Guide for Aviation Medical Examiners

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Application Process for Medical Certification

Applicant History
Item 3. Last Name; First Name; Middle Name
The applicant�s legal last, first, and middle name (or initial if appropriate) must be provided.

Note: If the applicant's name changed for any reason, the current name is listed on the application and any former name(s) in the EXPLANATIONS box of Item 18 on the application.