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513B Form Approved Training Organization Certificate
CAAP form for approved training organization certificate
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: APPLICATION FOR
APPROVED TRAINING ORGANIZATION
CERTIFICATE
INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for
CAAP use only. Submit original only to the CAAP Flight
Standards & Inspectorate Service or a CAAP Authorized
Person.
A.
ATO INFORMATION:
1.
NAME OF ATO APPLICANT OR HOLDER
2.
PERMANENT ADDRESS (Street or PO Box Number)
3.
TELEPHONE AND FAX
4.
CITY
5.
LOCATION OF MAIN OPERATIONS BASE
B.
APPLICATION IS HEREBY MADE FOR:
1.
2.
3.
4.
STATE/PROVINCE
6.
Level 1
MAIL CODE
LOCATION OF SATELLITE BASE(S)
Level 2
Level 3
Issuance of a ATO Certificate and associated ratings to conduct the training courses identified below, and for the approval of these courses (three
copies of each course curriculums are attached).
ATO Certificate #:
Expiration Date:
Renewal of existing ATO Certificate and associated ratings.
(a)
Without changes to the currently approved course outline.
(b)
With addition of course(s) identified below for which is requested (three copies of each course curriculums are attached).
(c)
With deletion of course(s) identified below form the curriculum.
ATO Certificate #:
Expiration Date:
Amending the current ATO Certificate/Training Specifications and associated ratings.
(a)
By adding the course(s) identified below for which approval is requested (three copies of each course curriculums are attached).
(b)
By deleting the course(s) identified below from the curriculum.
ATO Certificate #:
Amending the current ATO Certificate/Training Specifications name and/or address/ base of operations.
(a)
Changes in the ATO Certificate name.
Previous Data:
Propose Data:
C.
ADD
COUNTRY
IDENTIFICATION OF TRAINING COURSES:
+DLE
DELETE
COURSE TITLE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
If more space is needed, please attach additional page(s).
D. EQUIPMENT REQUIRING SPECIAL APPROVAL:
FSTD LEVEL
LOCATION
EQUIPMENT DESCRIPTION
1.
2.
3.
4.
5.
6.
7.
If more space is needed, please attach additional page(s).
CAAP Form 513B [1]2017
Control Number
Expiration Date:
APPLICATION FOR
APPROVED TRAINING ORGANIZATION
CERTIFICATE
E. IDENTIFICATION OF TRAINING AIRCRAFT/S:
ADD
+DLE DELETE
AIRCRAFT REGISTRATION
M/M/S
ADD
+DLE
INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for
CAAP use only. Submit original only to the CAAP Flight
Standards & Inspectorate Service or a CAAP Authorized
Person.
DELETE
1.
2.
3.
4.
5.
AIRCRAFT REGISTRATION
M/M/S
6.
7.
8.
9.
10.
If more space is needed, please attach additional page(s).
F.
MANAGEMENT PERSONNEL AND INSTRUCTORS:
ADD
+DLE
DELETE
NAME
POSITION
PEL NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
If more space is needed, please attach additional page(s).
G.
ADDITIONAL APPLICATION ATTACHMENTS:
ATO Training & Procedures Manual
Part 3 Conformance Checklist
Facility Description & Layout
Proposed Student & Staff Records
1.
2.
3.
4.
H.
Proposed Graduation Certificate
Proposed Transcript Record
Management Resumes
Instructor Resumes and their courses
If more space is needed, please attach additional page(s).
5.
6.
7.
8.
7. Quality Assurance System
8. Instructor Resumes and their courses
9. Safety Management System
10. Others:
APPLICANT’S CERTIFICATION – I certify that all statements and answers provided by me on this application form are complete and true to the best of
my knowledge and I agree that they to be considered as part of the basis for issuance of any CAAP certificate to me.
1. DATE
A person shall not with intent to deceive or make any false
representation for the purpose of procuring for himself or any
other person the grant, issue, renewal or violation of any such
license…
2. APPLICANT SIGNATURE:
3. PRINTED NAME AND TITLE OF APPLICANT:
I.
CAAP CERTIFICATION:
1.
APPROVED with associated ratings bearing the number shown above.
Effective Date: ___________________
Expires On: _____________________________
Renewal
without Amendments
3. Signature of Approving Official
CAAP Form 513B [1]2017
4. Title
with Amendments
2.
Amendment
5. Date
Control Number
DISAPPROVED
