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

Other
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

Other
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)
- 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:
- Please attach a copy of your Commercial Pilot Licence
  
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- Full Name
  
  First NameLast Name
- Signature
- Date
  
  DayMonthYear
  Date
- Should be Empty:

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