Form 61-1ADF

Flight Crew Licence Application

on the Basis of ADF Qualifications
Refer to: CASR 61.285

CASA Stamp:

IMPORTANT INFORMATION FOR APPLICANTS

1: For currently serving ADF personnel, confirmation of your aeronautical experience must be signed by your
Commanding Officer and submitted with this application. This Certification document is included in Annex 1 Section A of
this form on page 6. If your Commanding Officer is unable to confirm your experience, this can be completed by the Office
of Airlift & Training Air Force Headquarters.
2: For former members of the ADF, you must have your aeronautical experience confirmed by the Office of Airlift &
Training Air Force Headquarters. This Certification document is included in Annex 1, Section A of this form on page 6.
3: To qualify for a CASA private or commercial pilot licence, you must have completed specific courses. These courses are
identified in the certification document in Annex 1. To qualify for a flight instructor rating you must have completed the
appropriate course, identified in Annex 1, Section D iv.
4: You must include a certified true copy of specific pages of your logbook that provide evidence of your qualifications. The
pages required include the Certificate of Qualifications as a Pilot (aircraft type endorsement, initial and postgraduate
flying qualifications, competencies and renewals). You must also include the last 3 full page openings of your logbook.
5: You must meet security requirements before being issued a flight crew licence. There are a number of ways you can
meet these requirements. Refer to the ASICs and AVIDs webpage for details. Please indicate in Section A2 how you meet
the security requirements.
Note: A CASA Flight Crew Licence cannot be issued until you have been issued with an ASIC or AVID.
6: CASA must ensure an applicant is a fit and proper person before issuing a permission. Therefore the information
requested in Section A4 is still required, even if you hold a valid ASIC or AVID.
7: If you do not currently have a CASR Part 61 licence document, you may also need to submit additional documentation:
Form 61-9PIC Lodgement of Current Photo with CASA.
8: Payment for this application can be made online. Go to the CASA webpage and click the Payment button. You must
attach a copy of the receipt with this application.
9: This form can be completed electronically and saved locally to your computer. Once the ARN has been entered into the
first page, it will automatically update the applicant ARN fields on subsequent pages. CASA recommends that applicants
complete as much of the form electronically as possible.
10: If you do not have an ARN, you must submit Form 1162 (Aviation Reference Number (ARN) Application) including
appropriate identification with this application. This will satisfy the mandatory requirement for the ARN.
11: Please ensure your application and the checklist are completed correctly and that all required supporting documentation
is provided. Incomplete applications will not be accepted and may be returned to you for amendment. Fields and sections
marked with an * are mandatory.

Applicant Details as per Birth Certificate / Passport: Applicant ARN:*

Title:* __________________________________
Family Name:* __________________________________
Given Names:* __________________________________
Date of Birth:* __________________________________

CONTACT DETAILS
You are required to notify of any changes to your personal contact information (refer to CASR 11.70), information on how to
change your contact details is available on CASA website https://www.casa.gov.au/services/standard-page/changing-your-
details.
All correspondence, including permissions issued as a result of this application, will be sent by email or post to your current
contact details according to CASAs records.

Privacy Statement: Any personal information you provide to CASA is protected by the Privacy Act 1988 (Cth). CASA can
only collect, use and disclose that information in accordance with that Act. CASA will use the information collected in this
form for purposes associated with performing its functions under the Civil Aviation Act 1988, the Airspace Space Act 2007,
the Aviation Transport Security Act 2004 or the regulations made under those Acts. For full details on how CASA collects,
protects and uses personal information, please refer to CASAs Privacy Policy.

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 1 of 10
Initial Issue Flight Crew Licence on ARN:
the Basis of ADF Qualifications

Application Type:
Issue of flight crew licence with or without operational ratings and/or endorsements sections A, B(1), C, D, Payment
Authorisation and Annex 1 are MANDATORY. Complete sections B2, B3 and B4 as applicable for the qualifications being
sought

Issue of additional operational ratings and/or endorsements on existing licence sections A1, C, D, Payment
Authorisation and Annex 1 are MANDATORY. Complete sections B(1) class/type ratings, B2, B3 and B4 as applicable for
the qualifications being sought.

Section A: Qualification Details*

1. Personal Details
PM Keys Branch of Service Graduated Date Graduated Pilots / FEL Course Date Graduated OFT/IFC/ROBC/LFT

RAAF NAVY ARMY

_____ / ______ / ______ _____ / ______ / ______

2. Security Check Requirements Refer to Aviation Transport Security Regulations 2005

Please select the option below that applies to you:
I am at least 18 years of age and hold a valid Aviation Security Identification Card (ASIC) or Aviation
Identification (AVID). Attach a certified true copy.
ASIC/AVID application form has been submitted to the CASA ASIC Team

3. English Language Proficiency (ELP) Requirements Refer to CASR Part 61 Manual of Standards
Please select the option below that applies to you:
I have previously completed an ELP assessment and the assessment report was submitted to CASA (Flight
Crew Licensing).
I have completed an ELP assessment - attach assessment.

4. Fit and Proper Person Requirements Refer to CASR 11.055 and Aviation Transport Security Regulations 2005,
regulations 6.55 and 6.59

Has any action been taken against you; or is any action in the process of being taken against Yes No
you; or have you been refused the issue of any aviation related licence, certificate, rating or
authority by any organisation?

Have you ever been refused the issue of a transport related licence or certificate? (eg, pilots Yes No
licence, pilot certificate, drivers licence, boating licence,)

Do you have any criminal conviction or finding of guilt, which is less than ten years old, or any Yes No
juvenile criminal conviction or finding of guilt, which is less than five years old?
Note: You should also include all motor vehicle traffic-related convictions including those from
overseas.

Is suspension or cancellation action pending in relation to any aviation licence you hold? Yes No

If you have answered yes to any of the questions above, please provide details below. Include details about dates, actions;
charges, convictions and imprisonment in Australia and Overseas (attach a separate page if necessary).

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 2 of 10
Initial Issue Flight Crew Licence on ARN:
the Basis of ADF Qualifications

Section B: Application Details*

Select the privileges below for which you are applying to be converted to a CASA licence.
1. Licence and Aircraft Category:
Level of Licence:

Private Pilot Commercial Pilot Flight Engineer

Aircraft Category:

Aeroplane Helicopter
Other - Specify:

Aircraft Class or Type Ratings

Type Rating Helicopter* Type Rating Aeroplane* Other Type Rating*

Single Engine Aeroplane Class Multi Engine Aeroplane Class Single Engine Helicopter Class
Other Class - Specify Class:

*Specify Category Types: (List category types as per the Prescribed aircraft, ratings and variants for CASR
Part 61 Instrument 2014)
Aeroplane: _______________________________________________________________________________

Helicopter: _______________________________________________________________________________

Other: ___________________________________________________________________________________

1.1 Aeronautical Experience Licence Category and Class Refer to Annex 1 on page 6 of this form.
I have met the aeronautical experience required for the CASA licences indicated above, as confirmed by the
attached document signed by my Commanding Officer or Office of Airlift & Training Air Force.

2. Operational Ratings:
Note: For instrument and instructor ratings, your ADF qualifications must be deemed by CASA to be
equivalent to the CASR Part 61 qualification being sought. After CASA is satisfied, you will be notified in writing.
You must then complete an aeronautical knowledge examination (IREX) for an instrument rating then undertake
a flight test for issue of the rating. For an instructor rating, you must undertake a flight test for issue of the
rating. The Flight Examiner will notify CASA of the issue by submitting Form 61-2ADF.

Night Vision Imaging System Rating Grade 1 Endorsement OR Grade 2 Endorsement

Instrument Rating Aeroplane OR Helicopter

Single Engine OR Multi Engine AND IAP 2D OR IAP 3D
Low Level Rating Aeroplane OR Helicopter - Sling Winch

Night VFR Rating Single Engine Aeroplane OR Multi Engine Aeroplane OR Helicopter

Instructor Rating - Refer to table 61.1235 and list the training endorsement you are applying for:

2.1. Aeronautical Experience Operational Ratings Refer to Annex 1 on page 6 of this form.
I have met the aeronautical experience required for the operational ratings and endorsements indicated above,
as confirmed by the attached document signed by my Commanding Officer or Office of Airlift & Training Air
Force.
Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 3 of 10
Initial Issue Flight Crew Licence on ARN:
the Basis of ADF Qualifications

3. Flight Activity Endorsements

Spinning Aerobatics Formation Aerobatics
(1000ft AGL Lower Limit)
Aerobatics Aerobatics Formation (Helicopter)
(500ft AGL Lower Limit)
Aerobatics Aerobatics (Unlimited) Formation (Aeroplane)
(1500ft AGL Lower Limit)

3.1 Competency Flight Activities Refer to Annex 1 on page 6 of this form.

I am competent in the flight activities indicated above, as confirmed by the attached document signed by my
Commanding Officer or Office of Airlift & Training Air Force.

4. Design Feature Endorsements:

Tailwheel Undercarriage Floatplane
Retractable Undercarriage Floating Hull
Manual Propeller Pitch Control Ski Landing Gear
Gas Turbine Engine Float Alighting Gear
Pressurisation System

4.1 Confirm Design Feature Endorsements Refer to Annex 1 on page 6 of this form.
I am rated on aircraft with the design features indicated above, as confirmed by the attached document signed
by my Commanding Officer or Office of Airlift & Training Air Force.

Section C: Applicant Checklist* Enter Y or N in applicable boxes.

Certified Copy of service logbook(s) pages attached showing Certificate of Qualifications as a Pilot (aircraft
type endorsement, initial and postgraduate flying qualifications, competencies and renewals) and last 3 full
page openings. (Army pilots may use the Armys Excalibur Electronic System (PEX) to record their flight times)
I have attached a certified true copy of my ASIC or AVID, if applicable
Note: If you have applied to the CASA ASIC Team for an ASIC or AVID, your licence cannot be issued until
you have been issued with the ASIC or AVID
I have a current ICAO English Language Proficiency Assessment, OR
Assessment report is attached
Certified Copy of Course Graduation certificates attached (eg BFTS, 2FTS, SAA, CFS)
Online payment receipt attached, OR
Payment Authorisation completed (cheque or money order attached if applicable)
CASA holds my current photo (submitted within the previous 10 years) OR
Current photo (no more 6 months old) and Form 61-9PIC attached

Section D: Applicant Declaration*

I hereby certify that all statements in this application are true and correct in every particular and that I have read
and understood all regulatory references included in this application. I consent to CASA using and disclosing
my personal information in accordance with CASAs privacy policy including exchanging the information with
Commonwealth, State and Territory government agencies (see www.casa.gov.au/privacy ). I have attached all
required documentation specified in the applicant checklist and acknowledge that to knowingly make a false or
misleading statement is an offence against the Criminal Code Act 1995.

Signature: Date: _____ / _____ / _______

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 4 of 10
Initial Issue Flight Crew Licence on ARN:
the Basis of ADF Qualifications

Payment Authorisation
Licence Fees *
Fee Code Description Total

24.6 003 Issue of a Private Pilot Licence (includes all ratings/endorsements if applicable processing and consideration $ 60

24.6 004 Issue of a Commercial Pilot Licence (includes all ratings/endorsements if applicable processing and $ 80
consideration

24.6 007 Issue of a Flight Engineer Licence (includes all ratings/endorsements if applicable processing and $ 100
consideration

24.6 014 Issue of an operational rating (without a licence application) processing and consideration $ 50

24.6 017 Issue of design features, flight activities (without a licence application) processing and consideration $ 50

24.6 012 Issue of aircraft class/type (without a licence application) processing and consideration $ 50

Total Cost: $ _______

Payment Options *
Payment made online Receipt No: _____________________________ (CASA preferred option)
Attach printed receipt and do not complete remainder of this page

I have enclosed a Cheque or Australian Money Order (please make cheques payable to CASA)
I am paying by credit card (provide details below)

I hereby authorise the Civil Aviation Safety Authority to debit the following amount from my: MasterCard Visa

Card Number:
Expiry Date: _____ / _____

Card Holder Name (please print): Total: $ ____________

Signature: .. Date: ______ / ______ / _______

Receipt Options *
Send receipt to:
Applicant OR Third party (provide details below)

Details of Third Party

Individuals or Organisations Full Name:

Email:

Postal Address:

State: Postcode: Country:

Contact Phone: ARN: (if applicable)

Submit the Payment Authorisation Form (and Cheque / Money Order / Purchase Order) with the Application Form.
Email clarc@casa.gov.au or Fax to: 1300 737 187 Paid Stamp
Mail to: CASA Licensing and Registration Centre

CASA, GPO Box 2005, CANBERRA ACT 2601 Receipt No: Initial:

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 5 of 10
Annex 1 ADF Commanding Officer Certification ARN:

Tick or initial, as directed, ALL RELEVANT boxes below applicable to the applicant that
confirms the applicants defence aviation experience meets CASAs minimum aeronautical
experience for the licence sought.
Note the following:
Captain is equivalent to Pilot in Command (PIC) (column 8 of RAAF & RAN logbooks)
st
1 Pilot is equivalent to Pilot in Command Under Supervision (ICUS) (column 1)
nd
2 Pilot is equivalent to Co-Pilot (column 2)
st
1 Pilot hours do not count towards PIC hours unless matching hours are also inserted in the Captain
column (8).

Section A: Courses completed by the applicant Tick to confirm all courses completed.
BFTS (RAAF/Navy/Army)
2FTS (RAAF) 2FTS with completion of OFT or IFC
2FTS (Navy) 2FTS with completion of LFT
BFTS (Army) SAA (R/W) with completion of ROBC*
SAA(F/W) with completion of OFT or ROBC*
AFTC (H) AFTC(H )with completion of OFT, LFT or ROBC*
AFTC (A) AFTC(A) with completion of OFT, LFT or ROBC*
ADFHS ADFHS with completion of OFT, LFT or ROBC*
AHS (HQC) SAA (R/W) with completion of OFT, LFT or ROBC*

All ADF flight engineering courses

* For Regimental Officer Basic Course (ROBC), the flying component must be completed.

Section B: Aeronautical Experience

Proficient in the use of a Flight Radio

Private Pilot Aeroplane Licence Initial to confirm all required hours met.
Type of Experience Required Minimum Hours Hours Confirmed
Total Aeronautical Experience (includes on all categories) Not less than 40
Total Flight Time as a Pilot (on all categories) Not less than 35
Total Flight Time as Pilot of an Aeroplane Not less than 20
Total Solo Flight Time in an Aeroplane Not less than 10
Total Solo Cross-Country Flight Time in an Aeroplane Not less than 5
Total Dual Instrument Time (on all categories) Not less than 2
Total Dual Instrument Flight Time in an Aeroplane Not less than 1

Private Pilot Helicopter Licence Initial to confirm all required hours met.
Type of Experience Required Minimum Hours Hours Confirmed
Total Aeronautical Experience (includes on all categories) Not less than 40
Total Flight Time as a Pilot (on all categories) Not less than 35
Total Flight Time as Pilot of a Helicopter Not less than 30
Total Solo Flight Time in a Helicopter Not less than 10
Total Solo Cross-Country Flight Time in a Helicopter Not less than 5
Total Dual Instrument Time (on all categories) Not less than 2
Total Dual Instrument Flight Time in a Helicopter Not less than 1

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Annex 1 ADF Commanding Officer Certification ARN:

Commercial Pilot Aeroplane Licence Initial to confirm all required hours met.
Type of Experience Required Minimum Hours Hours Confirmed
Total Aeronautical Experience (includes on all categories) Not less than 200
Total Flight Time as a Pilot (on all categories) Not less than 190
Total Pilot in Command in an Aeroplane Not less than 100
Total Cross-Country Pilot in Command Flight Time in an Aeroplane Not less than 20
Total Instrument Time (on all categories) Not less than 10
Total Instrument Flight Time in an Aeroplane Not less than 5
Commercial Pilot Helicopter Licence Initial to confirm all required hours met.
Type of Experience Required Minimum Hours Hours Confirmed
Total Aeronautical Experience (includes on all categories) Not less than 150
Total Flight Time as Pilot of a Helicopter Not less than 70
Total Pilot in Command Time in a Helicopter Not less than 35
Total Cross-Country Pilot in Command Flight Time in a Helicopter Not less than 10
Total Instrument Time (on all categories) Not less than 10
Total Instrument Flight Time in a Helicopter Not less than 5

Section C: Aircraft Class or Type Ratings Tick to confirm the equivalent class or type ratings held by the
applicant.

Type Rating Helicopter* Type Rating Aeroplane* Other Type Rating*

Single Engine Aeroplane Class Multi Engine Aeroplane Class Single Engine Helicopter Class
Other Class - Specify Class:

*Specify Category Types: List category types as per the Prescribed aircraft, ratings and variants for CASR Part
61 Instrument 2014 held by the applicant.

Aeroplane: ________________________________________________________________________________

Helicopter: ________________________________________________________________________________

Other: ____________________________________________________________________________________

Section D: Operational Ratings Initial to confirm the applicant meets the required aeronautical experience
and competency for the operational ratings being sought. Note, for instrument rating actual hours must be
entered.

i. NVFR
Type of Experience Required Minimum Hours Hours Confirmed
Aeronautical experience at night in an aircraft (flight or sim) Not less than 10
Dual cross country flight time at night under the VFR in an aircraft Not less than 5
Single Engine Aeroplane Endorsement:
- Aeronautical experience at night in an aeroplane (flight or sim) Not less than 5
- Dual flight (included in the 5 hours aeronautical experience) Not less than 1
- Solo night circuits (included in the 5 hours aeronautical experience) Not less than 1
- Dual instrument time Not less than 3
Multi Engine (ME) Aeroplane Endorsement:
- Aeronautical experience at night in a ME aeroplane (flight or sim) Not less than 5
- Dual flight (included in the 5 hours aeronautical experience) Not less than 1
- Solo night circuits (included in the 5 hours aeronautical experience) Not less than 1
- Dual instrument time Not less than 3

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 7 of 10
Annex 1 ADF Commanding Officer Certification ARN:

Helicopter Night VFR Endorsement:

Aeronautical experience at night in a helicopter (flight or sim) Not less than 5
Dual flight (included in the 5 hours aeronautical experience) Not less than 3
Solo night circuits (included in the 5 hours aeronautical experience) Not less than 1
Dual instrument time (flight or sim) Not less than 3

ii. Low Level

Type of Experience Required Minimum Hours Hours Confirmed

Aeroplane Low Level Endorsement:
Dual flight training in Low Level operations Not less than 5
Helicopter Low Level Endorsement:
Dual flight training in Low Level operations Not less than 5

iii. Night Vision Imaging System Rating

Type of Experience Required Minimum Hours Hours Confirmed

Grade 1 Endorsement*:
Flight time in a helicopter Not less than 250
Dual flight using night vision goggles Not less than 5
Flight time as pilot in command night helicopter Not less than 20
Instrument time Not less than 20
Dual instrument flight time helicopter (included in the instrument time) Not less than 5
Grade 2 Endorsement: Not less than 250
Flight time in a helicopter Not less than 250
Dual flight using night vision goggles Not less than 5
Flight time as pilot in command night helicopter Not less than 20
Instrument time Not less than 20
Dual instrument flight time helicopter (included in the instrument time) Not less than 5

* A Grade 1 NVIS Rating cannot be issued until an Instrument Rating has been issued. This will be after the aeronautical
exam and flight test have been successfully completed.

iv. Flight Instructor Rating Tick to confirm the applicant meets the requirements.

The applicant has graduated from:

CFS (fixed wing for flight instructor training)

Oakey (rotary for flight instructor training)

The applicant holds a QFI

Note: Certified true copies of logbook pages with these details must be attached to this application
Note: Under CASR 61.150(8), a flight instructor rating can only be granted by CASA after a successful flight test. Form 61-
2ADF must be completed and submitted to CASA for issue of the rating.

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 8 of 10
Annex 1 ADF Commanding Officer Certification ARN:

v. Instrument Rating You must enter actual hours below.

PIC Cross Country Flight Time on relevant category: (not less than 50 hours)

*Total Instrument Time on relevant category: (not less than 40 hours)

*includes flight and simulated

Complete ONLY Section 1 or Section 2:

Section Dual Instrument Time Instrument Flight Time

1 (not less than 10 hours) (not less than 20 hours)

Section 2 applies only if you have logged Simulated Instrument Time completed in an approved Flight Simulator and ALL that time was
supervised by a pilot instructor who held an Instrument Rating Training endorsement.

2 (not less than 10 hours) (not less than 10 hours)

Total Night Experience Hours* Dual Night Flight Hours

*includes flight and simulated Solo Night Circuits Hours

Note: For Night Experience requirements check Table CASR 61.890 for specific category requirements.

Note: Under CASR 61.150(8), an instrument rating can only be granted by CASA after a successful flight test. Form 61-
2ADF must be completed and submitted to CASA for issue of the rating.

Section E: Flight Activities Tick the flight activities where the applicant is competent.

Spinning Aerobatics Formation Aerobatics

(1000ft AGL Lower Limit)
Aerobatics Aerobatics Formation (Helicopter)
(500ft AGL Lower Limit)
Aerobatics Aerobatics (Unlimited) Formation (Aeroplane)
(1500ft AGL Lower Limit)

Section F: Design Features Tick the design features where the applicant is competent.

Tailwheel Undercarriage Floatplane

Retractable Undercarriage Floating Hull
Manual Propeller Pitch Control Ski Landing Gear
Gas Turbine Engine Float Alighting Gear
Pressurisation System

Section G: Flight Engineer Licence Tick to confirm applicant meets requirements.

Applicant holds, or has held a Defence Force of Australia flight engineer qualification that authorises, or authorised, the
person to perform the duties of a flight engineer without supervision in an aircraft that has a flight deck design that includes a
dedicated flight engineer duty station (it is expected an ADF FE to have passed a Basic Flight Engineer exam similar to that
of a civilian Student Flight Engineer exam as outlined in the FCL Procedures Manual can be viewed on CASA website).
Note:
Aircraft that qualify include P-3 Orion, B707 and C-130 Hercules (with the exception of the J-model)

Aircraft that DO NOT qualify include DHC4 Caribou, C-17, Boeing BBJ, Falcon 900, HS 748, BAC1-11

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 9 of 10
Annex 1 ADF Commanding Officer Certification ARN:

Declaration

I, .. .. , .. ...,
Rank and full name PM Keys

holding the position of . in .

Position Squadron

in the Army Navy Air Force of the Australian Defence Force, hereby certify that I have reviewed

the logbook of ..............................................., and confirm that he/she meets

Full name of applicant

the CASA minimum requirements for the issue of the nominated licence/s, rating/s and/or aircraft
endorsement/s indicated on the previous pages.

Signature: Date: _____ / _____ / _______

Form 61-1ADF 02/2017 Flight Crew Licence on the Basis of ADF Qualifications Page 10 of 10