Form 1162 PDF Details

Flying is an adventure, guided by stringent rules and identification systems for those who navigate the skies. At the heart of such systems is the Form 1162, a crucial document for individuals requiring an Aviation Reference Number (ARN). This form is a gateway for aviators, aircraft maintenance engineers, and others tied to the aviation sector, seeking to align or update their credentials with the Civil Aviation Safety Authority (CASA). Whether it’s for a flight crew license, aircraft registration, an aviation medical certificate, or an aircraft maintenance engineering license, the 1162 form stands as the initial step toward regulatory compliance and safety in the sky. It emphasizes the necessity of accurate personal details, including a thorough declaration and a requirement for identification. CASA has made it clear that the process, while straightforward, mandates attention to detail to prevent duplications and errors that could impede an individual's aviation aspirations. The form's guidelines provide a seamless navigation through its completion, submitting it either via fax, email, or post, and underscore the importance of prompt communication with CASA in the event of any changes in contact details or personal information. Strict warnings against falsification underline the serious nature of the document and the activities it supports, ensuring that all parties involved approach the application with the gravity it warrants.

QuestionAnswer
Form NameForm 1162
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform1162 aviation reference numberarn form 1162

Form Preview Example

Aviation Reference Number (ARN) Application

Use this form to apply for an Aviation Reference Number (ARN)

If you have previously held a CASA issued flight crew licence, aircraft registration, aircraft maintenance engineering licence or aviation medical certificate, please contact CLARC on 1 300 737 032 to discuss.

If you have been issued with an ARN previously and do not know the number please contact CLARC on 1300 737 032 to discuss

PLEASE READ THE GUIDELINES PRIOR TO COMPLETING THIS FORM AND ENSURE

CASA USE ONLY:

Q1 – ENTER YOUR PERSONAL DETAILS [complete or enter N/A as appropriate]

Family

 

 

 

 

 

 

 

 

 

Given

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

_________________________

 

____________________

____________________

 

 

Name

 

Name

 

 

Names

 

 

Previous

 

 

 

 

 

 

 

 

 

Previous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________

 

 

 

___________________________________________

 

 

Family Name *

 

 

 

Given Names *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

 

 

Female Title:

_____________

 

 

Date of Birth

 

 

 

/

 

/

 

 

 

Nationality

 

____________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Residential Address (Must be your current place of residence, PO Box not accepted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Line 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

Postcode

 

 

 

 

Town/City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Postal Address (if different to residential address)

Address Line 1

Address Line 2

Town/City

 

 

 

 

 

 

 

State

 

 

 

 

 

Postcode

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Phone (

 

 

)

 

 

Home Phone (

 

)

 

 

 

 

 

 

Mobile Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

@

 

 

 

 

 

 

 

 

 

 

Fax (

 

 

)

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am aware of, and accept, the risk that information sent via email may be intercepted and read during transmission, not delivered or modified. My

preferred method to receive communication from CASA is

 

Mail

 

Email

 

Fax

Please note that CASA may not always be able to comply with your preference.

 

 

Q2 - APPLICANT'S DECLARATION

I hereby declare that the particulars set out in this application are true in every respect and the copy of the attached identification document is a true representation of the original and has not been altered in any way. Note - there are penalties for providing false and misleading information and may result in prosecution, fines and cancellation of civil aviation authorisations.

I have read CASA's policy on the collection and release of personal licensing information and I authorise CASA to release information contained on this form in accordance with that policy.

Signature of Applicant _______________________________________________

Date signed (dd/mm/yyyy)

 

/

 

/

CASA OFFICE USE ONLY

 

ID Checked

 

Searched by DOB

 

Searched by name

 

ARN already exists

 

ARN created

 

FSA Subscription actioned

 

 

 

___________________________________________

Print Name of Issuing Officer

ARN

____/____/________

Date issued (dd/mm/yyyy)

The Federal Government TimeSaver initiative aims to assess the time taken to complete Government Forms. Please

 

 

indicate the approximate time taken to complete this form.

Hrs

Mins

Form 1162 08/2008

Aviation Reference Number Application

Page 1 of 2

Guidelines for Aviation Reference Number (ARN) Application

Who should use this form?

Any individual who needs to apply for an Aviation Reference Number (ARN).

If you have previously held a CASA issued flight crew licence, aircraft registration, aircraft maintenance engineering licence or aviation medical certificate, please contact CLARC on 1 300 737 032 to discuss the matter before lodging this application.

If you have been issued with an ARN previously and do not know the number please contact CLARC on 1300 737 032 to discuss the matter.

Identification

A copy of one piece of identification must be supplied with this application. Acceptable forms of identification are birth certificates (full or extract), current passport identification pages or Australian Citizenship Certificates. The identification supplied must be in English, be clear and legible. It is not necessary to supply certified copies of identification. Identification is required to avoid the creation of duplicate ARNs and to ensure that the correct, full, legal name, date of birth and nationality are recorded.

Previous names or future name changes

If you have previously changed your name, please write your previous name on the application form and supply a copy of the legal name change document (eg reissued birth certificate, including the section listing previous names; certificate of name change; marriage certificate etc). If there is insufficient space in the previous name field, please attach a covering note with the additional information.

If you change your name at any stage in the future, including name change due to marriage, deed poll or divorce, you must inform CASA and supply a copy of the legal name change documentation. You may also be required to provide a statutory declaration and pay any fees associated with the reissue of documents such as medical certificates, flight crew licences, ASICs,

AVIDs etc.

Future changes to contact details

Should you change your address, phone numbers, email address etc in the future, you will need to notify CASA as soon as possible so that the details recorded against your ARN can be updated. The easiest way to do this is through the CASA Portal or the address change form on CASA’s web site. Simply go to CASA’s home page www.casa.gov.au and use the search facility to locate information by entering either ‘portal’ or ‘address change’.

Where do I send my application?

You can submit your application form and identification by fax to: 1 300 737 187 (within Australia)

+61 2 6217 1899 (from outside Australia)

Only clear, legible faxes will be accepted. If your fax is deemed unacceptable your application will be rejected. You may also scan the completed form and identification and submit by email to clarc@casa.gov.au Documents can also be mailed to:

CLARC

CASA

GPO Box 2005 CANBERRA ACT 2601

What happens if the application is completed incorrectly or I forget to include identification?

At the very minimum, there will be a delay while CASA requests additional information. In most cases, your form will be rejected and returned by mail for alteration.

What happens once my ARN is created?

CASA will send you a confirmation letter by mail. Please note that it is not standard practice to forward ARN details by email.

Release of ARN details to a third party

If you wish CASA to release your ARN to a third party, such as a flying school, you must complete and submit a CASA Form 078 with this application. Once the ARN is raised, CASA will inform the nominated party, as well as the applicant, of the ARN.

Who should I contact if I have a problem?

Contact CLARC, the CASA Licensing and Registration Centre, for assistance:

Phone 1 300 737 032 (within Australia)

Phone +61 2 6217 1449 (from outside Australia)

Email clarc@casa.gov.au

Privacy Policy

For information on CASA’s Privacy Policy, please visit www.casa.gov.au/tools/privacy/index.htm

Form 1162 08/2008

Aviation Reference Number Application

Page 2 of 2

How to Edit Form 1162 Online for Free

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This document will require particular data to be typed in, hence ensure that you take the time to provide what is required:

1. You will want to complete the Form 1162 correctly, thus take care when working with the parts containing all these blank fields:

Filling out segment 1 of Form 1162

2. The third part would be to fill out the following blank fields: We require an applicants sex to, Male, Female, Other, Yes, Go to, Go to, Contact number, Email address, What is the postal address, Unit number, Street name PO box, Suburb, State territory or province, and Postcode.

The way to fill out Form 1162 part 2

People frequently get some things incorrect when filling out Postcode in this part. Don't forget to reread what you type in right here.

3. Completing Country if not Australia, Civil Aviation Safety Authority, and Page of is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Completing part 3 in Form 1162

4. To move forward, your next part involves typing in several fields. These comprise of What proof of identification are, A minimum of points of, Primary documents, Points worth, Australian Passport current or, Foreign Passport current, Full Birth Certificate not extract, Australian Citizenship Certificate, Certificate of Identity issued by, Secondary documents, Points worth, Medicare card, Department of Veterans Affairs DVA, Centrelink card with reference, and Birth Certificate Extract, which are key to going forward with this document.

How to prepare Form 1162 step 4

5. This very last step to submit this PDF form is essential. You need to fill in the required fields, such as Certificate of Identity issued by, Australian Drivers Licence or, Current Australian Tertiary, Photo identification card issued, Government employee ID Australian, Defence Force Identity Card with, Australian Mortgage Documents, Property lease agreement current, Rating Authority eg Land Rates, Utility Bill eg electricity gas, Reference from Indigenous, Documents issued outside Australia, Total, and Attach certified documents, prior to submitting. Or else, it can generate an incomplete and possibly invalid document!

Form 1162 writing process clarified (part 5)

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