Air Navigation (67 — Aviation Medical Certification) Regulations 2026

commercial pilot’s licence (aeroplanes);

commercial pilot’s licence (helicopters and gyroplanes);

commercial pilot’s licence (airships);

airline transport pilot’s licence (aeroplanes);

airline transport pilot’s licence (helicopters and gyroplanes);

multi‑crew pilot’s licence (aeroplanes);

private pilot’s licence (aeroplanes) with an instrument rating (aeroplanes);

private pilot’s licence (helicopters and gyroplanes) with an instrument rating (helicopters).

student pilot’s licence;

private pilot’s licence (aeroplanes) without an instrument rating (aeroplanes);

private pilot’s licence (helicopters and gyroplanes) without an instrument rating (helicopters);

private pilot’s licence (airships).

be made to the Director‑General of Civil Aviation in accordance with the requirements in Aviation Specifications 8;

be accompanied by the relevant fee specified in the Second Schedule; and

be accompanied by the following documents or information in the form that the Director‑General of Civil Aviation requires:

the identity and contact address of the applicant;

the signed medical report of the licensing medical examination issued and submitted by a Designated Aviation Medical Examiner under regulation 5(2);

any other documents or information that the Director‑General of Civil Aviation may require to decide on the application.

undergo a licensing medical examination conducted —

by a Designated Aviation Medical Examiner at any premises or place specified by the Director‑General of Civil Aviation, for the purpose of ascertaining whether the applicant’s physical and mental conditions satisfy the applicable standard of medical fitness for that aviation medical certificate; and

in accordance with the requirements in Aviation Specifications 8; and

at the time of undergoing the licensing medical examination mentioned in sub‑paragraph (a), submit to the Designated Aviation Medical Examiner a signed declaration (in accordance with the requirements in Aviation Specifications 8) containing the following information:

whether the applicant has previously undergone a licensing medical examination and, if so, the date, place and result of the most recent licensing medical examination undergone by the applicant;

whether any aviation medical certificate previously held or applied for by the applicant has been refused, revoked or suspended and, if so, the reason for the refusal, revocation or suspension, as the case may be;

a complete and accurate statement of the medical facts concerning the applicant’s personal, familial and lifestyle history.

issue a signed medical report stating —

that the Designated Aviation Medical Examiner has examined the person; and

whether the Designated Aviation Medical Examiner considers that the person meets the applicable standard of medical fitness for a Class 1 aviation medical certificate, a Class 2 aviation medical certificate or a Class 3 aviation medical certificate, as the case may be; and

submit to the Director‑General of Civil Aviation, in the manner and within the time that the Director‑General of Civil Aviation requires, the signed medical report issued under sub‑paragraph (a).

the person submits a declaration mentioned in paragraph (1)(b) that is incomplete or inaccurate; and

the person knows or ought reasonably to have known that the declaration is incomplete or inaccurate, as the case may be.

for a first offence — to a fine not exceeding $10,000; and

for a second or subsequent offence — to a fine not exceeding $20,000.

the date of the licensing medical examination for the aviation medical certificate, unless sub‑paragraph (b) applies; or

for an aviation medical certificate that is renewed, where the date of the licensing medical examination is not more than 45 days before the date of expiry of the aviation medical certificate (if not renewed) — the date immediately following that date of expiry.

the date of the licensing medical examination for the aviation medical certificate, unless sub‑paragraph (b) applies; and

for the renewal of the aviation medical certificate — the date of expiry of the aviation medical certificate being renewed.

the holder of the aviation medical certificate —

is a flight crew member of an aerial work category aircraft, a private category aircraft or a transport category aircraft; or

holds a private pilot’s licence;

on the date of expiry of the aviation medical certificate, the holder of the aviation medical certificate is or will be in a place outside Singapore where a Designated Aviation Medical Examiner is not available; and

the holder of the aviation medical certificate is or will be unable to return to Singapore in order to undergo a licensing medical examination before the date of expiry of the aviation medical certificate.

be made to the Director‑General of Civil Aviation in accordance with the requirements in Aviation Specifications 8; and

be accompanied by the following documents or information in the form that the Director‑General of Civil Aviation requires:

the identity and contact address of the applicant;

documents and other evidence of the circumstances mentioned in paragraph (1)(a), (b) and (c);

if there is any change to the medical facts concerning the applicant’s personal history from the licensing medical examination or any aeromedical review undergone by the applicant in relation to the aviation medical certificate for which an extension of validity is sought — a declaration by the applicant of those changes;

any other documents or information that the Director‑General of Civil Aviation may require to decide on the application.

extend the validity of the aviation medical certificate —

where the applicant is a flight crew member of an aerial work category aircraft or a private category aircraft — once for a period not exceeding 6 months;

where the applicant is a flight crew member of a transport category aircraft — not more than twice consecutively, and not exceeding 3 months each time; or

where the applicant holds a private pilot’s licence — once for a period not exceeding 24 months; or

refuse to extend the validity of the aviation medical certificate.

a single period not exceeding 3 months; and

if necessary, up to 2 further consecutive periods, each not exceeding 6 months.

for a first offence — to a fine not exceeding $50,000; and

for a second or subsequent offence — to a fine not exceeding $100,000 or to imprisonment for a term not exceeding 5 years or to both.

who has a significant medical condition, and who knows or has reason to believe that he or she has a significant medical condition;

who knows or has reason to believe that she is pregnant;

who is —

prescribed any medication upon being diagnosed with; or

prescribed any new medication while receiving or undergoing treatment for,any long‑term or chronic illness or condition;

who is given a notice of unfitness under regulation 5(5) of the Air Navigation (99 — Breath Testing for Alcohol) Regulations 2019 (G.N. No. S 177/2019); or

who knows or has reason to believe that he or she has a problem with dependency on psychoactive substances,must inform the Director‑General of Civil Aviation in writing as soon as possible after the occurrence of the event.

starting on the earliest of any of the following dates (where applicable):

the date of occurrence of any event in paragraph (1)(a), (b), (c), (d) or (e);

the date on which the Director‑General of Civil Aviation, a Designated Aviation Medical Examiner or an Aviation Medical Assessor assesses that the holder’s physical or mental condition, arising from any cause, is of aeromedical significance and could render the holder unable to safely exercise any functions or privileges under any licence held by the holder;

the date on which the Director‑General of Civil Aviation notifies the holder to undergo an aeromedical review for the purpose of ascertaining whether the holder’s medical fitness has decreased to an extent that would render the holder unable to safely exercise any functions or privileges under any licence held by the holder; and

ending on the date on which the Director‑General of Civil Aviation determines (based on an aeromedical review undergone by the holder of the aviation medical certificate or otherwise) that the holder is fit to resume exercising the functions and privileges under each licence held by the holder.

exercise or perform any privilege or function specified in Part A of the Eighth Schedule to the Air Navigation Order (O 2) under the heading “Privileges” in respect of any licence held by the holder;

perform any function specified in Part B of the Eighth Schedule to the Air Navigation Order in respect of a rating included in any such licence;

exercise any privileges of an air traffic controller licence specified in paragraph 62A(1) of the Air Navigation Order, or act as an air traffic controller in accordance with any air traffic controller rating specified in the Seventeenth Schedule to that Order, in respect of an air traffic controller licence held by the holder; and

undergo on‑the‑job training to act as an air traffic controller.

for a first offence — to a fine not exceeding $50,000 or to imprisonment for a term not exceeding 2 years or to both; and

for a second or subsequent offence — to a fine not exceeding $100,000 or to imprisonment for a term not exceeding 5 years or to both.

any of the following (no matter how minor):

any illness or condition that requires any medical treatment or attendance at a hospital, or that requires any medical treatment by or attendance before a medical specialist, in Singapore or elsewhere;

any personal injury resulting in bodily infirmity, defect or incapacity;

any mental infirmity, defect or incapacity;

any sequela of an illness, condition, injury, infirmity, defect or incapacity mentioned in sub‑paragraph (i), (ii) or (iii);

any abnormal psychological state; and

for a woman, termination of pregnancy.

an aeromedical review, conducted in accordance with the requirements in Aviation Specifications 8, by a Designated Aviation Medical Examiner for the purpose of —

monitoring the holder’s physical and mental conditions, as may be required under the conditions or limitations endorsed on the aviation medical certificate;

ascertaining whether the holder’s medical fitness has decreased to an extent that would render the holder unable to safely exercise any functions or privileges under any licence held by the holder; or

in the case where the holder is deemed to be in a DMF state, ascertaining whether the holder is fit to resume exercising the functions and privileges under each licence held by the holder; and

any other medical examination that the Director‑General of Civil Aviation requires.

if the holder of the aviation medical certificate is convicted of an offence under regulation 5(4), 9(2) or 10(4); or

where the holder of the aviation medical certificate had been granted an extension of the validity of his or her aviation medical certificate — if the Director‑General of Civil Aviation finds that the holder had failed to declare any change mentioned in regulation 8(2)(b)(iii) that the holder knew or ought reasonably to have known about.

specifying the reasons for which the Director‑General of Civil Aviation intends to revoke or suspend the aviation medical certificate; and (c)specifying the time (being at least 14 days from the date of service of notice on the holder) within which written representations may be made to the Director‑General of Civil Aviation with respect to the proposed revocation or suspension (as the case may be) of the aviation medical certificate.

the date the suspension takes effect and ends; and

specify each ground for the revocation or suspension, as the case may be.

be made in accordance with the requirements in Aviation Specifications 9; and

be accompanied by the following documents and information in the form that the Director‑General of Civil Aviation requires:

the identity and contact address of the applicant;

any other documents or information that the Director‑General of Civil Aviation may require to decide on the application.

the applicant meets the requirement in regulation 13(3); and

the applicant holds the qualifications, demonstrates the competencies in aviation medicine and meets the requirements specified for a Designated Aviation Medical Examiner in Aviation Specifications 9.

the individual fails to carry out the functions and duties under regulation 15 in a satisfactory manner;

the individual has had, under the Medical Registration Act 1997, his or her name removed from the appropriate register, his or her registration suspended, or his or her practising certificate cancelled;

the individual fails to maintain the confidentiality of any medical evaluation conducted, or any medical report issued, by the individual in the individual’s capacity as a Designated Aviation Medical Examiner;

any medical evaluation conducted, or any medical report issued, by the individual in the individual’s capacity as a Designated Aviation Medical Examiner is inadequate, incomplete or misleading; or

the individual has ceased, or is unfit, to practise medicine for any reason.

specifying the reasons for which the Director‑General of Civil Aviation intends to revoke or suspend the appointment; and (c)specifying the time (being at least 14 days from the date of service of notice on the individual) within which written representations may be made to the Director‑General of Civil Aviation with respect to the proposed revocation or suspension (as the case may be) of the appointment.

the date the suspension takes effect and ends; and

specify each ground for the revocation or suspension, as the case may be.

be made in accordance with the requirements in Aviation Specifications 9; and

be accompanied by the following documents and information in the form that the Director‑General of Civil Aviation requires:

the identity and contact address of the applicant;

any other documents or information that the Director‑General of Civil Aviation may require to decide on the application.

the applicant meets the requirement in regulation 16(3); and

the applicant holds the qualifications, demonstrates the competencies and meets the requirements specified for an Aviation Medical Assessor in Aviation Specifications 9.

the individual fails to carry out the functions and duties under regulation 18 in a satisfactory manner;

the individual has had, under the Medical Registration Act 1997, his or her name removed from the appropriate register, his or her registration suspended, or his or her practising certificate cancelled;

the individual fails to maintain the confidentiality of any medical evaluation conducted, or any medical report reviewed, by the individual in the individual’s capacity as an Aviation Medical Assessor;

any medical evaluation conducted, or any medical report reviewed, by the individual in the individual’s capacity as an Aviation Medical Assessor is inadequate, incomplete or misleading; or

the individual has ceased, or is unfit, to practise medicine for any reason.

specifying the reasons for which the Director‑General of Civil Aviation intends to revoke or suspend the appointment; and (c)specifying the time (being at least 14 days from the date of service of notice on the individual) within which written representations may be made to the Director‑General of Civil Aviation with respect to the proposed revocation or suspension (as the case may be) of the appointment.

the date the suspension takes effect and ends; and

specify each ground for the revocation or suspension, as the case may be.

any licence that may be granted or renewed by the Chief Executive under paragraph 20 of that Order (as in force immediately before 16 March 2026);

an air traffic controller licence that may be granted or renewed by the Authority under paragraph 62A(2) of that Order (as in force immediately before 16 March 2026).

a declaration furnished under paragraph 4(a) of the Fourteenth Schedule to the Air Navigation Order (as in force immediately before 16 March 2026);

a statement of medical facts furnished under paragraph 4(b) of that Schedule for the purposes of a medical examination mentioned in paragraph (1),are together treated as a signed declaration submitted by the applicant under regulation 5(1)(b) for the purposes of a licensing medical examination mentioned in paragraph (1).

any licence that may be granted or renewed by the Chief Executive under paragraph 20 of that Order (as in force immediately before 16 March 2026);

an air traffic controller licence that may be granted or renewed by the Authority under paragraph 62A(2) of that Order (as in force immediately before 16 March 2026).

any licence granted or renewed by the Chief Executive under paragraph 20 of the Air Navigation Order (as in force immediately before 16 March 2026);

an air traffic controller licence granted or renewed by the Authority under paragraph 62A(2) of that Order (as in force immediately before 16 March 2026).

who is undergoing on‑the‑job training to act as an air traffic controller; and

who holds a Class 3 medical assessment, which is granted for the purposes of the applicable standards specified in the Manual of Standards — Licensing of Air Traffic Control Personnel published under paragraph 62A(3B) of the Air Navigation Order, that remains in force immediately before 16 March 2026,is treated as having been granted, under regulation 6, a Class 3 aviation medical certificate that is valid for the remaining period of validity of that Class 3 medical assessment.

the holder of a licence granted or renewed by the Chief Executive before 16 March 2026 under paragraph 20(1)(b) to (f), (h), (ia), (j) or (k) of the Air Navigation Order (as in force immediately before 16 March 2026) is treated, under paragraph (4), as having been granted, under regulation 6, a Class 1 aviation medical certificate; and

the holder of the licence has, for the purpose of an extension of validity of the licence —

undergone a medical examination before 16 March 2026, regardless of whether that medical examination was completed before, on or after that date, for the purposes of paragraph 20(1) or (6) of the Air Navigation Order (as in force immediately before 16 March 2026) but not a licensing medical examination on or after 16 March 2026; or (ii)undergone a medical examination before 16 March 2026, regardless of whether that medical examination was completed before, on or after that date, for the purposes of paragraph 20(8A)(a), (9)(b) or (9A)(b) of that Order (as in force immediately before 16 March 2026) but not an aeromedical review on or after 16 March 2026,the holder of the licence is treated as having satisfied the requirement in regulation 8(2)(b)(iii) by making a declaration of any change to the medical facts concerning the holder’s personal history from any of the medical examinations mentioned in sub‑paragraph (b)(i) or (ii) (as the case may be) that the holder has undergone.

the holder of a licence that was granted or renewed by the Chief Executive under paragraph 20(1) of the Air Navigation Order before 16 March 2026 and remained in force immediately before that date, is allowed a deferment of a medical examination under paragraph 6 of the Fourteenth Schedule to that Order (as in force immediately before that date) before that date; and

the period of deferment ends on or after that date,the validity of any aviation medical certificate treated as granted to the holder under paragraph (4), is treated as having been extended under regulation 8(3)(a) up to the end of the period of deferment.

the privileges of any licence mentioned in paragraph 20(1)(a) to (k) of that Order were deemed to be suspended, under paragraph 20(8), (9)(a) or (9A)(a) (as the case may be) of that Order (as in force immediately before 16 March 2026), starting on a date before 16 March 2026; and

the suspension has not ceased under paragraph 20(8A), (9)(b) or (9A)(b) (as the case may be) of that Order (as in force immediately before 16 March 2026) as of 16 March 2026,then the holder of that licence is treated as the holder of an aviation medical certificate who is deemed to be in a DMF state under regulation 10(2) starting —

for a matter mentioned in paragraph 20(7)(b) of that Order (as in force immediately before 16 March 2026) — 20 days after the date of occurrence of the matter;

for a matter mentioned in paragraph 20(7)(c) of that Order (as in force immediately before 16 March 2026) — on the date the pregnancy of the holder was diagnosed;

for a matter mentioned in paragraph 20(7)(g) of that Order (as in force immediately before 16 March 2026) — on the date the Chief Executive was informed of the matter by the holder under paragraph 20(7)(i)(A) of that Order (as in force immediately before 16 March 2026); or

in any other case — on the date of occurrence of the matter,and ending on —

if the Chief Executive has determined a date of cessation of that suspension under paragraph 20(8A), (9)(b) or (9A)(b) (as the case may be) of that Order (as in force immediately before 16 March 2026) — that date of cessation; or

in any other case — the date mentioned in regulation 10(2)(b).

the holder of an air traffic controller licence was prohibited from acting as an air traffic controller in accordance with the air traffic controller rating specified in the Seventeenth Schedule to that Order in respect of the licence, under paragraph 62E(2) of that Order (as in force immediately before 16 March 2026), starting on a date before 16 March 2026; and

the prohibition remained in force under paragraph 62E(2) of that Order (as in force immediately before 16 March 2026) as of 16 March 2026,then the holder of that licence is treated as the holder of an aviation medical certificate who is deemed to be in a DMF state under regulation 10(2) starting —

for a matter mentioned in paragraph 62E(1)(b) of that Order (as in force immediately before 16 March 2026) — 20 days after the date of occurrence of the matter; or

in any other case — on the date of occurrence of the matter,and ending on —

if the Chief Executive has determined a date the holder may resume exercising the privileges of the holder’s licence and related ratings under paragraph 62E(2) of that Order (as in force immediately before 16 March 2026) — that date of resumption; or

in any other case — the date mentioned in regulation 10(2)(b).

the holder of an air traffic controller licence was prohibited from acting as an air traffic controller in accordance with the air traffic controller rating specified in the Seventeenth Schedule to the Air Navigation Order in respect of the licence, under paragraph 62E(4) of that Order (as in force immediately before 16 March 2026), starting on a date before 16 March 2026; and

the prohibition remained in force under paragraph 62E(4) of that Order (as in force immediately before 16 March 2026) as of 16 March 2026,then the holder is treated as the holder of an aviation medical certificate who is deemed to be in a DMF state under regulation 10(2) —

starting on the date the holder was certified as unfit to act as an air traffic controller under paragraph 62E(4) of that Order (as in force immediately before 16 March 2026); and

ending on the date mentioned in regulation 10(2)(b).

for the Chief Executive’s approval of a person to conduct a medical examination of and report on the fitness of an applicant for a licence or rating for which medical requirements are prescribed in the Fourteenth Schedule to the Air Navigation Order (as in force immediately before 16 March 2026), pursuant to paragraph (d) of the definition of “designated medical examiner” in paragraph 2(1) of that Order (as in force immediately before 16 March 2026); and

which is pending immediately before 16 March 2026,is treated as an application to the Director‑General of Civil Aviation for the individual’s appointment as a Designated Aviation Medical Examiner under regulation 13.

who was approved (whether or not subject to any conditions) by the Chief Executive, to conduct a medical examination of and report on the fitness of an applicant for a licence or rating for which medical requirements are prescribed in the Fourteenth Schedule to the Air Navigation Order (as in force immediately before 16 March 2026), pursuant to paragraph (d) of the definition of “designated medical examiner” in paragraph 2(1) of that Order (as in force immediately before 16 March 2026); and

whose approval remains in force immediately before 16 March 2026,is treated as a person appointed, by the Director‑General of Civil Aviation, as a Designated Aviation Medical Examiner under regulation 14 subject to those conditions (if any), and the appointment is valid for the period of the approval by the Chief Executive.

for the Chief Executive’s approval of a person to assess the medical fitness of an applicant under the Fourteenth Schedule to the Air Navigation Order (as in force immediately before 16 March 2026) based on evaluating the report of a designated medical examiner (as defined in paragraph 2(1) of that Order immediately before 16 March 2026) and any other assessments, pursuant to paragraph (d) of the definition of “medical assessor” in paragraph 2(1) of that Order (as in force immediately before 16 March 2026); and

which is pending immediately before 16 March 2026,is treated as an application to the Director‑General of Civil Aviation for the individual’s appointment as an Aviation Medical Assessor under regulation 16.

who was approved (whether or not subject to any conditions) by the Chief Executive, to assess the medical fitness of an applicant under the Fourteenth Schedule to the Air Navigation Order (as in force immediately before 16 March 2026) based on evaluating the report of a designated medical examiner (as defined in paragraph 2(1) of that Order immediately before 16 March 2026) and any other assessments, pursuant to paragraph (d) of the definition of “medical assessor” in paragraph 2(1) of that Order (as in force immediately before 16 March 2026); and

whose approval remains in force immediately before 16 March 2026,is treated as a person appointed, by the Director‑General of Civil Aviation, as an Aviation Medical Assessor under regulation 17 subject to those conditions (if any), and the appointment is valid for the period of the approval by the Chief Executive.