Cabinet of Ministers Regulations No. 698 in 2016 (November 1. No. 58 12) Civil Aviation staff medical check-up, medical certificates issued by aviation medical expert and aviation medical center certification Issued in accordance with the law "on the air", article 18.7 second and third part i. General questions 1. determines the order in which: 1.1. civil aviation staff performing health checks; 1.2. civil aviation personnel are issued medical certificates; 1.3. certified aviation medical experts; 1.4. certification of aviation medical centres. 2. the National Agency for Civil Aviation Agency "(hereinafter referred to as the Civil Aviation Agency) certified aviation medical experts and aviation medical centres, as well as issue: 2.1. this rule 13.1, 13.2, 13.4 and 13.5 health certificate referred to in Commission 3 November 2011 of Regulation (EU) No 1178/2011 on the technical requirements and administrative procedures for civil aviation flight crew under the regulation of the European Parliament and of the Council (EC) No 216/2008 (hereinafter Regulation No 1178/2011) Subpart A of annex IV, section 2 of the MED. Paragraph (a). 040 "f" in the cases prescribed in paragraph; 2.2. this rule 13.3. health certificate referred to in Commission 20 February 2015 Regulation (EU) No 2015/340, on the technical requirements and administrative procedures in air traffic controller licences and certificates under the regulation of the European Parliament and of the Council (EC) No 216/2008, amending the Commission's implementing Regulation (EU) no 923/2012 and repealing Commission Regulation (EU) No 805/2011 (hereinafter Regulation No 2015/340) Subpart A of annex IV, section 2 of the ATC. HONEY. Paragraph (a). 040 "f" in the cases prescribed in paragraph; 2.3. health certificates for: 2.3.1. health certificate the applicant changes the State or authority which issued him a certificate of aviation personnel licence certificate, granted the qualification or an attestation; 2.3.2. health certificate applicants arriving to repeated health check can not submit the aviation medical examiner previously issued health certificate; 2.3.3. health certificate health certificate to the applicant contains the limitation that defines specific requirements for health checks. 3. Civil Aviation Agency referred to in these provisions for decision-making may invite experts, competent experts in the medical field. 4. the requirements of this regulation do not apply to health checks on persons shall be issued an aircraft maintenance licence. 5. the European Aviation Safety Agency the documents developed by Regulation No 866/requirements for 2011 – "The means of compliance and guidance. With the part "(hereinafter Regulation No 1178/2011 with part of the guidelines)," relevant means of compliance and guidance. HONEY "(hereinafter Regulation No 1178/2011 MED part guidelines)," relevant means of compliance and guidance. Ora part "(hereinafter Regulation No 1178/2011 OR part of guidelines) and Regulation No 2015/340 application of requirements," The features of compliance and guidance. Atco. With the part "(hereinafter Regulation No 2015/340 Atco. With parts of the guidelines), "relevant means of compliance and guidance. Atco. HONEY part "(hereinafter Regulation No 2015/340 Atco. Part of the guidelines) and HONEY ' means of compliance and guidance. Atco. Or part "(hereinafter Regulation No 2015/340 Atco. Or part of the guidelines) – have been translated into Latvian and published the Civil Aviation Agency tīmekļvietn (URwww.caa.lv). II. Health and health inspection certificate issuance 6. First health check carried out by the civil aviation personnel: 6.1 aviation medical center – the first and third class medical certificates; 6.2. Medical Center of aviation or aviation medical examiner-second grade, LAPL (recreational) and the aircraft cabin crew medical certificates. 7. civil aviation staff health certificate health check to perform aviation medical center or the aviation medical examiner. 8. Health certificate applicant, upon arriving on the health check of the health certificate, aviation medical examiner show identity documents and submit to: 8.1. Regulation No. 1178/2011 annex IV (A) of section 2 of the bottom HONEY. A. in paragraph "b" 035 and "c" the documents referred to in the first class, second class, LAPL (recreational) and the aircraft cabin crew medical certificates; 8.2. Regulation No 2015/340 annex IV (A) of section 2 of the ATC at the bottom. HONEY. A. in paragraph "b" 035 and "c" the documents referred to in the third class medical certificates; 8.3. applications: 8.3.1 pursuant to Regulation No. 1178/2011 with parts of the guidelines with the AMC1. Med. 135. subparagraph of point "a" to the requirements of the first class, second class, LAPL (recreational) and aircraft cabin crew medical certificates; 8.3.2. According to Regulation No 2015/340 Atco. With parts guides Atco AMC1. With. f. 020. the requirements referred to in point a third-class medical certificate; 8.4. the psychiatrist's opinion on the State of health; 8.5. narkolog opinion on the State of health; 8.6. the family doctor's opinion about the State of health of the medical facts concerning personal and inherited disease history. 9. This rule 8.4., 8.5 and 8.6. the opinions referred to in the medical certificate, the applicant shall submit, upon arriving to the first health check. 10. Medical Center of aviation or aviation medical examiner, within 30 days after this Regulation referred to in paragraph 8 of document receipt, undergo a medical examination in paragraph 11 of these rules specified health checks. That time limit may be extended for a reasonable period of time according to the activities to be carried out, where, according to aviation medical examiner, aviation medical center or the Civil Aviation Agency assignment you need to perform an additional health checks. 11. Aero-medical expert or specialist, at which the health licence is posted under the laws and regulations on the treatment of personal competence, evaluate: 11.1. first class, second class and the LAPL (recreational) health certificate of the applicant's State of health, compliance with Regulation No 866/2011 annex IV (B) 2 and 3 at the bottom of the section and the Regulation No. 1178/2011 MED part of part B guidelines for these requirements. 11.2. the aircraft cabin crew medical certificates of the applicant's State of health, compliance with Regulation No 866/2011 C of annex IV, section 2 of the bottom and Regulation No 1178/2011 MED guidelines, part C part of these requirements. 11.3. a third class medical certificate, the applicant's State of health, compliance with Regulation No 2015/340 Subpart B of annex IV, section 2 and Regulation No 2015/340 Atco. HONEY part B guidelines. 12. If the aviation medical expert or specialist carried out test results are not sufficient to assess the medical certificates of the applicant's State of health, aviation, aviation medical examiner, medical center or the Civil Aviation Agency, justified, may require additional health screening and examination. 13. If the licence of health health status complies with this rule 11.1., 11.2 or 11.3 above. these requirements, Aviation Medical Center Manager of the aviation medical examiner issued: 13.1. first class medical certificate: 13.1.1. commercial; 13.1.2. airline transport pilots (pilots the plane or helicopter); 13.1.3. daudzpilot command pilots; 13.2. second class medical certificate: 13.2.1. privâtpilotu; 13.2.2. glider pilots; 13.2.3. balloon pilots; 13.2.4. studentpilot, which claim to be the flight crew licence, which requires a second class medical certificate; 13.2.5. aviators – radiotelephony operators; 13.2.6. aviators – cargo operators; 13.2.7. aviators – observers; 13.2.8. parachute (instructors); 13.2.9. pilots-navigators; 13.2.10. aviators, engineers; 13.3. a third class medical certificate: 13.3.1. air traffic controllers; 13.3.2. air traffic information service operators; 13.4. the LAPL (recreational) health certificate – recreational and studentpilot, which claim to be the flight crew licence, which requires the LAPL (recreational) class of medical certificate; 13.5. the aircraft cabin crew medical certificates, aircraft cabin crew. 14. The health certificate the State of health of the applicant partially meets this rule 11.1, 11.2 or 11.3. the requirements referred to in point, but it is permissible for the relevant class medical certificates issued Regulation No. 1178/2011 annex IV (A) of section 2 of the bottom HONEY. Paragraph (a). 040 "f" or under Regulation No 2015/340 annex IV (A) of section 2 of the ATC at the bottom. HONEY. Paragraph (a). 040 "f" in the cases in point, the Civil Aviation Agency, taking into account the safety risks, assess the health of the applicant for the certificate health condition and take appropriate decisions. 15. the health certificate shall be issued: 15.1 these rules 13.1, 13.2 and 13.4. the health certificate referred to in the applicant under Regulation No 866/2011 with parts of the guidelines with the AMC1. Med. 130. the requirements referred to in paragraph 1; 15.2. This provision as referred to in point 13.3. health certificate to the applicant pursuant to Regulation No 2015/340 Atco. With parts guides Atco AMC1. With. (f) in paragraph 005 requirements; 15.3.13.5 these terms referred to in the medical certificate to an applicant under Regulation No 866/2011 part guidelines AMC1 HONEY HONEY. C. in paragraph 448 above requirements. 16. the health certificate validity period is the following: 16.1 these rules 13.1, 13.2 and 13.4. the health certificate referred to in point is valid pursuant to Regulation No. 1178/2011 annex IV (A) of section 2 of the bottom HONEY. A. in paragraph set 045 expiry date; 16.2. the provisions referred to in paragraph 13.3. certificate is valid pursuant to Regulation No 2015/340 annex IV (A) of section 2 of the ATC at the bottom. HONEY. A. in paragraph set 045 expiry date; 16.3. the provisions referred to in paragraph 13.5 of the health certificate is valid for 24 months. 17. the health certificate validity period can be reduced according to the results of health surveillance, if they show that the health certificate of the applicant's health condition during the validity period of the certificate could worsen. The need to reduce the period of validity shall be assessed Civil Aviation Agency in accordance with Regulation No 866/2011 B of annex IV, section 1 of the bottom and Regulation No 2015/340 Subpart B of annex IV, section 1. 18. Aviation medical examiner or aviation Medical Center Manager within 14 days after the health examination submitted to the Civil Aviation Agency signed on: 18.1. first class, second class, LAPL (recreational) and aircraft cabin crew licence health health inspection results according to Regulation No 866/A, Subpart IV 2011 MED. A. 025 b. 4. under Regulation No 866/2011 with parts of the guidelines with the AMC1. Med. 135. point "a", "b", "c", with GM1. HONEY. 135. in paragraph "b" and "c" under these requirements. 18.2. third grade health licence health inspection results according to Regulation No 2015/340 lower ATC annex IV (A). HONEY. A. 025 b. 4. and in Regulation No 2015/340 Atco. With parts guides Atco AMC1. With. f. in paragraph 193 above requirements. 19. This rule 18.1 and 18.2. information referred to in the aviation medical examiner or aviation Medical Center Manager within two working days, submit to the Civil Aviation Agency, if the health certificate is issued to the applicant a certificate of health certificates, refusal or suspension, as well as Regulation No. 1178/2011 annex IV (A) of section 2 of the bottom HONEY. Paragraph (a). 040 "f" above, and Regulation No 2015/340 annex IV (A) of section 2 of the ATC at the bottom. HONEY. Paragraph (a). 040 "f" in the cases in point. 20. the health certificate holder does not use their medical certificates issued to the rights granted and of Regulation No 1630/2011 bottom A of annex IV section 1 MED. A. 020, Regulation No 866/2011 part guidelines AMC1 HONEY HONEY. A. 020, Regulation No 2015/340 (A) of annex IV, section 1 of the ATC at the bottom. HONEY. A. in paragraph 193 and Regulation No 2015/340 Atco. HONEY part guidelines GM1 Atco. HONEY. (A) specified in paragraph 193. immediately notify the aviation medical examiner, aviation medical center or the Civil Aviation Agency about his health status changes. III. the aviation medical examiner certification 21. Aviation medical examiner's certificate may apply to a person who complies with the provisions of Regulation No 1630/2011 bottom (D) of annex IV, section 1 of the MED. D. paragraph 010 and Regulation No 1178/2011 part guidelines AMC1 HONEY HONEY. D. paragraph 010. 22. for the aviation medical examiner's certificate, the medical establishment, the person who wants to become an aviation medical examiner (hereinafter the aviation medical examiner the applicant) shall submit a written Civil Aviation Agency submissions aviation medical examiner's certificate (annex 1). 23. the medical institution where the work of the aviation medical examiner candidate, you must have the following equipment: 12-lead electrocardiograph 23.1.; 23.2. Visual acuity determination tables; 23.3. color see table (ð. Ishihara 24 izohromatisk tables); 23.4. perimeter (detection field); 14.6. otorinolaringoskop; 14.7. spirogrāf; 23.7. clinical study of asinsain of laboratory equipment, hemoglobin and urīnanalīž. 24. This provision of the equipment referred to in paragraph 23.7. is not required if the medical establishment in which the work of the aviation medical examiner candidate, provides clinical laboratory examination for certified laboratory. 25. After receipt of the application to the Civil Aviation Agency shall check the conformity of the information this provision 21, 23 and 24. the requirements referred to in points and within one month of receipt of the application, shall take a decision on the authorisation to carry out health checks, issued by a medical institution in the aviation medical examiner candidate: 25.1. aviation medical examiner's certificate under Regulation No 866/2011 with annex VI. Med. 200. the requirements referred to in paragraph 1 of Regulation No 1630/2011 with annex VI. Med. 200. point "b" above deadlines: 25.1.1. second class, LAPL (recreational) and the aircraft cabin crew licence health health checks, if you run this provision 21, 23 and 24 above; 25.1.2. first class, second class, LAPL (recreational) and the aircraft cabin crew licence health health checks, if you run this provision 21, 23 and 24 of Regulation No 1630/2011 annex IV, HONEY. d. paragraph 015 and Regulation No 1178/2011 part guidelines AMC1 HONEY HONEY. d. 015. the requirements referred to in paragraph 1; 25.2. the aviation medical examiner's certificate under Regulation No 2015/340 F of annex II, section 2 of the ATC at the bottom. With. f. in paragraph 010 requirements referred to Regulation No 2015/340 C of annex IV of Subpart Atco. HONEY. C. in paragraph 025 deadlines third grade health licence health checks, if you run this provision 21, 23 and 24, in Regulation No 2015/340 ATC annex IV. HONEY. C. in paragraph 010 and Regulation No 2015/340 Atco. HONEY part guidelines Atco AMC1. HONEY. C. 015 the requirements referred to in paragraph. 26. If the application contains incomplete information or treatment equipment does not meet the requirements of these provisions, the Civil Aviation Agency, make a request in writing to the authority within one month of treatment after the receipt of the application, to clarify the information provided and eliminate identified shortcomings. 27. Civil Aviation Agency monitors: 27.1. Regulation No. 1178/2011 GEN of annex VI to the bottom. GEN 300. and with. GEN. 305. in accordance with the procedure laid down in paragraph treatment services and aviation medical examiner with: these provisions 27.1.1.21, 23 and 24, if the requirements of the aviation medical examiner received this rule 25.1.1. the certificate referred to in subparagraph a; 27.1.2. This provision 21, 23 and 24 of Regulation No 1630/2011 lower HONEY (D) of annex IV. D. paragraph 015 and Regulation No 1178/2011 part guidelines AMC1 HONEY HONEY. D. actions under 015. If the aviation medical examiner received this rule 25.1.2. the certificate referred to in point a; 27.2. the provisions of Regulation No 2015/340 of Subpart C of annex II ATCS. With. C. 001 and ATC with. (C) in paragraph 005 prescribed treatment services and aviation medical examiner's compliance with this provision 21, 23 and 24, in Regulation No 2015/340 C of annex IV of Subpart Atco. HONEY. C. in paragraph 010 and Regulation No 2015/340 Atco. HONEY part guidelines Atco AMC1. HONEY. C. referred 015 requirements if the aviation medical examiner received this rule 25.2. the certificate referred to in point. 28. Civil Aviation Agency shall inform the medical establishment of the time allowed to reproduce these provisions referred to in paragraph 27 of the supervision within the identified discrepancies. If the discrepancy found is not removed, the Civil Aviation Agency, within three working days after this period referred to in paragraph 1 is met, shall adopt a decision to cancel the aviation medical examiner's certificate. 29. The medical establishment within three working days after the receipt of the notification of the aviation medical examiner's certificate revocation to pass the Civil Aviation Agency. IV. Aviation Medical Center certification 30. Aviation Medical Centre certificate may apply to the medical establishment, which comply with the regulations set out minimum requirements for medical institutions, Regulation No 866/2011 annex IV, at the bottom of the AEMC. AEMC. in paragraph 110, Regulation No 866/2011 OR part of the bottom of the guideline requirements AEMC and led by aviation medical expert and works for at least the following specialists: 30.1. internist; 30.2. the ophthalmologist; 30.3. otorinolaringolog; 18.9. the surgeon; 5. a neurologist. 31. in order to receive Aviation Medical Center, the medical institution shall submit in writing to the Civil Aviation Agency submission (annex 2). 32. After receipt of the application to the Civil Aviation Agency checks the compliance of treatment this provision 30. the requirements referred to in paragraph 1 and the month following receipt of the application, shall take a decision on the aviation medical center certificate. 33. If the medical establishment does not meet the requirements of these provisions, the Civil Aviation Agency, make a request in writing to the authority within the period of treatment to ensure that rule 30, paragraph compliance with the requirements. 34. Aviation Medical Centre certificate shall be issued in accordance with Regulation No 866/2011 AEMC of annex VII OR lower. AEMC. 135. the point, with part 5 of annex VI, Appendix and Regulation No 2015/340 F of annex II to the bottom of the ATC. With. f. in paragraph 015. 35. Civil Aviation Agency Regulation No. 1178/2011 with. GEN. 300, with. GEN. paragraph 305 and 340 of Regulation No 2015/ATC. With. C. 001 and ATC. With. (C) in paragraph 005 duly monitored by the medical center of aviation compliance with this provision in paragraph 30. 36. The Aviation Medical Center for seven working days of receipt of the information notified to the Civil Aviation Agency for: 36.1. changes in the aviation medical examiner or the provisions referred to in paragraph 30 of the doctor; 36.2. the other changes according to the requirements of these provisions could significantly affect aviation medical center. 37. If the rules referred to in paragraph 35 of the supervisory framework has been found in non-compliance with the requirements of this provision, the Civil Aviation Agency in writing inform the aviation medical center on the need to prevent non-compliance found during the month from the date of receipt of the information. 38. Civil Aviation Agency takes a decision to render void an aviation medical certificate, if the Centre of the aviation medical center does not resolve the non-compliance found or aviation medical center the certificate. V. closing question 39. Be declared unenforceable in the Cabinet of Ministers of 2 February 2010 rules no. 97 "Civil Aviation staff medical check-up, medical certificates, and Aero-medical centres Aero-medical expert certification" (Latvian journal 21, 2010 no; by 2014, 3. no). Prime Minister Māris kučinskis traffic Minister Uldis Augul States annex 1 Cabinet 2016 November 1 Regulation No. 698 application aviation medical examiner's certificate (1) (2) (3) (4) of the code, birth date ___/___/___ ___ (5) medical establishment address _____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ phone ___ ___ _____ _____ _____ _____ email _____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ (6) doctor's diploma date ___/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ (7) treatment services certificate certificate number ____ _____ ____ valid until ___/___/___ ___ (8) medical certificate number sertifikātsSpecialitāt _____ _____ valid up to ___/___/___ ___ medical certificate notes specialty certificate number _ _ _ _ _ _ _ Valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a certificate number ____ ___ ___ date/___/___ ___ notes (9) proof that the candidate acquired the appropriate basic training course (CC) issued date ___/___/___ ___ and issuing authority ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ training course duration ____ _____ ____ (10) proof that the candidate acquired the appropriate additional training course (CC) issued date ___/___/___ ___ and the issuing organization _____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ training course duration ____ _____ ____ (11) Proof of qualification improvement measures in attendance in the last three years (copies) 1. date ___/___/___ ___ qualification improvement measures, the duration of the _____ ____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ skills event duration __ ___ _____ ___ issuing _____ ____ ____ 3. date ___/___/___ ___ qualification improvement measures, the duration of the _____ ____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ qualification improvement measures, the duration of the _____ ____ ____ issuing _____ ____ ____ 5. date ___/___/___ ___ qualification improvement measures, the duration of the _____ ____ ____ issuing _____ ____ ____ (12) outpatient card do not Have notes (13) do not Have the archive notes (14) required equipment is Not date ___/___/___ ___ hospital's driver signature _____ _____ _____ _____ _____ _____ _____ note. the document properties in the "signature" and "date" does not fill in, if an electronic document is drawn up according to the law on electronic document design.
Traffic Minister Uldis Augul 2. Annex Cabinet 2016 November 1 Regulation No. 698 application aviation medical centre certificate (1) hospital's name (2) the medical iestādesAdres a ____ _____ ____ ___ _____ ___ phone ___ _____ email _____ ____ ____ ____ ____ ___ (3) medical establishment operates separate stationary (4) aviation medical center ceo first name last name social security number – aviation medical examiner for sertifikātsNumur ____ _____ ____ valid until ___/___/___ ___ issuing ____ _____ ____ of ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ the medical certificate specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ Valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a ____ _____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (5) Otorinolaringolog name last name social security number – the documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 5. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ _____ ___ for ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ _____ ___ certificate of specialty Doctors __ _____ _____ _____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a ____ _____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (6) Ophthalmologist of first name last name user ID of the Person, documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 5. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ Ārs a (a) diplomsDatum _ __/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ the medical certificate specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a ____ _____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (7) a neurologist first name last name user ID of the Person, documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ il training courses gum a ____ _____ ____ issuing _____ ____ ____ 5. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ _____ ___ for ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ the medical certificate specialty ____ ____ ____ ____ Certificate number ____ ____ valid until ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a ____ _____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (8) Internist first name last name user ID of the Person, documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 5. date ___/___/___ ___ training course duration ____ ____ _____ __ issuing _____ _____ and the doctor is diplomsDatum ___/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ medical specialty certificate certificate number valid up to ___/___/___ ___ medical certificate notes specialty certificate number date ___/___/___ ___ notes doctor sertifikātsSpecialitāt is the number of the certificate valid up to ___/___/___ ___ notes (9) the surgeon first name last name user ID of the Person, documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ date __ 5. _/___/___ ___ Training course duration ____ _____ ____ issuing _____ _____ ___ for ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ the medical certificate specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a ____ _____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (10) others were ____ ____ ____ ____ ____ ____ name last name social security number – the documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ Ap the duration of the training course __ ___ _____ ___ issuing _____ ____ ____ 4. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 5. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ _____ ___ for ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ the medical certificate specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (11) other ____ ____ ____ ____ ____ ____ name last name social security number – the documents certifying the acquisition of theoretical knowledge in Aviation Medicine (copy) 1. date ___/___/___ ___ Training u a course _____ ____ ____ issuing _____ ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 3. date ___/___/___ ___ training course duration ____ _____ ____ issuing _____ ____ ____ 4. date ___/___/___ ___ training course duration _____ ____ ____ ____ issuing ____ ____ 5. date ___/___/___ ___ training course duration _____ ____ ____ ____ issuing _____ ___ for ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ medical specialty certificate certificate number valid up to ___/___/___ ___ medical certificate notes specialty certificate number date ___/___/___ ___ notes doctor sertifikātsSpecialitāt is the number of the certificate valid until __/___/___ ___ notes (12) ____ other ____ ____ ____ ____ ___ first name last name social security number – documents proving the theory learned in Aviation Medicine (copy) 1. date ___/___/___ ___ training course duration _____ ____ ____ ____ issuing ____ ____ 2. date ___/___/___ ___ training course duration ____ _____ ____ ___ issuing _____ ____ 3rd date ___/___/___ ___ training course duration _____ ____ ____ ____ issuing ____ ____ 4. date ___/___/___ ___ training course duration _____ ____ ____ ____ issuing ____ ____ 5. date ___/___/___ ___ training course duration _____ ____ ____ ____ issuing _____ ___ for ___ of doctor diplomsDatum/___/___ ___ diploma number ____ _____ ____ issuing _____ ____ ____ the medical certificate specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ medical certificate notes specialty ____ ____ ____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes doctor sertifikātsSpecialitāt a ____ _____ ____ certificate number ____ ____ valid up to ___/___/___ ___ notes (13) outpatient card do not Have notes (14) do not Have the archive comments (15) the required aviation medical center facilities Are Not date ___/___/___ ___ hospital's driver signature _____ _____ _____ _____ _____ _____ _____ note. the document properties in the "signature" and "date" does not fill in, if an electronic document is drawn up according to the law on electronic document design.
Traffic Minister Uldis Augul States