CIVIL AVIATION AUTHORITY CZECH REPUBLIC

APPLICATION FOR VALIDATION OF A FOREIGN PILOT LICENCE FOR COMMERCIAL RIGHTS

podatelna@caa.cz / v8gaaz5 / Úřad pro civilní letectví, K letišti 1149/23, 160 08 Praha 6

Part A: Personal data:

Name and surname:
Date and place of birth:
Address:
E-mail:	mobile:
Identity card number (Czech citizens):	Passport number (foreign nationals):
Reason of the application:
I am reside or established in Czechia
I intend to fly under operator with principal place of business located in Czechia
I intend to fly with an aircraft registered in Czechia
Others. State a reason:

Part B: I am a holder of this pilot licence:

Type and Number of the original license:
State and date of the original license issue:
I apply for validation of the following ratings included in my pilots licence:
1.	Valid till:	2.	Valid till:
3.	Valid till:	4.	Valid till:

Part C: Enclosures to the application (copies):

1. Identity card (Czech citizens) or passport (foreign nationals) 2. Pilot licence 3. Log book (copy of the page showing the total of flight hours and other important data, as applicable) 4. Medical Certificate 5. Declaration of a Czech operator that he intends to engage the applicant as a pilot or a document showing the applicant´s residence in the Czech Republic 6. ZLP-F-168-10 Consent with the change of information

Part D: I apply for validation of my pilot licence for COMMERCIAL FLIGHTS on Czech-registered aircraft:

Requested privileges:
PIC on multi-pilot airplanes in commercial air transport
Co-pilot on multi-pilot airplanes in air commercial air transport
PIC on single-pilot airplanes in commercial air transport
Co-pilot on single-pilot airplanes in commercial air transport according to operational requirements
Exercise of privileges in aeroplanes in operations other than commercial air transport – state the privileges:
ICAO English level: valid till:
English proficient – Last Flight Review in English during which t the two-way R/T communication was performed in English: Date:
Date and signature of Applicant:

Part E: Fee:

1.000,- CZK for an applicant from EU states, European Community and Switzerland 3.000,- CZK for an applicant from other states Account No: 3711-3727061 / 0710 Variable symbol: on request IBAN: CZ48 0710 0037 1100 0372 7061 SWIFT: CNBACZPP