If you have problems during the registration,
please send a mail to :
bcaa.lic.dir@mobilit.fgov.be. |
|
|
Registration Date :
|
Oct 5, 2024 |
|
|
|
|
|
Examiner :
|
|
|
|
|
Name + First Name * :
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Candidate :
|
|
|
|
|
Name + First Name * :
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Approved Training Organization :
|
|
|
Choose "not applicable" in case of :
- Proficiency check (SEP, MEP, IR, FI, IRI
and CRI)
- ATPL skill test
- License proficiency check (LPC)
|
|
|
|
Training center* :
|
|
|
|
|
|
|
|
|
|
Location :
|
|
|
|
|
Skill test will be performed on* :
|
|
|
|
|
|
|
|
|
|
|
|
Simulator approval number
AND
full address*.
|
|
|
|
|
|
Skill test / proficiency check type :
|
|
|
|
Type* :
|
|
|
|
|
|
|
|
Remarks :
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Legal text : ARA.FCL.205
any skill test / proficiency check
undertaken without being registered in advance
via this form will be refused
|
|
|
|