# Commission Regulation (EU) 2015/340 of 20 February 2015 laying down technical requirements and administrative procedures relating to air traffic controllers' licences and certificates pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council, amending Commission Implementing Regulation (EU) No 923/2012 and repealing Commission Regulation (EU) No 805/2011 (Text with EEA relevance), Division ATCO.AR.F.005: Medical certificate

Extent: E+W+S+N.I.

The medical certificate shall conform to the following specifications:
(a)Content:
(1)State in which the ATCO licence has been issued or applied for (I);
(2)Class of medical certificate (II);
(3)Certificate number commencing with the UN country code of the United Kingdom and followed by a code of numbers and/or letters in Arabic numerals and Latin script (III);
(4)Name of the holder (IV);
(5)Nationality of the holder (VI);
(6)Date of birth of the holder (XIV);
(7)Signature of the holder (VII);
(8)Limitation(s) (XIII);
(9)Expiry date of the class 3 medical certificate (IX);
(10)Date of examination;
(11)Date of last electrocardiogram;
(12)Date of last audiogram;
(13)Date of issue and signature of AME or medical assessor that issued the medical certificate (X);
(14)Seal or stamp.
(b)Material: The paper or other material used shall prevent or readily show any alterations or erasures. Any entries or deletions to the form shall be clearly authorised by the CAA.
(c)Language: Medical certificates shall be written in ... English and in such a language that the CAA deems appropriate.
(d)All dates on the medical certificate shall be written in a dd/mm/yyyy format.

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Source: https://www.legislation.gov.uk/eur/2015/340/annex/II/part/ATCO.AR/division/subpart+f/section/2/division/atco.ar.f.005 (the official version)
Page: https://openlegislation.uk/eu-regulation-2015-340/annex-II/part-ATCO.AR/division-subpart+f/section-2/division-atco.ar.f.005
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.