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    Aerodrome Flight Information Service Officer Licensing

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    fleskfile

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    © All Rights Reserved
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    Aerodrome Flight Information Service Officer Licensing

    Uploaded by

    fleskfile
    6 views2 pages

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    aerodrome-flight-information-service-officer-licensing

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    6 views2 pages

    Aerodrome Flight Information Service Officer Licensing

    Uploaded by

    fleskfile

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Version No.

    Issue Date: 27 Feb 2024 AERODROME FLIGHT INFORMATION

    Form No. RPPL.180.C SERVICE OFFICER LICENSING

    IF HELD , STATE YOUR AERODROME FLIGHT INFORMATION SERVICE OFFICER LICENCE NUMBER

    READ instructions BEFORE attempting to complete APPLICATION FOR:


    form. Aerodrome Flight Information Service Officer Licence

    Additional Aerodrome(s)
    INSTRUCTIONS FOR USE Cancellation of Aerodrome(s)
    1, Please complete in BLOCK CAPITALS Change of Personal Details

    1a PERSONAL DETAILS Sur-

    Forename(s)

    Date of Birth (dd/mm/yy) Nationality Place of Birth

    Permanent Ad-

    Postcode Country Email

    Home Telephone No. Mobile Telephone No. Fax No.

    1b UNIT DETAILS Unit Name ……………………………… 4-Letter ICAO Locator

    Unit Ad-

    2 INITIAL TRAINING Course Number ………………………Dates of Course …../…../….. to


    …../…../…..

    3 CANCELLATION OF Indicate in section 5 which Aerodrome(s) are to be can-

    AERODROME (S) celled

    4 APPLICATION FOR
    AERODROME(S) Indicate in section 5 which Aerodrome(s) are being ap-

    plied for
    5 AERODROME(S) Name of the Aero-
    drome ...............................................................................

    6 TRAINING / ASSESSMENT OF COMPETENCE

    The applicant has successfully completed the approved training plan and has been assessed as com-
    petent to provide the AFISO service(s) indicated in section 5 and has demonstrated the ability to

    Authorised Signature Initials and Surname Position Date


    ……………………………… ……………………………… ………………………………..

    7 DECLARATION BY APPLICANT

    I am 18 years or older and I hold a valid Class 2 medical certificate. I herby declare that I have careful-

    ly considered the statements made in this document and that to my best belief they are correct.

    Date… .............................. Signature… ....................................................................................................

    8 CHARGES (Refer to references as appropriate). I enclose the remittance

    9 NOTES TO APPLICANTS

    1. Information on the AFISO licence and guidance on applications is available in the Personnel Li-

    censing Advisory Memorandum No. 04 - 10.

    2. The application form must be completed in full. Queries relating to completion on the form

    should be directed to the address below.

    3. When completed the application form should be returned with the appropriate remittance of ap-

    plication to:

    The IAA Licensing Dept.,

    The Times Building,

    11—12 D’Olier Street,

    Dublin 2

    Ireland.

    Tel: 01 603 1500

    Email : [email protected]

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