OMB Collection No: 2120-0724-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Block 1 by entering your full name as it appears on your foreign pilot license. Ensure accuracy for proper identification.
3. In Block 2, input your date of birth in the format Month, Day, Year. This is crucial for verifying your identity.
4. For Block 3, provide the city and country or state of your birth. This information helps establish your nationality.
5. Complete Block 4 by entering your country of citizenship, which is essential for processing your application.
6. In Block 5, select how you prefer to receive correspondence regarding your verification letter—either via email or mail—and fill in the required contact details.
7. Proceed to Blocks 6 through 12 to provide detailed information about your foreign license and medical certification. Be sure to check all relevant boxes and enter any necessary dates.
8. Finally, review all entries for accuracy before signing in Block 15 and attaching any required documents such as copies of your foreign license and medical certificate.

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