Federal Aviation Administration

Guide for Aviation Medical Examiners

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.

Page Last Modified: 09/28/12 12:51 EDT

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