Form ECAR 143-2 Application for issue, renewal, or amendment of an Air Navigation Training Organisation Certificate under ECAR Part 143
For Application For Renewal For Amendment	Complete Sections 1 to 9. Complete sections 1 to 7. Section 8: Update if there are any changes. Section 9: List personnel, and update qualifications & experience as necessary. Note: For any changed senior persons the appropriate CV must be completed and provided. Complete sections 1 to 4 and those Sections appropriate to the requested amendment. If you wish to add additional text to explain a reason for the amendment, write it after Section 8.
The provision of false information or failure to disclose information relevant to the grant or holding of an aviation document constitutes an offence of the Civil Aviation Law No. 28 of The Year 1981 and is subject to the penalties stated by ECAA. Send the completed application and supporting documentation to: ECAA Executive Chairman Egyptian Civil Aviation Authority Ministry of Civil Aviation building Cairo airport road

1. Questionnaire

The following questions must be answered for initial issue and for renewal	Yes*	No
(a)Has the organisation been convicted for any transport safety offence in the last five years or is the organisation presently facing charges for a transport safety offence?
(b) Has the organisation previously had an application for an aviation document rejected or has an aviation document held by the organisation been suspended or revoked?
· If answering “Yes”, please provide details on separate sheets enclosed in a sealed envelope marked “Confidential”, ECAA Executive Chairman Egyptian Civil Aviation Authority”. Include organisation name and the type of certificate applied for.

2. Declaration

I have a current copy of ECAR Part 143 and have read and understood its contents as it applies to this application for Air Navigation Training Organisation Certificate, or renewal or amendment of the Certificate. I also have a copy of EAC 143-1.

This application is made for and on behalf of the organisation identified below. I certify that I am empowered by the organisation to

ensure that all activities undertaken by the organisation can be financed and carried out in accordance with ECAR Part 143.51(A)(1)

Full name of Accountable Manager: ............................................................................................................

Signature: ................................................................. Date of application:.................................................

3. Reason for Application - Mark appropriate box(es)

Initial issue: Renewal: Amendment

4. Organization Details

(a) Legal name of organisation:

The certificate will be issued in this name

(b) Trading name: (if any)

(d) Address for service.

Tel: Fax: Email:

(e) Postal Address:

(If different from Address for Service)

Tel: Fax: Email:

(f) Address of Satellite Training Center: (if any)

Tel: Fax: Email:

(f) Contact Person: Name:

Title:

Tel: Fax: Email:

5. Senior Persons (refer ECAR Part 143.51)

For initial issue or for a change of Senior Persons, a separate CV must accompany this application for each of the senior persons nominated below.

No.	Names of senior persons	Titles
1.
2.
3.
4.
5.
6.
7.
8.
9.

6. Training Courses and/or Examining Authority (Mark appropriate box(es)) (Ref. ECAR part 143.57)

A. Approved Training Courses

A separate Course Design Document must accompany this application for each of the courses marked below.

Course Code	Name of the Approved Training Courses	Examining Authority
051- ATC	ATS AB INITIO
052-ATC	Aerodrome Control
053-ATC	Approach Control Non-Radar (Procedural)
054APR-ATC	Approach Radar Control
055-ATC	Area Control Non-Radar (Procedural)
054RAC-ATC	Area Radar Control
052A-AIS	ATS Reporting Office
021-AIS	Aeronautical Information Service
021A-AIS	AIS Specialist
022-AIS	AIS Cartography
155-AIS	Basic PANS / OPS Procedure design
029A-AIS	AIS Automation
171-COM	Aeronautical Mobile Service Operator
172-COM	Aeronautical Fixed Service Operator
174A-COM	Advanced Radioteletype Operations
174B-COM	Advanced Radiotelephony Operations
179-COM	Communication operation technical knowledge
176-COM	Aeronautical Communication Service Supervisor
177-COM	Special messages checking and accounting
179B-COM	VHF VOLMET broadcast
069A-ATR	Air Transport Specialist
061-ATR	Air Transport Statistics
062-ATR	Air Transport Economics
123A-ATS	Aviation Security
211-ATS	Basic Instructional Techniques
211A-ATS	OJT Instructional Techniques
211B-ATS	Assessors and Verifiers Course

B. Accepted Training Courses:

A separate Course Design Document must accompany this application for each of the courses mentioned below.

No.	Name of the Training Course	No.	Name of the Training Course
1.		16.
2.		17.
3.		18.
4.		19.
5.		20.
6.		21.
7.		22.
8.		23.
9.		24.
10.		25.
11.		26.
12.		27.
13.		28.
14.		29.
15.		30.

7. The Training Specifications

Item	Specification	Ratings	Qualifications
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.

8. Facilities and Resources (Ref. ECAR part 143.53)

Provide brief details of the facilities and resources that are to be used to provide the training.

9. List of Personnel

List those personnel, who are to plan, conduct and supervise the training courses listed in Section 6. (Ref. ECAR Part 143. 51).

A separate CV together with the qualifications and experience for each of the persons nominated below must accompany this application.

No.	Name	ATC/AIS/COM/ATR Instructor	No.	Name	ATC/AIS/COM/ATR Instructor
1.			16.
2.			17.
3.			18.
4.			19.
5.			20.
6.			21.
7.			22.
8.			23.
9.			24.
10.			25.
11.			26.
12.			27.
13.			28.
14.			29.
15.			30.

CAA Office Use Only

Date Received...................................................................................Receipt No: ..........................................................................

Assessed by: ......................................................................................................(ATS Inspector) Date:.........................................

Assessed by: ......................................................................................................(ATS Inspector) Date:.........................................

Database complete:....................................................................Certificate issued:........................................................................