Get Formulaire De Demande Dautorisation Medecin - Anac

The FORMULAIRE DE DEMANDE DAUTORISATION MEDECIN - Anac is an essential document for individuals seeking authorization as aviation medical examiners. This guide provides a step-by-step approach to filling out this form online, ensuring accuracy and completeness.

Follow the steps to successfully complete the application.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by completing section A, 'IDENTIFICATION DU DEMANDEUR'. Here you will provide your full name, date of birth, and the address where medical examinations will take place. Include the name of your clinic or hospital, and specify any medical diplomas you hold.
3. Continue with section B, 'FORMATION UNIVERSITAIRE / SUPERIEURE EN MEDECINE'. In this section, list your university education, including the name of the institution, the city and country, the year you graduated, and the degree obtained.
4. Move to section C, 'EXPERIENCE'. Here, indicate your general medical experience, specifying the number of years. If applicable, mention any aviation-related experience.
5. In section D, 'EXPERTISE MEDICALE', confirm your membership in the national medical board. This is a crucial step in validating your credentials.
6. Fill out section E, 'INFORMATION COMPLEMENTAIRES'. Answer the questions regarding any limitations on your medical practice and provide details if you answered yes to any questions.
7. In section F, 'REMARQUES', provide any additional remarks as required.
8. Proceed to section G, 'DECLARATION SUR L’HONNEUR', where you will certify that the information provided is accurate. Date the form and sign it.
9. Finally, review all sections for accuracy, save your changes and download or print the completed form. If needed, you can also share the form with relevant parties.

Complete your FORMULAIRE DE DEMANDE DAUTORISATION MEDECIN - Anac online today for a seamless application process.