Company Name Document No

የየየየየየ የየየ የየየየየ የየየየየየ ECAA/PEL/OF/012

ETHIOPIAN CIVIL AVIATION AUTHORITY

Document Title Issue No Page No.

Application for Pilot School Certificate 1 Page 1 of 2

NAME OF SCHOOL ADDRESS OF SCHOOL CERT. No.

LOCATION OF MAIN BASE LOCATION OF SATELLITE BASE (if any)

I, WE HREBY APPLY FOR

Issuance of pilot school Certificate and Associated Ratings to Conduct Training Courses Identified below and for approval of
these Courses

 Renwal of pilot School Certificate and Associated Ratings

Amendment of the Current Pilot school cerifcate and ratings adding or deletion of Courses Identified below.

IDENTIFICATION OF TRAINING COURSES

1 11

2 12

3 13

4 14

5 15

6 16

7 17

8 18

PLEASE MAKE SURE THAT THIS IS THE CORRECT ISSUE BEFORE USE
 Company Name Document No

የየየየየየ የየየ የየየየየ የየየየየየ ECAA/PEL/OF/012

ETHIOPIAN CIVIL AVIATION AUTHORITY

Document Title Issue No Page No.

Application for Pilot School Certificate 1 Page 2 of 2

9 19

10 20

I, (We) certify I am (weare) familiar with CAA Directive6.4 to the best of my (our) knowledge Believe that my (our) knowledge Believe
that my (our) school meet/meets the requirement for certification as prescribed therin

TITLE OF SiGNATORY SIGNATURE ------ DATE-------------

FOR CAA USA ONLY

 APPROVED  DISAPPROED

COMMENT OF INSPECTOR

SIGNTURE OF INSPECTOR -----------------------------

DATE ------------------------------------------------------------

PLEASE MAKE SURE THAT THIS IS THE CORRECT ISSUE BEFORE USE