDUKTUAR (Konvertim ICAO CPL) DETAJE TE TRAJNIMIT
CPL MODULAR OR REDUCED MODULAR (ICAO CPL Conversion ) TRAINING COURSE DETAILS
 Të plotesohet nga ATO 
To be completed by the Approved Training Organisation

	
Une vertetoj se (emir)) ............................................................................................  ka plotesuar kushtet Paraprake ne perputhje  me Part-FCL perpara fillimit te kursit te trajnimit dhe ka kryer me sukses kursin e Trajnimit per dhenien e Licenses se pilotit Komercial. Gjithashtu vertetoj se kam shqyrtuar regjistrin e fluturimeve te pilotit dhe hyrjet e fluturimeve ne te tregojne perputhje me kerkesat e per dhenie te licenses se pilotit Komercial.
I certify that (name) ……………………..has satisfactorily met the Pre-requisiterequirements in accordance with Part-FCL prior to commencing a course of training and has satisfactorily completed a course of training for the grant of a Commercial Pilot’s Licence. I further certify that I have examined the applicants flying log and that the entries in them comply with the requirements for the grant of a Commercial Pilot’s Licence in accordance with Part-FCL.

Date CPL course started:……..................................................	Date CPL course completed: ..............................................

Kursi konsistoi në/The course consisted of:

........... hours dual flight instruction of which

........... hours dual flight visual instruction

........... hours dual flight instruction at night (if applicable)

........... hours instrument instruction

Simulator Experience (if applicable)

........... hours instrument ground time in a FTD 2/3 or FNPT I	FNPT II/III	Flight Simulator

FSTD Identification Number of simulator used (which must be approved in accordance with Commission Regulation (EU) 1178/2011 as amended):   ........................................................................................................................................................
Competent Authority issuing Qualification Certificate for the simulator: ...........................................................................
Recommended for Skill Test by Name:  ..........................................................................	Licence No: ..........................
Approved Training Organisation (ATO): ..................................................................	ATO Approval No: ..........................
Competent Authority issuing approval: .............................................................................................................................
Name of Head of Training: .................................................................................................................................................	
Signature (Head of Training): ..............................................................................................	Date: ..................................	
LUTEMI REFEROJUNI DEKLARATES NE FAQEN 1/PLEASE REFER TO DECLARATION ON PAGE 1

	

10. DETAJE TE KURSIT IR/IR    COURSE    DETAILS	To be completed by the Approved Training Organisation	
Une vertetoj se (emir)) ............................................................................................  ka plotesuar kushtet Paraprake ne perputhje  me Part-FCL perpara fillimit te kursit te trajnimit dhe ka kryer me sukses kursin e Trajnimit per dhenien e Kategorizimit Instrumental. Gjithashtu vertetoj se kam shqyrtuar regjistrin e fluturimeve te pilotit dhe hyrjet e fluturimeve ne te tregojne perputhje te plote me kerkesat e per dhenie te Kategorizimit
 I certify that (name)…………………………………has satisfactorily met the Pre-requisite requirements in accordance with Part-FCL prior to commencing a course of training and has satisfactorily completed a course of training for the grant of a Instrument Rating. I further certify that I have examined the applicants flying log and that the entries in them comply with the requirements for the grant of an Instrument Rating in accordance with Part-FCL.
Date IR course started: ...................................................	Date IR course completed:  .................................................
The course consisted of:
......... hours dual instrument flight instruction in a single engine helicopter
......... hours dual instrument flight instruction in a multi engine helicopter

Simulator Experience (if applicable)

........... hours instrument ground time in a FTD 2/3 or FNPT I	FNPT II/III	Flight Simulator

FSTD Identification Number of simulator used (which must be approved in accordance with Commission Regulation (EU) 1178/2011 as amended):   ........................................................................................................................................................
Competent Authority issuing Qualification Certificate for the simulator: ...........................................................................
Recommended for Skill Test by Name:  ..........................................................................	Licence No: ..........................
Approved Training Organisation (ATO): ....................................................	ATO Approval No:  ......................................
Competent Authority issuing approval: .............................................................................................................................
Name of Head of Training: .................................................................................................................................................	

Signature (Head  of Training):…………………………………………………………Date:…………………..……

	

11. KURSI I INTEGRUAR/NTEGRATED COURSES	To be completed by the Approved Training Organisation	
Une vertetoj se (emri)............................................................................................ ka kryer me sukses kursin e trajnimit per        dhenien e  Licenses se Pilotit Komercial me pa Kategorizim Instrumental dhe trajnimi eshte detajuar ne Seksionin 5. Gjithashtu vertetoj se kam shqyrtuar regjistrat e fluturimeve te aplikantit  dhe ato perputhen me kerkesat per eksperiencen fluturuese per dhenie te Licenses se Pilotit Komercial me pa kategorizim Instrumental ne perputhje me Part-FCL.
I certify that (name) has satisfactorily completed the Training course for the grant of Commercial Pilot License with…..without... Instrument Rating and the training is detailed in Section 5. . I further certify that I have examined the applicants flying log and that the entries in them comply with the requirements for the grant of an the Commercial Pilot License with…without …Instrument Rating inaccordance with Part-FCL.
Date course started: .......................................................	Date course completed: ......................................................

Approved Training Organisation (ATO): ....................................................	ATO Approval No:  ......................................

Competent Authority issuing approval: .............................................................................................................................

Name of Head of Training: .................................................................................................................................................

Signature (Head of Training): ..............................................................................................	Date: ..................................	
LUTEMI REFEROJUNI DEKLARATES NE FAQEN 1/PLEASE REFER TO DECLARATION ON PAGE 1

		

DAMO-Part-FCL-002

12.  ICAO English Language Proficiency                                              To be completed by ACAA Language Examiner	

d)ICAO English Language Proficiency	Date	Level	Pass	Examiner’s Name Signature	Examiner’s CAA Ref. Number	
			Yes No			
The above examinations were completed at ..................................................................................................... (Test location)	

  13.  KONFIRMIM I TESTIT TE AFTESISE/CONFIRMATION OF SKILLS TEST	
                Te plotesohet nga mbajtesi I Certifikates se Ekzaminuesit leshuar sipas Part-FCL/
                                                              To  be completed by the holder of an Examiner Certificate issued in accordance with Part-FCL
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              	
Une vertetoj se (emri)/) ........................................................................ka kryer me sukses /
I certify that (name)                                                                                    has satisfactorily completed: 
CPL (H) Skill Test	                              Pass Date .............................
	IR (H) Skill Test	                             Pass Date .......................................
Multi Pilot ATPL (H) Skill Test	 Pass Date .............................
Une gjithashtu vertetoj se kam shqyrtuar regjistrin e fluturimeve te aplikantit dhe numri I tyre perputhet plotesisht me kerkesat per eksperiencen fluturuese per dhenie te Licenses sipas Part-FCL.
I further certify that I have examined the applicants flying log and the entries in them meet in full the flying experience requirements for the grant of a licence in accordance with Part-FCL.
Examiner’s Name: .....................................................................................	Examiner’s Number: ................................
Authorising Competent Authority: .......................................	Date of Examiners Briefing (if applicable): .....................	
Signature (Examiner): ..............................................................................	Date: ...........................................	
Note - Examiners are reminded that they must complete the Examiners Report Form and submit this to DAMO, within 14 working days from the skill test.
Applicants are advised that the licence will not be issued until the corresponding Examiners Report Form is received.	
LUTEMI REFEROJUNI DEKLARATES NE FAQEN 1/PLEASE REFER TO DECLARATION ON PAGE 1	

14.  DEKLARATE E APLIKANTIT/DECLARATION OF APPLICANT (tick as appropriate)	to be completed by the Applicant	
I declare that the information provided on this form is correct. I agree to receive:
Flight Crew Safety material from the ACAA only	or
Safety material from authorized sources

I have fully reviewed all Guidance Notes and have submitted all of the necessary paperwork for my application to be considered.	
Signature:       ..........................................................................................................................	Date: ..................................	
LUTEMI REFEROJUNI DEKLARATES NE FAQEN 1/PLEASE REFER TO DECLARATION ON PAGE 1	

	

                                                                                                                                                DAMO-Part-FCL-002

15. PER TU PERDORUR VETEM NGA AAC/CAA USE ONLY	
Date of Issue ........................................................................................
Checked   by  ..........................................................................................
Loaded   by  ............................................................................................
Signed by .............................................................................................	Enclosures

	

	

	

HELICOPTERS - Application for Part-FCL Professional Licence/Instrument Rating/HELIKOPTERET-Aplikimi per Licensa Profesionale/Kategorizim InstrumentalPart-FCL 
SHENIME UDHEZUESE/GUIDANCE NOTES

                                                                                                                                                       DAMO-Part-FCL-002
Duke pasur nje forme aplikimi dhe regjistra fluturimi te qarta do ti mundesoje Sektorit të Licensimit ne DAMO te leshoje Licensat dhe Kategorizimet ne menyre korrekte, me më pak mundesi per te gabuar dhe per te refuzuar ne dobi te shmangjes se vonesave ne aplikimet tuaja.
 Having a clear application form and flying log will enable Licensing Sector in DAMO to issue licences and ratings more efficiently, with less risk of errors or rejections and consequent delays to your application.
Ju lutemi vereni se dorezimi I nje forme te aplikimit te paplotesuar ne menyre korrekte me materjalin mbeshtetes bashkelidhur do te rezultoje ne refuzimin formal te aplikimit tuaj.
Please note that failure to submit a correctly completed application form with the required supporting documents will lead to the formal rejection of your application.
Ne kete rast do t`ju japim nje njoftim për 30 dite për plotësimin e kërkesave   te paplotësuara.Dështimi për te përmbushur afatet kohore do të cojë në kancelimin e e aplikimit tuaj dhe do te rifillohet me nje aplikim te ri.
In this instance we will issue you with a 30 day notice to meet the outstanding requirements. Failure to meet this deadline will result in your application being cancelled 
INFORMACION I RENDESISHEM/IMPORTANT INFORMATION
Ne menyre qe te ushtroje privilegjet e licenses se pilotit ne rast se operimet e avionit kerkojne perdorimin e paisjeve te Radio komunikimit, personat duhet te mbajne nje Certifikate te Vlefshme te Aftesise se Gjuhes Angleze ne perputhje me FCL.055 dhe Appendiks 2 te Part-FCL perpara aplikimit per license. Ne se nuk keni nje Certifikate te Vlefshme te Aftesise se Gjuhes Angleze aplikimi juaj do te refuzohet menjehere./
In order to exercise the privileges of a Pilot licence where the operations of the aircraft require the use of radio communications equipment, the individual must hold a valid Language Proficiency Certificate in English in accordance with FCL.055 and Appendix 2 of Part-FCL prior to licence application. Should you not hold a valid Language Proficiency in English your application will be rejected. 

GUIDANCE NOTE 1: Certifiers of ID

Personat qe mund te veprojne si vertetues jane: The following people can act as 'certifiers': 
•	Drejtuesi I ATO.Head of Approved Training Organisation. 
   Instruksionet per vertetuesit e identitetit te dokumentave tuaja/Instructions for the certifier of your ID document are as follows: 
1.	Vendosni nje kopje bashkelidhur aplikimit tuaj; “Une kam pare dokumentin origjinal dhe vertetoj qe kjo eshte nje kopje e plote dhe e sakte me origjinalin.
Insert on the copy to be enclosed with the application: 'I have seen the original document and I certify that this is a complete and accurate copy of the original'. 
2.	Vendosni daten dhe firmen./Insert signature and date. 
3.	Emri I vertetuesit duhet printuar me germa kapitale/ Certifier’s name must be printed in block capitals.
4.	Duhet te perfshije pozicionin dhe kapacitetin, p.sh. Drejtuesi I ATO/ Must include position or capacity, e.g. Head of ATO.

SHENIM UDHEZUES 2/GUIDANCE NOTE 2: Cilat sesione te formes se aplikimit duhen plotesuar/which sections of the application form to complete	
Licensa per te cilen aplikohet/Licence applied for	Sections to be completed	
Part-FCL CPL (By Modular course) without IR (to include ELP)	1, 2, 3, 4, 5, 6, 7, 8, 9, 12*, 13, 14.	
Part-FCL CPL (By Modular course) with IR (to include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12*, 13, 14	
Part-FCL,  CPL,CPL/IR,  ATPL  (Integrated  course)  (to  include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 11, 12*, 13, 14	
ICAO CPL to Part-FCL CPL Conversion without IR (to include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 9, 12*, 13, 14.	
ICAO  CPL  to  Part-FCL  CPL  Conversion  with  IR  (to  include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12*, 13, 14	
ICAO ATPL to Part-FCL CPL Conversion with IR (to include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12*, 13, 14	
ICAO ATPL to Part-FCL ATPL Conversion (to include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 12*, 13, 14.	
Al QMP to Part-FCL CPL without IR (to include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 9, 12*, 13, 14.	
AL QMP to Part-FCL CPL with IR (to include ELP).	1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12*, 13, 14.	

                                                                                                                                                         DAMO-Part-FCL-002

SHENIM UDHEZUES 3/GUIDANCE NOTE 3: Dokumentat mbeshtetese bashkelidhur aplikimit/Supporting documentation required with the application	
Licence Application	Original flying log	Certified copy of the Certificate of Revalidation from any existing Al issued Flight Crew  Licence.

See guidance note 1.	A certified copy of your valid Passport, EEA/EU Nationals Identity Card.

See guidance note 1.	Copy of Part-FCL Medical Certificate (Class 1 or 2)

See guidance note 1.	Original third country ICAO Licence and Medical or certified copy by ATO

See guidance note 1.	Copy of Part-FCL Examiner's Approval certificate and licence (if Examiner is not approved by the ACAA)

See guidance note 1.	Copy of Part-ORA Approved Training Organisations (ATO) Approval certificate (if ATO is not approved by the ACAA)

See guidance note 1.	Letter from Operating Company confirming PIC/US hours Multi Pilot Operations.	
Part-FCL CPL (By Modular course) without IR (to include ELP).	ü	ü	ü	ü	N/A	ü	ü	N/A	
Part-FCL CPL (By Modular course) with IR (to include FRTOL).	ü	ü	ü	ü	N/A	ü	ü	N/A	
Part-FCL, CPL,CPL/IR, ATPL (Integrated course) (to include ELP).	ü	ü	ü	ü	N/A	ü	ü	N/A	
ICAO CPL to Part-FCL CPL Conversion without IR (to include ELP).	ü	ü	ü	ü	ü	ü	ü	N/A	
ICAO CPL to Part-FCL CPL Conversion with IR (to include ELP).	ü	ü	ü	ü	ü	ü	ü	N/A	
ICAO ATPL to Part-FCL CPL Conversion with IR (to include ELP).	ü	ü	ü	ü	ü	ü	ü	N/A	
ICAO ATPL to Part-FCL ATPL
Conversion (to include ELP). (see Guidance Note 4)	
ü	
ü	
ü	
ü	
ü	
ü	
ü	
ü	
Al QMP to Part-FCL CPL without IR (to include ELP).	ü	ü	ü	ü	N/A	ü	ü	N/A	
Al QMP to Part-FCL CPL with IR (to include ELP).	ü	ü	ü	ü	N/A	ü	ü	N/A