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GACA الطبيه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] CHIEF PILOT - QUALIFICATION SUMMARY PART 121 <table><tr><td colspan="2">The Chief Pilot completes this form and attaches his/her resume. The Qualification Summary Form and supporting documentation is submitted along with all other items listed in the Pre-Application Checklist (PAC).</td></tr><tr><td>Name</td><td></td></tr><tr><td>Address</td><td></td></tr><tr><td>Telephone No.</td><td></td></tr><tr><td>Present Position/Company</td><td></td></tr><tr><td>Air Carrier Certificate No.</td><td></td></tr><tr><td>Proposed Type of Airplane</td><td></td></tr></table> § 121.49 MANAGEMENT PERSONNEL: QUALIFICATIONS. <table><tr><td>(b)</td><td colspan="2">To serve as chief pilot a person must hold an ATP certificate with appropriate ratings for at least one of the aircraft used in the certificate holder's operation and—</td></tr><tr><td colspan="2">Certificate number</td><td></td></tr><tr><td colspan="2">Ratings</td><td></td></tr><tr><td colspan="2">Original date of issuance</td><td></td></tr><tr><td>(1)</td><td colspan="2">In the case of a person becoming a chief pilot for the first time ever, they have at least 3 years' experience, within the past 6 years, as PIC of an aircraft operated under GACAR Part 121.</td></tr><tr><td>(2)</td><td colspan="2">In the case of a person with previous experience as a chief pilot, having at least 3 years' experience, as PIC of an aircraft operated under GACAR Part 121.</td></tr><tr><td colspan="2">Type of airplane(s)</td><td></td></tr><tr><td>Time period</td><td>From</td><td>To</td></tr><tr><td>Employer(s)</td><td colspan="2"></td></tr><tr><td colspan="2">Air Carrier Certificate No.</td><td></td></tr><tr><td>Address</td><td colspan="2"></td></tr><tr><td colspan="2">Telephone No.</td><td></td></tr><tr><td colspan="2">Position held</td><td></td></tr></table> In addition to the items listed above, the person selected for this position must provide documentation to satisfy the following requirements § 121.45 MANAGEMENT PERSONNEL REQUIRED. <table><tr><td>(e)</td><td>The individuals who serve in the positions required or approved under paragraph (a), (b) or (c) of this section and anyone in a position to exercise control over operations conducted under the operating certificate must—</td></tr><tr><td>(1)</td><td>Be qualified through training, experience, and expertise;</td></tr><tr><td>(2)</td><td>To the extent of their responsibilities, having a full understanding of the following materials with respect to the certificate holder's operation:</td></tr><tr><td>(i)</td><td>Aviation safety standards and safe operating practices;</td></tr><tr><td>(ii)</td><td>GACAR;</td></tr><tr><td>(iii)</td><td>The certificate holder's operations specifications;</td></tr><tr><td>(iv)</td><td>All appropriate maintenance and airworthiness requirements of the GACAR; and</td></tr><tr><td>(v)</td><td>The manual required by GACAR § 121.139.</td></tr><tr><td>(3)</td><td>Discharge their duties to meet applicable legal requirements and to maintain safe operations.</td></tr></table> GACAR § 119.43 Issuing or Denying a Certificate. <table><tr><td>(b)</td><td>An application for a certificate may be denied if the President finds that—</td></tr><tr><td>(1)</td><td>The applicant is not properly or adequately equipped or is not able to conduct safe operations.</td></tr></table> GACA-AVSES-OPS-F014 Rev: 4, Date: 27 Apr 25 Page 1 of 2 GACA الهييه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] CHIEF PILOT - QUALIFICATION SUMMARY PART 121 <table><tr><td>(2)</td><td>The applicant previously held an AOC or OC that was revoked;</td></tr><tr><td>(3)</td><td>The applicant intends to fill or currently fills a key management position listed in GACAR Part 121 or 135, as applicable, with an individual who exercised control over or who held the same or a similar position with a certificate holder whose certificate was revoked, or is in the process of being revoked, and that individual materially contributed to the circumstances causing revocation or causing the revocation process; and</td></tr><tr><td>(4)</td><td>An individual who will have control over or have a substantial ownership interest in the applicant, had the same or similar control or interest in a certificate holder whose certificate was revoked or is in the process of being revoked, and that individual materially contributed to the circumstances causing revocation or causing the revocation process.</td></tr></table> GACA-AVSES-OPS-F014 Rev: 4, Date: 27 Apr 25 Page 2 of 2