Rev. Aug.

06
PILOT PILOT CA-9 (PILOT - Compt. No)
GOVERNMENT OF INDIA
DIRECTORATE GENERAL OF CIVIL AVIATION,
CENTRAL EXAMINATION ORGANISATION Paste recent
passport size
photograph
Application for Allotment of COMPUTER NUMBER

(WITHOUT
ATTESTATION)
Note: All correspondence regarding written examination including duly filled in application forms
for computer no. / written examination should be forwarded to

DIRECTOR OF AIRWORTHINESS (CEO)

Put your specimen signature
O/O THE DIRECTOR GENERAL OF CIVIL AVIATION in the above space IN
EAST BLOCK-III, R.K.PURAM, NEW DELHI-110066. BLACK INK

Temporary Id P-TEMP 17/0615169

Candidate's Name Mr PIYUSH ASHOK MANKANI
Gender Male
Father's Name ASHOK MANKANI
Mother's Name MANISHA MANKANI
Date Of Birth 30-12-1999
Email Id pmankani9@gmail.com
Nationality INDIAN
Country INDIA
Passport Number NA
Passport Validity NA
9 OMKAR BUNGALOW TP44 CHANDKHEDA
Permanent Address
AHMEDABAD 382424
9 OMKAR BUNGALOW TP44 CHANDKHEDA
Mailing Address
AHMEDABAD 382424
Applying For CPL
Qualification 10+2 [with Physics and Maths]
Defence Personnel No
Defence Category NA
Whether having SPL or not? No
Date Of Issue Of SPL NA
Whether having Higher Category Pilot
License No
License Category NA
License Number NA
License Validity NA
Endorsement Of Multi Engine Aircraft Yes
Date Of First Training Flight
Total Flying Hours
Total Flying Hours as Pilot-In-Command
Flying Training Institute
Ground Training Institute

Enclosures: ...............................................................................................................................................
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I hereby certify that the above particulars/entries made by me are true and correct in every respect to the best of my knowledge
and belief and that nothing has been concealed or withheld by me. I understand that if any of my particulars/entries are found false
or incorrect at any time, my candidature will stand rejected and further action can be taken against me by DGCA as per the rules.
Further, i have read the requirement for issue extension of Pilots' Licence / Rating, as laid down in Aircraft Rules / CARs amended
from time to time.

Date: ____________________ Signature of applicant: ______________________________________

CERTIFICATION BY ATTESTING OFFICER

(To be attested by CFI/PII/Gazetted Officer. In case of serving Defence personnel, this may be
attested by another serving Commissioned Officer)
Applicant should
paste recent
This is to certify that all the above particulars furnished by Mr. PIYUSH ASHOK MANKANI passport size
have been verified by me and found to be correct. photograph

*Signature in full of attesting authority........................................

Date & Place .................................. * Signature & stamp shall partly cover this page and
photograph

PILOT PILOT PILOT

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