Licence Prerequisites Confirmation

Licence Prerequisites Confirmation for AVI50222, AVI50322 and AVI50519 Diploma of Aviation courses
Please provide the following information and sign & date this form to confirm you meet the entry requirements for the course/ licence prerequisites to be granted a Commercial Pilot Licence.

You will need to attach supporting documents (i.e. completed documents or screenshots of applications in progress).
Full Name*

Given NamesLast Name
1. Aviation Reference Number (ARN)
Please record your Aviation Reference Number (ARN):*
You cannot proceed to the following steps without an ARN.
2. Class 1 Aviation Medical
Please record the expiry date of your current Class 1 Medical here:

DayMonthYear
Date
or, if you are still in the process of applying for your Medical, tick the relevant box and upload evidence of application in progress

Application and appointments completed and submitted to CASA for processingAdditional appointments/tests requiredOnly online application completed - have not yet seen DAMEOther
Please attach a copy of your current Medical certificate or evidence of application in progress (i.e. screenshot of an email from CASA)*

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3. Aviation Security ID Card
Please record the expiry month and year of your current RED ASIC here:
or, if you are still in the process of applying for your ASIC, tick the relevant box and upload evidence of application in progress

Approved but not yet receivedFully submitted application - processingHave not finished application yetOther
Please attach a copy of your current ASIC or evidence of application in progress (i.e. screenshot of an email from Veritas/Aviation Security ID)*

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4. General English Language Proficiency (GELP)
Please tick which of the following apply. If you cannot provide any of the below, you will need to be assessed by an approved member of our team (tick box 4)*

I have completed or am still attending a course of secondary education in Australia or New Zealand or an equivalent course in another country where the principle medium of instruction was EnglishI have worked in Australia, New Zealand, United Kingdom, Republic of Ireland, USA or Canada for at least three of the last five yearsI have undertaken and satisfied the general English proficiency test criteria specified in CASR Part 61 MOS, Schedule 2, Section 1, clause 5.1.2 (f) (IELTS, TOEIC-SP, TOEFL, etc.) (please provide exam results)I require a formal GELP assessment with Townsville Helicopters/ Townsville Flight Training (this assessment involves a discussion with an assessor to gauge your communication, vocabulary and pronunciation skills)I have completed a GELP or AELP assessment previously (i.e. students with a current pilot licence)

For Multi-Engine Instrument Rating Students ONLY
5. Current Commercial Pilot Licence - Aeroplane
Please record the date of your flight test or last flight review here:

MonthDayYear
Date
or, if you are still finishing your CPL A course:

Tick this box (if you are joining a MEIR course directly after your CPL A course you may need to request a copy of your flight test as evidence while CASA is processing your CPL)
Please attach a copy of your Commercial Pilot Licence

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Student Signature
Full Name*

First NameLast Name
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Licence Prerequisites Confirmation for AVI50222, AVI50322 and AVI50519 Diploma of Aviation courses