Flight Safety Department

Libyan Civil Aviation APPLICATION FORM FOR

Authority ISSUE FLIGHT DISPATCHER
PEL SECTION LICENSE

APPLICATION FORM FOR ISSUE FLIGHT DISPATCHER LICENSE

1.Personal details
Applicant’s name

Date of birth Place of birth

Nationality Passport No.

Address Phone No.
Email

2. Medical Certificate Information

Date of issue Validity
Class Limitation

3. Supporting Documents (please ) and must be attached . 

a- Certificate of complete course from approved training organization (ATO) .

b- Valid Medical certificate class III .
c- ELP certificate at least level four.
d- Copy of Passport
e- CAA result exam (pass).
f- Criminal certificate.
g- 3 personal Photos .
h- Secondary education certificate (or equivalent) .
I- Fees .

4. Applicant Signature
I hereby declare that:
• The information given is true and correct and that the documents attached are authentic
Applicant Name:

Applicant Signature : Date :

FSD-PEL-17- F.DIS ISSUE DATE :17.07.2018