Light aircraft pilot s licence (LAPL) Medical certificate. A quick guide for GPs. Limitations. Record Keeping. The General Practitioner must

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1 Change of condition /or treatment Fit Fit with limitation(s) Unfit Yes Medical condition GP Unfit Functional recovery Fully meets LAPL stard No AME or AeMC examination/ assessment Limitations A GP may only add or remove a limitation to a medical certificate if their patient requires/or no longer requires, spectacles or corrective lenses. For text see below: For pilots requiring lenses for distance vision VDL: Wear corrective lenses carry a spare set of spectacles For pilots requiring lenses for near vision VNL: Have available corrective spectacles carry a spare set of spectacles In cases where a limitation has been added by an AME, the GP can maintain this limitation on subsequent medical certificates provided the medical condition has not changed has remained stable since the date of issue of the last certificate. Change in Health Status If you have issued a LAPL medical certificate to an individual they subsequently attend your surgery with a new medical condition or requesting fitness advice following a change in fit status, you should assess whether they are fit to fly. If in doubt, advise the individual that they are unfit must have an assessment by an AME before returning to flying. Record Keeping The records of LAPL assessments must be kept for a period of 10 years after the expiry of the certificate. To achieve this the GP must keep the following with the individual s NHS record in paper or electronic form until the person is deceased it is destroyed under NHS record keeping requirements: the signed completed LAPL medical application form a copy of the completed assessment/examination form a copy of the medical certificate issued Further Information Light aircraft pilot s licence (LAPL) Medical certificate A quick guide for GPs The General Practitioner must be in general practice or employed by the Ministry of Defence for general practice duties hold a valid licence to practise medicine from the General Medical Council be on the UK General Medical Council s Specialist Register as a GP have access to, be able to consult, the medical records of the applicant not perform an assessment on, or issue a LAPL medical certificate to, applicants with a medical diagnosis that requires further evaluation for certificate issue (see below) notify the UK CAA of all LAPL medical certificates issued when revalidating/renewing certificates, review the last LAPL medical certificate held have a NHS or doctors.org e mail address CAP 1127 GP A Quick Guide for GPs November 2013 CAP 1127 GP A Quick Guide for GPs November 2013

2 Initial Assessment If you are approached by a patient registered with your practice to issue a LAPL medical certificate, you should check their medical history before agreeing to proceed. If you find a record of any of the following (or similar) then you must advise the patient that they require a medical examination by an AeroMedical Examiner (AME). Please note: if the applicant has previously held a CAA medical certificate informs you that they have been made unfit at any time, you must refer the applicant to an AME. Decreased visual acuity in either eye below 6/9 despite any correction Visual field defect Need for hearing aid(s) Angina/coronary artery disease Cardiac arrhythmia, including AF Cardiac valve replacement Recurrent fainting Implanted cardiac device Heart failure Chronic lung disease Pneumothorax Organ transplant Cerebral disorder Epilepsy Sedative medication Antidepressant medication Psychotic disorder Alcohol/substance misuse Personality disorder Learning difficulties Malignant disease Diabetes requiring medication Endocrine disorder Sleep disorder Major surgery The applicant may then request that you provide copies of relevant medical reports/information for assessment by an AME or at an Aeromedical Centre (AeMC). For more detailed information see If you are able to proceed with the application: 1. Go through the completed form with the applicant. 2. either a) If this is a first application for a LAPL certificate or if >50 years a general examination is required, to include: Pulse BP Urinalysis Visual acuity/fields Conversational hearing ability Colour vision (only if applicant is applying for a night rating) or, b) If this is a revalidation, renewal or if <50 years, an examination is not required unless clinically indicated. 3. Complete the assessment/ examination form If the findings of your assessment meet the requirements stated in the Guidance for UK GPs on LAPL Medical Assessments then you may issue a LAPL medical certificate. If your assessment reveals a finding that requires referral, inform the applicant they must see an examination with an AME or AeMC. LAPL applicant Known significant medical history No known significant medical history Report outcome to CAA by issue of certificate Examination by AME or AeMC Significant medical history or examination findings Please complete the referral form provide copies of any relevant reports for the applicant to take to an AME In this circumstance you are not required to notify the UK CAA of this assessment but must make a entry in the NHS records reflecting your decision actions. Certificate Issue On assessing an applicant as fit for a LAPL medical certificate you require access to the UK CAA website to issue the certificate 1. Open the form 2. Enter your details 3. Enter the applicant s details 4. Enter the date of assessment 5. Confirm assessment outcome as fit A template with the certificate will then be produced 6. Print on plain paper, sign give to the applicant to sign Referral (form) Further investigations reports as needed Unfit Fit Revalidation/Renewal Assessments Report outcome to CAA of denial of certificate Assessment by applicant s UK NHS GP A LAPL certificate holder is required to revalidate periodically (up to 45 days before expiry date): <40 years every 5 years (or until 42nd birthday if earlier) >40 years every 2 years For pilots with complex medical conditions that require assessment by an AME in the first instance, subsequent revalidation/renewal assessments can be carried out by a GP provided there is no change to the medical condition. CAP 1127 GP A Quick Guide for GPs November 2013 CAP 1127 GP A Quick Guide for GPs November 2013

3 APPLICATION FORM FOR A LAPL MEDICAL CERTIFICATE Complete this page fully in block capitals - Refer to instructions for completion. MEDICAL IN CONFIDENCE (1) State of licence issue: (2) Medical certificate applied for: LAPL (3) Surname: (4) Previous surname(s): (12) Application: Initial Revalidation/Renewal (5) Forename(s): (6) Date of birth(dd/mm/yyyy): (7) Sex: Male Female (13) Reference number: (8) Place country of birth: (9) Nationality: (14) Type of licence applied for: (10) Permanent address: Country: Telephone No.: Mobile No.: (18) Licence(s) held (type): Licence number: State of issue: (20) Have you ever had a medical certificate denied, suspended or revoked by any licensing authority? No Yes Date: Country: Details: (11) Postal address (if different): Country: Telephone No.: (15) Occupation (principal): (16) Employer: (17) Last medical examination: Date: Place: (19) Any limitations on licence(s)/medical certificate held No Yes Details: (21) Flight time total: (22) Flight time since last medical: (23) Aircraft class/type(s) presently flown: (24) Any aviation accident or reported incident since last medical examination? No Yes Date: Place: Details: (27) Do you drink alcohol? No Yes, amount (29) Do you smoke tobacco? No, never No, date stopped: Yes, state type amount: (25) Type of flying intended: (26) Present flying activity: Single pilot Multi pilot (28) Do you currently use any medication? No Yes State medication, dose, date started why: General medical history: Do you have, or have you ever had, any of the following? (Please tick). If yes, give details in remarks section (30). Yes No Yes No Yes No Family history of:yes No 101 Eye trouble/eye operation 112 Nose, throat or speech disorder 123 Malaria or other tropical disease 170 Heart disease 102 Spectacles /or contact lenses ever worn 103 Spectacle/contact lens prescriptions change since last medical exam. 113 Head injury or concussion 124 A positive HIV test 171 High blood pressure 114 Frequent or severe headaches 125 Sexually transmitted disease 172 High cholesterol level 115 Dizziness or fainting spells 126 Sleep disorder/apnoea syndrome 173 Epilepsy 116 Unconsciousness for any reason 127 Musculoskeletal illness/impairment 174 Mental illness 104 Hay fever, other allergy 117 Neurological disorders; stroke, 128 Any other illness or injury 175 Diabetes 105 Asthma, lung disease epilepsy, seizure, paralysis, etc. 129 Admission to hospital 176 Tuberculosis 106 Heart or vascular trouble 118 Psychological/psychiatric trouble of Visit to medical practitioner 177 Allergy/asthma/eczema 107 High or low blood pressure any sort since last medical examination 178 Inherited disorders 108 Kidney stone or blood in urine 119 Alcohol/drug/substance abuse Refusal of life insurance 179 Glaucoma 109 Diabetes, hormone disorder 120 Attempted suicide Refusal of flying licence 110 Stomach, liver or intestinal trouble 121 Motion sickness requiring medication Medical rejection from or for military service 111 Deafness, ear disorder 122 Anaemia/sickle cell trait/other blood disorders (30) Remarks: If previously reported no change since, so state. 134 Award of pension or compensation for injury or illness Females only: 150 Gynaecological, menstrual problems 151 Are you pregnant? (31) Declaration: I hereby declare that I have carefully considered the statements made above to the best of my belief they are complete correct that I have not withheld any relevant information or made any misleading statements. I underst that, if I have made any false or misleading statements in connection with this application, or fail to release the supporting medical information, the licensing authority may refuse to grant me a medical certificate or may withdraw any medical certificate granted, without prejudice to any other action applicable under national law. CONSENT TO RELEASE OF MEDICAL INFORMATION: I hereby authorise the release of all information contained in this report any or all attachments to the AME, where necessary, to the medical assessor of the licensing authority, recognising that these documents or electronically stored data are to be used for completion of a medical assessment will become remain the property of the licensing authority, providing that I or my physician may have access to them according to national law. Medical confidentiality will be respected at all times Date Signature of applicant Signature of GP GMC No LAPL Med160 03/2013 v1.1 Issued By: UK Civil Aviation Authority, Medical Department

4 INSTRUCTIONS FOR COMPLETION OF THE APPLICATION FORM FOR A LAPL MEDICAL CERTIFICATE This application form ƐŚĂůů ďğ ƌğƚăŝŷğě ďlj ƚśğ 'ĞŶĞƌĂů WƌĂĐƚŝƚŝŽŶĞƌ ĂƐ ƉĂƌƚ ŽĨ ƚśğ ĂƉƉůŝĐĂŶƚΖƐ E,^ ƌğđžƌě ĂŶĚ ƌğůğăɛğě ƚž ƚśğ ƵƚŚŽƌŝƚLJ ƵƉŽŶ ƌğƌƶğɛƚ. DĞĚŝĐĂů ĐŽŶĨŝĚĞŶƚŝĂůŝƚLJ shall be respected Ăƚ Ăůů times. The applicant should personally complete, in full, all questions (sections) on the application form. Writing should be legible in block capitals, using a ball-point pen. Completion of this form by typing/printing is also acceptable. If more space is required to answer any questions, a plain sheet of paper should be used, bearing the applicant s name signature, the date of signing. The following numbered instructions apply to the numbered headings on the application form for a medical certificate. Failure to complete the application form in full, or to write legibly, may result in non-acceptance of the application form. The making of false or misleading statements or the withholding of relevant information in respect of this application may result in criminal prosecution, denial of this application /or withdrawal of any medical certificate(s) granted. 1. LICENSING AUTHORITY: State name of country this application is to be forwarded to. 17. LAST APPLICATION FOR A MEDICAL CERTIFICATE: State date (day, month, year) place (town, country) Initial applicants state NONE. 2. MEDICAL CERTIFICATE APPLIED FOR: 18. LICENCE(S) HELD (TYPE): Pre-completed State type of licence(s) held. Enter licence number State of issue. If no licences are held, state NONE. 3. SURNAME: 19. ANY LIMITATIONS ON THE LICENCE(S)/MEDICAL CERTIFICATE: State surname/family name. Tick appropriate box give details of any limitations on your licence(s)/medical certificate, e.g. vision, colour vision, safety pilot, etc. 4. PREVIOUS SURNAME(S): 20. MEDICAL CERTIFICATE DENIAL, SUSPENSION OR REVOCATION: If your surname or family name has changed for any reason, state Tick YES box if you have ever had a medical certificate denied, suspended or previous name(s). revoked, even if only temporary. If YES, state date (dd/mm/yyyy) country where it occurred. 5. FORENAMES: 21. FLIGHT TIME TOTAL: State first middle names (maximum three). State total number of hours flown. 6. DATE OF BIRTH: 22. FLIGHT TIME SINCE LAST MEDICAL: Specify in order dd/mm/yyyy. State number of hours flown since your last medical examination. 7. SEX: 23. AIRCRAFT CLASS/TYPE(S) PRESENTLY FLOWN: Tick appropriate box. State name of principal aircraft flown, e.g. Cessna 150, sailplane etc. 8. PLACE AND COUNTRY OF BIRTH: 24. ANY AVIATION ACCIDENT OR REPORTED INCIDENT SINCE LAST MEDICAL State town country of birth. EXAMINATION: If YES box ticked, state date (dd/mm/yyyy) country of accident/incident. 9. NATIONALITY: 25. TYPE OF FLYING INTENDED: State name of country of citizenship. eg recreational 10. PERMANENT ADDRESS: 26. PRESENT FLYING ACTIVITY: State permanent postal address country. Enter telephone Tick appropriate box to indicate whether you fly as the SOLE pilot or not. area code as well as telephone number. 11. POSTAL ADDRESS (IF DIFFERENT): 27. DO YOU DRINK ALCOHOL? If different from permanent address, state full current postal Tick applicable box. If yes, state weekly alcohol consumption e.g. 2 litres address including telephone number area code. If the same, beer. enter SAME. 12. APPLICATION: 28. DO YOU CURRENTLY USE ANY MEDICATION?: Tick appropriate box. If YES, give full details - name, how much you take when, etc. Include any non-prescription medication. 13. REFERENCE NUMBER: 29. DO YOU SMOKE TOBACCO? State reference number allocated to you by the competent Tick applicable box. Current smokers state type (cigarettes, cigars, pipe) authority (UK CAA) amount (e.g. 2 cigars daily; pipe 1 oz. weekly) Initial applicants enter NONE. 14. TYPE OF LICENCE APPLIED FOR: GENERAL AND MEDICAL HISTORY State type of LAPL licence applied for from the following list: All items under this heading from number 101 to 179 inclusive should have Aeroplane the answer YES or NO ticked. You should tick YES if you have ever had the Helicopter condition in your life describe the condition approximate date in the Sailplane (30) remarks section. All questions asked are medically important even Balloon though this may not be readily apparent. Items numbered 170 to 179 relate to immediate family history, whereas items numbered 150 to 151 should be answered by female applicants only. 15. If information has been reported on a previous application form for a medical OCCUPATION (PRINCIPAL): certificate there has been no change in your condition, you may state Indicate your principal employment. Previously reported; no change since. However, you should still tick YES to 16. EMPLOYER: the condition. Do not report occasional common illnesses such as colds. If principal occupation is pilot, then state employer s name or if 31. DECLARATION AND CONSENT TO OBTAINING AND RELEASING self-employed, state self. INFORMATION: Do not sign or date these declarations until indicated to do so by the GP who will act as witness sign accordingly. LAPL Med160 03/2013 v1.1 Issued By: UK Civil Aviation Authority, Medical Department

5 CONVERSION APPLICATION FOR THE GRANT OF A PART FCL SAILPLANE PILOT LICENCE OR LIGHT AIRCRAFT LICENCE (SAILPLANE) GUIDANCE NOTES AND FORM Each numbered box below refers to a corresponding part of the Conversion Application Form attached to this this guidance. The detail is important. An incorrectly submitted application form or a missing piece of required information or a missing copy of a document will unfortunately result in the application being returned unprocessed. 1. APPLICANTS PERSONAL PARTICULARS If you hold or have held a CAA licence, /or CAA Medical Certificate, you may know your personal CAA reference number. By quoting it on the form, you will assist the application process. As noted in section 1 of the form, a certified & clearly readable (ie high quality) copy of your valid Passport, EEA/EU National ID Card or Full EU Photographic Driving Licence that clearly identifies your personal details picture must accompany your application as proof of identification. The following people can act as certifiers where required in this application; Club Chairman, CFI or Secretary, BGA authorised Flight Instructor Examiner, CAA authorised Examiner Instructions for the Certifier; Insert on the copy to be enclosed with the application, I have seen the original document I certify that this is a complete accurate copy of the original Certifier must sign date Certifiers name must be printed in block capitals Must include position or capacity, eg. Club Secretary 2. ADDRESS FOR CORRESPONDENCE Only complete this if you use a different address for correspondence from that described in section 1 of the form. 3. APPLICANTS MEDICAL FITNESS A Part FCL licence can only be issued to an applicant who holds a valid medical certificate. The requirements for the LAPL(S) SPL differ. See below. LAPL(S) Applicants The NPPL GP endorsed medical declaration is an entirely UK based declaration of fitness. It is not a medical certificate. It has no status in the Aircrew Regulation cannot be used to support a licence issued under the EASA Regulations. LAPL(S) applicants must hold as a minimum a LAPL medical certificate issued by a General Medical Practitioner (GMP or GP in UK language) or an Aero Medical Examiner (AME). GMP s (GP s) use an online form which when submitted electronically to the CAA provides the only registration necessary by the GMP (GP). A certified copy of the certificate must be enclosed with the application. Please do not submit originals.

6 SPL Applicants An SPL applicant must hold either an EASA Class 1 or 2 medical certificate issued by an Aero Medical Examiner (AME). JAA Class 1 or 2 certificates are considered to be equivalent to EASA medical certificates. A certified copy of the certificate must be enclosed with the application. Please do not submit originals. Medical Certificate Validity Period Although excessively long turnaround times for applications are not expected, to ensure that a LAPL, Class 1 or Class 2 medical certificate remains valid throughout any application process, it is suggested that the medical certificate has at least 2 months validity remaining when you submit your application form. Non-UK Issued Medical Certificate Please ensure that if your medical certificate is issued outside the UK that the associated records are held by the UK CAA. If in doubt, please contact the CAA. 4. APPLICANTS EXISTING & VALID QUALIFICATION STATUS The conversion report submitted by the CAA to EASA provides the basis for conversion from BGA Gliding Certificate Endorsements to Part-FCL requirements. You should tick on the application form the listed BGA CAA qualifications that you hold The minimum requirement for conversion to either a LAPL(S) or an SPL is a Bronze Endorsement plus either the Cross Country Endorsement or, if the Bronze endorsement was achieved prior to the cross country endorsement being established within the BGA in April 1996, an FAI verified Silver Distance as issued by the BGA or other National authority. The Gliding Certificate, Bronze endorsement, Cross Country Endorsement Silver Distance are all recorded by the BGA. Certified copies of CAA class rating instructor examiner certificates must be included with your application form. Cloud Flying Endorsement this BGA endorsement recorded by the BGA is available free of charge if a completed BGA Cloud Flying Endorsement application is submitted with the conversion application. This BGA endorsement may be helpful once the EASA Sailplane Cloud Flying Rating becomes available. The BGA application form is at; Aerobatics Endorsement pilots who hold any of the BGA aerobatics badges are automatically entitled to deemed to hold this endorsement. Assistant Instructor self-explanatory. The BGA records instructor rating issue validity. Full Instructor self-explanatory. The BGA records instructor rating issue validity. MGIR this applies to those who hold a BGA Motor Glider Instructor Rating as recorded by the BGA. Instructor Coach this applies to those who have been formally approved by their CFI s to coach instructors at clubs as recorded by the BGA Flight Examiner this applies to those applicants who have completed the BGA Flight Examiner stardisation process as recorded by the BGA Flight Instructor Examiner - this applies to those applicants who have completed the BGA Flight Instructor Examiner stardisation process as recorded by the BGA CAA Ratings or Authorisations please tick the valid CAA issued ratings or authorisations held by the applicant. Copies should be submitted where applicable under section 5.

7 5. APPLICANTS CONVERSION REQUIREMENT AND BGA RECOMMENDATION TO THE CAA This is the bit where you let us know whether you would like a LAPL(S) or SPL based on your existing BGA qualifications other experience, what additional ratings, certificates authorisations you require. Please note that when a rating, certificate or authorisation is added to a LAPL(S) or SPL, the privileges in each case may only be exercised if the relevant recency, revalidation other requirements that are associated with the licence, rating, certificate or authorisation are satisfied. The requirements will be published in the CAA s CAP 804. You declare that you are aware of those requirements when you sign at the bottom of this section. Please note that the more you can apply for at this stage, the less it will cost you in future when you need to add further elements through additional applications. Carefully read each of the following descriptions conversion application requirements before ticking the relevant box on the form. Please note that in some cases, copies of certain documents are required. Please ensure that these are certified on the reverse as described in 1 above. Regarding logbook evidence, it is sufficient to provide a certified legible copy of a summary of experience on a logbook page or pages showing the required totals. In all cases, please also complete the summary that is included as part of the application form on page 5. The following matrix describes each of the items the associated requirements that need to be in place on conversion. Read each one carefully before deciding whether to leave the item un-ticked or to tick the box on the application form as being required. Flight Radio Telephony Operators Licence (FRTOL) PLEASE READ VERY CAREFULLY Description This is the Flight Radio Telephony Operators Licence that under Part- FCL is part of the licence. It is not matory for you to hold an FRTOL, but please read these notes carefully. If you do not want FRTOL privileges on the licence, do not tick the box. If you want to convert existing FRTOL privileges, you should tick the box. The CAA will check their database to ensure you hold an FRTOL with level 6 English language proficiency. They will then add FRTOL to your new licence privileges. If you don t hold level 6 English language proficiency, CAA will reject your application. If you are not sure whether you hold level 6 English language proficiency, the CAA can supply you with the information. You should telephone the CAA on If you do not tick the box or the CAA does not have a record of you attaining a demonstrated level 6 English proficiency, you risk losing any existing FRTOL privileges. Full details are in CAA Information Notice 2012/208 & the BGA s website FAQ s The English Language proficiency application form is CAA SRG The completed SRG 1199 can be submitted with this application at no additional cost.

8 Licence Required Sailplane Pilot Licence or Light Aircraft Pilot Licence (Sailplanes) Description Conversion Application Requirements These are the new licences, one of which must be held by pilots if they want to fly EASA sailplanes after April Applicants need to be sure which medical certificate they hold before selecting either the SPL or LAPL(S) Hold; The BGA Bronze Endorsement And The BGA Cross Country Endorsement. However, if the applicant does not hold a BGA Cross Country Endorsement because it did not exist at the time they completed their BGA Bronze Endorsement, ie prior to April 1996, the applicant must hold a valid FAI Silver Distance, for example as verified & issued by the BGA. The BGA Bronze Endorsement the BGA Cross Country Endorsement the Silver Distance are recorded by the BGA. If the Silver Distance where required (see above) was issued by an organisation other than the BGA, please provide a certified copy of the certificate with the application. Class Required Sailplanes/Powered Sailplanes If you intend to continue to fly sailplanes with an SPL or a LAPL(S), you will need to have the privilege added to your licence. This privilege includes self-sustaining (or turbo) sailplanes where additionally requested as a launch method, self-launching powered sailplanes (but does not include TMG privileges) (Self-launching sailplanes are sailplanes where the engine or propeller is extended used for self-launching but have the characteristics of a sailplane. An example is a DG400). Touring Motor Glider (TMG) Description Conversion Application Requirements If you intend to continue to fly Touring Motor Gliders with an SPL or a LAPL(S), you will need to have the privilege added to your licence (A Touring Motor Glider (TMG) is a specific class of sailplane having an integrally mounted, non-retractable engine a non- retractable propeller. It shall be capable of take-off climbing under its own power according to the Flight Manual. Examples include the various Falke derivatives, Grob 109, Dimona, etc.) Provide certified evidence (licence current revalidation certificate) of holding (i) a valid SLMG or TMG rating, or (ii) SEP (l) Rating together with SLMG differences training.

9 Launch Method Required Winch/Car Launch Description Conversion Application Requirements Aerotow Launch Description Conversion Application Requirements If you wish to get airborne in a sailplane as pilot in comm by winch car launch, you will need to hold a Winch/Car Launch qualification on your LAPL(S) or SPL. Provide certified logbook evidence of 20 winch or car launches as Pilot in Comm If you wish to get airborne as pilot in comm in a sailplane by aerotow launch, you will need to hold an Aerotow Launch qualification on your LAPL(S) or SPL Provide certified logbook evidence of 12 aerotow launches as Pilot in Comm Self Launch Description Conversion Application Requirements If you wish to get airborne as pilot in comm of a self-launching sailplane, you will need to hold a Self Launch qualification on your LAPL(S) or SPL Provide certified evidence of holding a valid SLMG or TMG rating or SEP (l) Rating together with SLMG differences training. Bungee Launch Description Conversion Application Requirements If you wish to get airborne in a sailplane as pilot in comm by bungee launch, you will need to hold a Bungee Launch qualification on your LAPL(S) or SPL. Provide certified logbook evidence of 3 bungee launches as Pilot in Comm Additional Ratings required: (note a Sailplane Cloud Flying Rating has not yet been established in European law is therefore currently unavailable) Aerobatic Rating Description Conversion Application Requirements If you wish to use your LAPL(S) or SPL to fly aerobatics as pilot in comm of a sailplane or TMG, you will need an aerobatic rating. You will need to either; Have received the theoretical knowledge specified in AMC No 1 to FCL.800 (see Note 1); ; Hold a BGA Aerobatics Badge as demonstrated by BGA records (therefore no evidence to be submitted). Or submit certified evidence of;

10 A certified copy of the Display Authorisation for pilots who hold or have held a UK Display Authorisation, which includes/included authorisation to perform aerobatics at a display. Or; Evidence of having completed satisfactorily, either: (i)) the UK RAF Elementary Flying Training course; or (ii)) the UK RN Elementary Flying Training course; or (iii)) a UK military Basic Fast Jet Flying Training course. Or; Evidence (other than log book records) of having flown aerobatic manoeuvres at a BAeA sanctioned event (including glider events). Or; A valid FI(A) or AFI rating with the no aerobatics restriction removed following compliance with UK requirements to instruct aerobatics. Or; Evidence of satisfactory completion of the AOPA/BAeA aerobatic course. Sailplane Towing Rating Or Aerobatic ratings may also be granted to pilots who apply on the basis of experience of flying aerobatics alone if they provide; Certified log book evidence of at least 5 hours of aerobatic flying in aeroplanes or gliders that have airworthiness certification for the manoeuvres as specified in FCL.800 (see Note 1); And A statement from an instructor, with the privilege to instruct in aerobatics (see Note 2), confirming that the following has been demonstrated competently safely: (i)) the aerobatic manoeuvres as listed in AMC 1 to FCL 800; (ii)) evidence of having the theoretical knowledge specified in AMC 1 to FCL 800 (see Note 1); Note 1: The FCL 800 requirements are linked at Note 2: The instructor shall be a BGA Gliding Instructor who holds aerobatic instructional privileges; or a CRI who complies with the requirements of FCL.905.CRI(a)(2) see Aircrew Regulation p56 Description Conversion Application Requirements If you wish to use your LAPL(S) or SPL associated TMG extension (see Touring Motor Glider above) to tow sailplanes using a TMG, you will by April 2015 need a towing rating. Provide the following; Certified logbook evidence of at least 30 hours of flight time as PIC 60 take-offs lings in TMGs completed after the issue of the licence And Certified logbook evidence of at least 10 flights as PIC towing a sailplane in a TMG at a BGA gliding club

11 Flight Instructor privileges required: Sailplanes/Powered Sailplanes) FI(S) Unrestricted or Restricted Description If you wish to instruct using your LAPL(S) or SPL, you will need a Flight Instructor (Sailplanes) certificate. The certificate can be unrestricted or restricted. If you have a BGA assistant or full instructor rating have completed a BGA instructor completion course, you can be issued with an unrestricted Flight Instructor (Sailplanes) certificate. If you have a BGA assistant instructor rating but have not completed a BGA instructor completion course, you can only be issued with a restricted Flight Instructor (Sailplanes) certificate. The Restricted Flight Instructor (Sailplanes); May only instruct under the supervision of an unrestricted Flight Instructor (Sailplanes) nominated for the task, May not authorise first solo flights or first cross-country flights The restriction on the Flight Instructor (Sailplanes) certificate can be removed post licence conversion by demonstrating experience of 15 hours or 50 launches covering the full LAPL(S) training syllabus. Conversion Application Requirements Hold; A valid BGA Assistant Instructor or Full Instructor Rating as demonstrated by BGA records - therefore nothing to be submitted For unrestricted FI(S) only have completed a BGA Instructor Completion Course as demonstrated by BGA records - therefore nothing to be submitted in all cases Provide certified logbook evidence of 100 hours 200 launches as PIC sailplanes The BGA office will complete the validity from date Aerobatics Instructor Description If you wish to instruct aerobatics in a sailplane using your LAPL(S) or SPL FI(S) certificate, you must provide confirmation that you are competent to do so.

12 Conversion Application Requirements Meet the requirement for an FI(S) Certificate for an Aerobatics Rating (see above), either hold; A valid BGA aerobatic instructor certificate issued by the BGA (therefore no evidence to be submitted), or submit a certified copy of: A valid FI(A) with no no aerobatics restriction The BGA office will complete the validity from date Sailplane Towing Instructor Description Conversion Application Requirements If you wish to instruct sailplane towing in a TMG using your LAPL(S) or SPL FI(S) certificate, you must provide confirmation that you are competent to do so. You will need to: Meet the requirement to hold a towing rating on an SPL or LAPL(S) have applied for that rating Demonstrate through certified logbook evidence that you teach sailplane towing at your club The BGA office will complete the validity from date Sailplane only training in TMGs (ie not TMG syllabus training) Description Conversion Application Requirements If you hold a BGA MGIR wish to instruct sailplane flying in a TMG (as you did previously as a BGA MGIR) using your LAPL(S) or SPL with Flight Instructor (Sailplanes) certificate, you will need to demonstrate additional experience as a conversion requirement You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate Provide certified logbook evidence of 6 hours dual training on TMG aircraft 30 hours PIC on TMG aircraft Provide certified evidence of a valid SLMG or TMG class rating or SEP (l) Rating together with SLMG differences training. Hold a valid BGA MGIR as recorded by the BGA therefore no copy to be submitted The BGA office will complete the validity from date TMG training in TMGs Description If you hold a CAA FI (SLMG) or JAR TMG FI rating wish to instruct the TMG syllabus using your LAPL(S) or SPL with Flight Instructor (Sailplanes) certificate, you will need to

13 Conversion Application Requirements demonstrate additional experience as a conversion requirement. You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate Provide certified logbook evidence of 30 hours PIC on TMG aircraft Provide certified evidence of a valid CAA issued FI certificate with SLMG or TMG rating Flight Instructor Coach The BGA office will complete the validity from date Note: The sailplane only instruction in TMG s privilege is included Description Conversion Application Requirements If you wish to coach potential sailplane instructors during their instructor training using your LAPL(S) or SPL Flight Instructor (Sailplanes) certificate, you will need to qualify as what is known as an FCL.905.FI(i) instructor You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate Hold Instructor Coach endorsement from your CFI as recorded by BGA therefore no evidence to be submitted; Provide certified logbook evidence of 50 hours or 150 launches instructing in gliders The BGA office will complete the validity from date Examiner Privileges required: Sailplanes/Powered Sailplanes FE(S) Description Conversion Application Requirements If you wish to carry out LAPL(S) SPL skills tests, you will need to be authorised by the CAA as a Flight Examiner (Sailplanes). You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate

14 Hold a BGA Flight Examiner authorisation as recorded by the BGA therefore nothing to be submitted You will need to provide a certified copy of your CAA Examiner Stardisation Seminar attendance certificate The BGA will need to receive a copy of the CAA Form TS10 which follows an Assessment of Competence (supplied by the testing Senior Examiner) The BGA office will complete the validity from date TMG FE(S) Description Conversion Application Requirements If you wish to carry out TMG skills tests, you will need to be authorised to do so by the CAA You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate with TMG rating Hold supply a certified copy of your valid CAA issued Flight Examiner authorisation with SLMG or TMG examiner privileges You will need to provide a certified copy of your CAA Examiner Stardisation Seminar attendance certificate The BGA will need to receive a copy of the CAA Form TS10 which follows an Assessment of Competence (supplied by the testing Senior Examiner) The BGA office will complete the validity from date Flight Instructor Examiner Sailplanes/Powered Sailplanes FIE(S) Description Conversion Application Requirements If you wish to carry out Flight Instructor (Sailplane) skills tests, you will need to be authorised by the CAA as a Flight Instructor Examiner (Sailplanes). You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate Hold a BGA Flight Instructor Examiner authorisation as recorded by the BGA therefore nothing to be submitted

15 You will need to provide a certified copy of your CAA Examiner Stardisation Seminar attendance certificate The BGA will need to receive a copy of the CAA Form TS10 which follows an Assessment of Competence (supplied by the testing Senior Examiner) The BGA office will complete the validity from date TMG FIE (S) Description Conversion Application Requirements If you wish to carry out TMG instructor skills tests, you will need to be authorised to do so by the CAA You will need to; Meet the requirement for a Flight Instructor (Sailplanes) certificate with TMG rating Hold supply a certified copy of your valid CAA issued Flight Instructor Examiner authorisation with SLMG or TMG examiner privileges You will need to provide a certified copy of your CAA Examiner Stardisation Seminar attendance certificate The BGA office will complete the validity from date Senior Examiner Sailplanes/Powered Sailplanes Description Conversion Application Requirements If you wish to be a Senior Examiner (Sailplanes), you will need to be authorised as such by the CAA You will need to be recommended specifically by the BGA ; Meet the requirement for a Flight Instructor (Sailplanes) certificate Hold a BGA Flight Instructor Examiner authorisation as recorded by the BGA therefore nothing to be submitted You will need to provide a certified copy of your CAA Examiner Stardisation Seminar attendance certificate The BGA will need to receive a copy of the CAA Form TS10 which follows an Assessment of Competence (supplied by the testing Senior Examiner) The BGA office will complete the validity from date

16 6. PAYMENT The BGA processes checks your application subsequently submits a recommendation to the CAA who issue the licence. The CAA is paid a fee by the BGA for each LAPL(S) or SPL recommended by the BGA. The total conversion fee payable by applicants aged 22 over at the time of application is 84. The total conversion fee payable by applicants aged 21 under at the time of application is 42. Please complete the credit or debit card payment form for the total conversion fee payable submit it with your application. Alternatively, please submit with your application a dated signed cheque for the total conversion fee payable to The British Gliding Association. Check check again. Before posting your application to the BGA, please check that you have; Completed the form, including all the Part-FCL licence privileges you are entitled to Signed the form where required Included all the required & certified evidence do not supply original documents Included payment And finally Please take care when completing your application. Please note that due to the size nature of the conversion task, the BGA will return incomplete or erroneous applications. A return slip will advise applicants why an application has been returned unprocessed. Thank you for your patience. Fortunately the licence conversion process is a one-off exercise. BGA December 2013

17 BRITISH GLIDING ASSOCIATION FOR BGA USE ONLY Date Received CONVERSION APPLICATION TO THE CAA FOR THE GRANT OF A PART- FCL SAILPLANE PILOT LICENCE OR LIGHT AIRCRAFT PILOT LICENCE (SAILPLANE) Please complete the form in clear block capitals using black ink Payment - Please use the attached payment form. OM ID: FALSE REPRESENTATION STATEMENT It is an offence under Article 231 of the Air Navigation Order 2009 to make, with intent to deceive, any false representation for the purpose of procuring the grant, issue, renewal or variation of any certificate, licence, approval, permission or other document. This offence is punishable on summary conviction by a fine of up to 5000, on conviction on indictment with an unlimited fine or up to two years imprisonment or both. 1. APPLICANT S PERSONAL PARTICULARS (please complete as legibly as possible) CAA Reference Number (If known. Individuals who have held or hold a CAA licence /or CAA Medical Certificate may know this number) Applicants BGA Reference Number (if known).. Title..Surname.. Forenames..Nationality Date of Birth Town of Birth Permanent Address Post Code Address (please print carefully)..... Tel No. Mobile No. BGA Club..... A clear certified* copy of your valid Passport, EEA/EU National ID Card or Full EU Photographic Driving Licence must accompany your application as proof of identification. *See guidance notes 2. ADDRESS FOR CORRESPONDENCE (if different from above) Postal Address... Post Code. Page 1

18 3. APPLICANT S MEDICAL FITNESS - Copy to be enclosed (please read the guidance notes) LAPL Medical Certificate EASA Class 2 Medical Certificate EASA Class 1 Medical Certificate 4. APPLICANT S EXISTING & VALID QUALIFICATION STATUS (please read the guidance notes before ticking boxes shaded areas for BGA use only) ) BGA Bronze Endorsement (also known as Bronze Badge) BGA Bronze Cross Country Endorsement FAI Silver Distance BGA Cloud Flying Endorsement BGA Aerobatics Endorsement BGA Assistant Instructor BGA Full Instructor BGA MGIR BGA Instructor Coach BGA Flight Examiner BGA Flight Instructor Examiner The following relate to existing valid CAA ratings or authorisations UK or NPPL SLMG Class Rating JAR or EASA TMG Class Rating UK SLMG Flight Instructor Examiner UK Flight Instructor (SLMG) JAR or EASA FI (A) TMG JAR or EASA FI E(A) TMG UK Flight Examiner (SLMG) or XMG JAR or EASA FE(A) TMG 5. APPLICANT S CONVERSION REQUIREMENT AND BGA RECOMMENDATION TO THE CAA (please read the guidance notes before ticking boxes - shaded areas for BGA use only) Licence req d (tick one box only) Sailplane Pilot Licence or Light Aircraft Pilot Licence (Sailplanes) Flight Radio Telephony Operator s Licence (FRTOL) only if already held with English language proficiency level 6 Note if unsure whether your existing FRTOL has English language proficiency level 6, ask the CAA at Class required: Sailplanes/Powered Sailplanes TMG Launch method required: Winch/Car Launch Aerotow Launch Self-Launch Bungee Launch Additional Ratings required: Aerobatic Rating Sailplane Towing Rating Page 2

19 5. APPLICANT S CONVERSION REQUIREMENT AND BGA RECOMMENDATION TO THE CAA CONTINUED Flight Instructor privileges required: Leave Valid From Date Blank. Sailplanes/Powered Sailplanes - restricted Valid From: Sailplane Towing Rating Valid From: Sailplane Only Training in TMG Valid From: Sailplanes/Powered Sailplanes - unrestricted Valid From: TMG Training in TMG Valid From: Aerobatics Rating Valid From: Flight Instructor Coach Valid From: Examiner privileges required: Leave Valid From Date Blank. Sailplanes/Powered Sailplanes FE(S) Valid From: Flight Instructor Examiner Sailplanes/Powered Sailplanes FIE(S) Valid From:. Senior Examiner Sailplanes TMG FE(S) Valid From: TMG FIE(S) Valid From: Valid From: APPLICANT DECLARATION: I declare; that I underst the privileges, requirements limitations that apply to the Part- FCL licence that I have applied for; that I underst that it is my responsibility to ensure that I am capable of safely exercising the privileges attached to the Part FCL licence that I am issued with. Applicant s signature Applicant s Name.. Date.. BGA USE ONLY - BGA DECLARATION: We are satisfied that the application for the grant of an SPL or LAPL(S) for the person named on this application has been assessed we are satisfied that all the requirements have been satisfactorily completed. We hereby recommend that the licence is issued with the additional privileges identified above by the BGA. Name:... Signature: Position:.... Date: CAA USE ONLY Date of Issue. Checked by... Loaded by.. Signed by Enclosures: Page 3

20 Application Evidence Checklist Note: All evidence must be certified copies (originals must not be sent) as per Section1 of the guidance notes. Uncertified copies will not be accepted the application will be returned. For full details of evidence required please see guidance notes. Evidence highlighted in bold is required by all applicants. Part Conversion Requirement Expected Evidence 1 Identification - all 3 Medical - all 5 Sailplanes/Powered Sailplanes TMG Valid Passport, EEA/EU National ID Card or Full EU Photographic Driving Licence LAPL medical certificate or an EASA Class 1 or 2 medical certificate Certified & Included BGA USE Silver Distance Certificate if not BGA issue Valid SLMG or TMG Rating or SEP (l) Rating together with SLMG difference training Winch/Car Launch Logbook evidence (20) Aerotow Launch Logbook evidence (12) Self-Launch Aerobatic Rating - only one set of evidence needed - no evidence needed with BGA aerobatics badge held Valid SLMG or TMG rating or SEP (l) Rating together with SLMG difference training Bungee Launch Logbook evidence (3) Completion of the AOPA/BAeA aerobatic course Copy of Display Authorisation Either: (i)) the UK RAF Elementary Flying Training course; or (ii)) the UK RN Elementary Flying Training course; or (iii)) a UK military Basic Fast Jet Flying Training course Evidence (other than log book records) of having flown aerobatic manoeuvres at a BAeA sanctioned event (including glider events). Valid FI(A) or AFI rating with the no aerobatic restriction removed following compliance with UK requirements to instruct aerobatics. Log book evidence instructor statement Sailplane Towing Rating Logbook evidence FLIGHT INSTRUCTORS Please tick if complete section is not applicable 5 Sailplanes/Powered Sailplanes FI(S) Restricted/ Unrestricted FI Aerobatics Logbook evidence (100h & 200L) Valid aerobatic instructor certificate issued by the BGA or BAeA or Valid FI (A) with no no aerobatics restriction FI Sailplane Towing Logbook evidence Logbook evidence FI Sailplane Only Training in TMGs (both required) Valid SLMG or TMG Rating or SEP (l) Rating together with SLMG difference training Logbook evidence Valid CAA issued FI with SLMG or TMG Rating FI Coach Logbook evidence (50h or 150L) FI TMG Training in TMG (both required) FLIGHT EXAMINERS Please tick if complete section is not applicable 5 FE(S) Sailplanes/Powered Sailplanes TMG FE(S) FIE(S) Sailplanes/Powered Sailplanes TMG FIE(S) CAA FE(S) stardisation certificate Valid CAA issued Flight Examiner authorization with SLMG or TMG examiner privileges CAA FIE(S) stardisation certificate Valid CAA issued UK Flight Instructor Examiner with SLMG or TMG FIE authorisation Senior Examiner Sailplanes CAA SE (Sailplanes) stardisation completion certificate 6 Payment - all Cheque or Card Details Page 4

21 Logbook Evidence Summary The following is a summary of the logbook evidence that you have submitted to support this conversion application. You only have to supply the minimum evidence required for the application you do not need to supply ALL your experience. The minimum requirement is detailed in the application form completion guidance. Please supply the hours/launch details. Where not applicable, please write N/A. Launches or hours Activity Hours pilot in comm gliding Winch launches pilot in comm gliding Aerotow launches pilot in comm gliding Bungee launches pilot in comm gliding Hours aerobatics in gliders or aeroplanes Hours PIC SLMG/TMG Take-offs PIC SLMG/TMG Hours pilot under training SLMG/TMG Flights towing gliders as PIC of the towing aircraft I confirm that the supplied information is correct I have enclosed copies of the logbook evidence. Applicants Signature: Date: I have seen the enclosed logbook documents I certify that they are a complete accurate copy of the original. Signed: Name: Date: CFI/Secretary/Chairman (delete as req d) Page 5

22 Page 6 Deliberately blank

23 6. PAYMENT All fees are payable to the BGA in advance with the application. Cheques must be payable to The British Gliding Association If paying by credit or debit card, please complete the following: Card Holders Name (in full) Amount in sterling Card No Expiry Date / Valid From / Card Security No. (last 3 numbers) Address of Cardholder if different from applicant Postcode: Send the completed application form, certified copies of documents payment to; British Gliding Association 8 Merus Court Meridian Business Park Leicester LE19 1RJ Page 7

24 Application for EASA Part-FCL Pilot Licence - Conversion of an Existing National or JAR-FCL Licence Issued by the United Kingdom Please complete this form online (preferred method) then print, sign submit as instructed. Alternatively, print, then complete in BLOCK CAPITALS using black or dark blue ink. Unique No. (to be completed by CAA) Please read attached Guidance Notes before completing this form. European Commission Regulation (EU) No. 1178/2011 as amended, requires that an individual has all of their licences administered by the National Aviation Authority that holds their medical records (Part MED.A.030 Part FCL.015). If your medical records are not held by the UK CAA, your application will be rejected. FALSE REPRESENTATION STATEMENT It is an offence under Article 231 of the Air Navigation Order 2009 to make, with intent to deceive, any false representation for the purpose of procuring the grant, issue, renewal or variation of any certificate, licence, approval, permission or other document. This offence is punishable on summary conviction by a fine up to 5000, on conviction on indictment with an unlimited fine or up to two years imprisonment or both. 1. APPLICANT DETAILS (The Applicant is responsible for payment of CAA charges) To be completed by the Applicant CAA Personal reference number (if known): Title:... Forename(s):... Surname:... Date of birth (dd/mm/yyyy):... Nationality:... Town of birth:... Country of birth:... Permanent Address: Postcode:... Telephone:... Mobile telephone: ADDRESS FOR CORRESPONDENCE (if different from above) To be completed by the Applicant Postal Address: Postcode: MEDICAL FITNESS To be completed by the Applicant Class of Medical Certificate held Date of last Medical Date of Expiry CAA use only Note: Your medical Certificate must be valid on the licence issue date. If your Medical Certificate is due to expire within 14 days after the date of application for licence issue, please complete the following My medical examination will take place at:... on:... A licence will not be issued to any person unless their medical records supporting their Part-MED medical certificate are held by an Aeromedical Centre located in the United Kingdom. European Commission Regulation (EU) No. 1178/2011 as amended, requires that an individual has all of their licences administered by the National Aviation Authority that holds their medical records (Part-MED.A.030 Part-FCL.015). Form SRG 1104 Issue 09 Page 1 of 7