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Covers applicant identification, confirmation of completed theoretical training by an approved training organisation (ATO), confirmation of a successfully passed theoretical examination by the competent authority, and confirmation of completed flight training. Includes summary items on medical certification, radiotelephony licence, language proficiency, required flight experience and credits, required attachments, conduct of the skill test, and the skill test report sections for pre-flight operations and 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(EU) No 1178/2011 Annex I (Part-FCL) Subpart C  \nPlease fill in the framed fields of the form, sign it and send it together with attachments to:  \nAUSTRO CONTROL GmbH, Aviation Agency, Department LSA/PEL/Licencing, Wagramer Straße 19, 1220 Vienna, Austria  \n1 Type of application  \nI apply for the issue of a Private Pilot Licence PPL(A) according to Commission Regulation (EU) No 1178/2011 Annex I (Part-FCL) Subpart C.  \n2 Applicant  \nTitle First Name Last Name  \nStreet  \nTelephone Fax  \nDate of Birth Place of Birth  \nPlace Postal Country  \nE-Mail  \nCitizenship  \nPlace Date Signature of Applicant  \n3 Confirmation of the theoretical training by the ATO  \nFrom (Date) Until (Date) Head of Training (Name) ATO (Approval Number)  \nThe Head of Training confirms that the training was performed in compliance with the provisions of Part-FCL and the approved training manuals, and that the applicant possesses all relevant theoretical knowledge to take the theoretical examination.  \nSignature of Head of Training and Seal of ATO  \n4   Confirmation of the successfully passed theoretical examination (to be filled in by the competent authority ACG)   \nName and Signature of the responsible Official Date and Seal of the competent Authority  \n5 Confirmation of the flight training by the ATO  \nFrom (Date) Until (Date) Head of Training (Name) ATO (Approval Number)  \nThe Head of Training confirms that the training has been performed in compliance with Part-FCL and the approved training manuals, and that the applicant possesses all relevant knowledge and skills to take the skill test on the following Class/Type:  \nSignature of Head of Training and Seal of ATO  \nFO_LFA_PEL_230_EN_v8_0 17.07.2017 1/6  \nPPL(A) -Issuance  \nApplication for the issue of a Private Pilot Licence PPL(A) according to Commission Regulation (EU) No 1178/2011 Annex I (Part-FCL) Subpart C  \n6 Summary of the ATO of knowledge and flight experience before the skill test is taken  \nFirst Name Last Name  \nGeneral requirements  \na) Medical certificate b) Radiotelephony licence c) Language proficiency min. level 4  \n 1  2/IR  2 valid until:  \ndate of issue:  \n German  English date of test:  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\nFlight experience and training  \nd) Number of hours dual flight instruction  \ne) Number of hours solo flight thereof solo cross-country  \nf) Total flight instruction on aeroplanes, FSTD and TMG thereof in a FSTD  \ng) Credits according to FCL.210.A  \ntype of credit/ licence of the applicant:  \nstate actual time  \nmin. 25 hours:  \nmin. 10 hours:  \nmin. 5 hours:  \nmin. 45 hours: max. 5 hours:  \nnumber of flight hours credited:  \nSolo cross-country flight Leg 1  \nLeg 2  \nLeg 3  \nDate:  \nDate:  \nDate:  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\nDep:  \nDep:  \nDep:  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\nDest:  \nDest:  \nDest:  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\nKm/NM:  \nKm/NM:  \nKm/NM:  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\nTotal (min. 270 km / 150 NM great circle distance)  \n7 Attachments (Please attach, if not specified differently, copies of the listed documents to the application)  \n Medical certificate  \n Pilot logbook (original)  \n Residential registration form  \n Either birth certificate and certificate of citizenship or official photo-ID (original or attested copy)  \n Radiotelephony licence  \n Protocol of the language proficiency examination (if not already submitted by LPE)  \n Confirmation of payment of the examination fee  \n 1 passport picture  \n In case of credits according to 6 g) enclose relevant documentation  \nFO_LFA_PEL_230_EN_v8_0 17.07.2017 2/6  \nPPL(A) -Issuance  \nApplication for the issue of a Private Pilot Licence PPL(A) according to Commission Regulation (EU) No 1178/2011 Annex I (Part-FCL) Subpart C  \n8 Conduct of the skill test  \nApplicant First Name Last Name  \nExaminer  \nAircraft  \nFirst Name  \nClass/Type/Variant  \nLast Name Examiner Number Seat oc","cbCaiat7TnuKPLVb","https://ap.wps.com/l/cbCaiat7TnuKPLVb","pdf",205104,"English","# Application sections\n## Type of application and applicant details\n## Confirmation of theoretical training and examination\n## Confirmation of flight training and knowledge/experience summary\n## Attachments\n## Conduct of the skill test\n## Skill test report","[{\"question\":\"What licence is this application for and under which regulation is it issued?\",\"answer\":\"It is for issuing a Private Pilot Licence PPL(A) under Commission Regulation (EU) No 1178/2011 Annex I (Part-FCL) Subpart C.\"},{\"question\":\"Who confirms theoretical training and what is included in that confirmation?\",\"answer\":\"The Head of Training of the ATO confirms the training followed Part-FCL and approved manuals and that the applicant has the relevant theoretical knowledge to take the theoretical examination.\"},{\"question\":\"What attachments are required with the application?\",\"answer\":\"Medical certificate, pilot logbook (original), residential registration form, birth certificate and citizenship certificate or photo-ID, radiotelephony licence, protocol of language proficiency examination (if not already submitted), confirmation of payment, and one passport picture; credits documentation is required when applicable.\"}]","PPL(A) -Issuance - Application for the issue of a Private Pilot Licence PPL(A) | PDF",1790309611,15]