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144-1 Application For Issue / Renewal / Amendment Of ATC School Certificate Under GACAR Part 144

gaca_gov_sa · form · processed · 1 chunks

document_type=form entity=format:application/pdf entity=language:ar entity=amendment:true language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=gacars validity=valid validity_confidence=0.6

GACA®
الهييه العامه للطيران المدني
General Authority of Civil Aviation
APPLICATION FOR ISSUE / RENEWAL / AMENDMENT OF
ATC SCHOOL CERTIFICATE UNDER GACAR PART 144
☐ INITIAL APPLICATION FOR CERTIFICATE
AMENDMENT OF CERTIFICATE
☐ RENEWAL OF CERTIFICATE
☐ ADDITION OF TRAINING COURSE
<table><tr><td colspan="2">A. APPLICANT DETAILS</td></tr><tr><td>ORGANISATION NAME:</td><td>ADDRESS:</td></tr><tr><td>E-MAIL:</td><td>PHONE:</td></tr><tr><td>ACCOUNTABLE MANAGER:</td><td>ADDRESS (if different)</td></tr><tr><td>E-MAIL:</td><td>PHONE:</td></tr></table>
<table><tr><td colspan="2">B. TRAINING COURSE(S) PROPOSED – ATC SPECIFIC</td></tr><tr><td>BASIC AIR TRAFFIC CONTROLLER CERTIFICATION COURSE</td><td>□</td></tr><tr><td>AERODROME CONTROL RATING COURSE</td><td>□</td></tr><tr><td>APPROACH CONTROL PROCEDURAL RATING COURSE</td><td>□</td></tr><tr><td>APPROACH CONTROL SURVEILLANCE RATING COURSE</td><td>□</td></tr><tr><td>APPROACH PRECISION RADAR CONTROL RATING COURSE</td><td>□</td></tr><tr><td>AREA CONTROL PROCEDURAL RATING COURSE</td><td>□</td></tr><tr><td>AREA CONTROL SURVEILLANCE RATING COURSE</td><td>□</td></tr><tr><td>OTHER (Provide Course Title)</td><td>□</td></tr></table>
<table><tr><td colspan="2">C. TRAINING COURSE(S) PROPOSED – OTHER (SPECIAL CURRICULUMS - GACAR 144.77)Insert Course Title(s) Below</td></tr><tr><td></td><td>□</td></tr><tr><td colspan="2">List additional Facilities, Simulators, Personnel, Equipment or Systems required to deliver the training course(s)</td></tr><tr><td colspan="2"></td></tr></table>
SS&AT_A&A_F144-1 V.1 (28-Aug-2016)
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