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[F1ANNEX VI U.K. AUTHORITY REQUIREMENTS FOR AIRCREW [PART-ARA]

SUBPART MED SPECIFIC REQUIREMENTS RELATING TO AERO-MEDICAL CERTIFICATION U.K.

SECTION I U.K. General

[F2ARA.MED.130 Medical certificate format U.K.

The medical certificate shall conform to the following specifications:

(a)

Content

(1)

State where the pilot licence has been issued or applied for (I),

(2)

Class of medical certificate (II),

(3)

Certificate number commencing with the UN country code of the State where the pilot licence has been issued or applied for and followed by a code of numbers and/or letters in Arabic numerals and latin script (III),

(4)

Name of holder (IV),

(5)

Nationality of holder (VI),

(6)

Date of birth of holder: (dd/mm/yyyy) (XIV),

(7)

Signature of holder (VII),

(8)

Limitation(s) (XIII),

(9)

Expiry date of the medical certificate (IX) for:

(i)

Class 1 single pilot commercial operations carrying passengers,

(ii)

Class 1 other commercial operations,

(iii)

Class 2,

(iv)

LAPL

(10)

Date of medical examination

(11)

Date of last electrocardiogram

(12)

Date of last audiogram

(13)

Date of issue and signature of the AME or medical assessor that issued the certificate. GMP may be added to this field if they have the competence to issue medical certificates under the national law of the Member State where the licence is issued.

(14)

Seal or stamp (XI)

(b)

Material: Except for the case of LAPL issued by a GMP the paper or other material used shall prevent or readily show any alterations or erasures. Any entries or deletions to the form shall be clearly authorised by the licensing authority.

(c)

Language: Certificates shall be written in the national language(s) and in English and such other languages as the licensing authority deems appropriate.

(d)

All dates on the medical certificate shall be written in a dd/mm/yyyy format.] ]