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CAR66 – AIRCRAFT MAINTENANCE LICENSE

APPLICATION FOR GCAA BASIC EXAMINATION & Re-SIT
(Please complete form in BLOCK CAPITAL)
1. PERSONAL DETAILS

GCAA License/Licensing file number (if known)

Full Name (First,Middle,Last)
(Mr./Ms)…………………………………………………………….…………………………………….………...................
Date of Birth (dd/mm/yyyy)……………………………….Place & Country of Birth……………………………………......
Nationality…………………………………………….........Passport No………………………………………………….......
Permanent Address…………………………………………………………………………………………………………......
……………………………………………………………………………………………………………………………….....

Address for Correspondence…………………………………………………………………………………………………...

……………………………………………………………………………………………………………………………….....
……………………………………………………………………………………………………………………………….....
Telephone Number…………………………………………………..Mobile Number……………………………………......
E-mail………………………………………………………………..Fax Number…………………………………………....

2. EMPLOYER’S DETAILS

Name and Address of Employer…………………………………………………………………………………………..…...

EMIRATES AIRLINE

…………………………………………………………………………………………………………………….....................
EMIRATES GROUP HEADQUATERS(EGHQ) AL GARHOUD , DUBAI, UAE

…………………………………………………………………………………….………………………………………........
Telephone Number…………………………………………………..P.O.Box……………………………………………….. 686

Present Designation.....................................................................................................................................................................
AIRCRAFT TECHNICIAN

Section……………………………………………………………………………………………….........................................
LINE MAINTENANCE

Date Joined :................................................................................................................................................................................

3. APPLICATION

Application for Examination:

In Category A B C
Aeroplane Turbine A1 B1.1
Aeroplane Piston A2 B1.2
Helicopter Turbine A3 B1.3
Helicopter Piston A4 B1.4
Avionics B2
Base Maintenance Certifying Engineer C

Is this the first application for examination to GCAA: Yes No

Is the examination being taken for removal of limitations on existing license: Yes No
Is the examination being taken for addition of another category to existing license Yes No

AMEL FORM 01/ Rev 1 Page 1 of 4

Issued October 2011
Please select modules applied for through this application by selecting () the appropriate modules:

Module Exam (MCQ) Module Exam(MCQ)

1 Mathematics 12 Helicopter Aerodynamics, Structures & Systems

2 Physics 13 Aircraft Aerodynamics, Structures & Systems

3 Electrical Fundamentals 14 Propulsion

4 Electronics Fundamentals 15 Gas Turbine Engine

5 Digital Techniques/Electronic 16 Piston Engine

Instrument systems 17 Propeller

6 Materials & Hardware 18 Air Legislation

7 Maintenance Practices Essays

8 Basic Aerodynamics 7 Maintenance Practices

9 Human Factors 9 Human Factor

10 Aviation Legislation 10 Aviation Legislation

11 Aeroplane Aerodynamics, Structures 18 Air Legislation

& Systems

4. EXAMINATION MODULES SUCCESSFULLY COMPLETED WITH GCAA (Please tick appropriate boxes)

None

Module Exam (MCQ) Module Exam(MCQ)

1 Mathematics 12 Helicopter Aerodynamics, Structures & Systems

2 Physics 13 Aircraft Aerodynamics, Structures & Systems

3 Electrical Fundamentals 14 Propulsion

4 Electronics Fundamentals 15 Gas Turbine Engine

5 Digital Techniques/Electronic 16 Piston Engine

Instrument systems 17 Propeller

6 Materials & Hardware 18 Air Legislation

7 Maintenance Practices Essays

8 Basic Aerodynamics 7 Maintenance Practices

9 Human Factors 9 Human Factor

10 Aviation Legislation 10 Aviation Legislation

11 Aeroplane Aerodynamics, Structures 18 Air Legislation

& Systems

AMEL FORM 01/Rev 1 Page 2 of 4

Issued October 2011
 5. DECLARATION
I hereby declare and certify all information that I have furnished on this form is true and correct to the best of my
knowledge and belief. I undertake that I have not taken examination in any of the modules applied in this application
within the last ninety (90) days. I understand any false or misleading statement may result in the refusal of this application
or revocation / suspension of the licence.

SIGNATURE OF APPLICANT: __________________________ DATE: ________________

Day / Month / Year
6. QUALITY MANAGER’S RECOMMENDATIONS

I confirm that __________________________________________________________________ is working in our

organization in the capacity of ______________________________________________________________________
and recommend his application for the examination applied for in Section 3 of this application.

Name……………………………………………………………...Position……………….…………………………..............

Company………………………………………………………….Approval number…………………………………............

Telephone Number……………………………………………….E-mail……………………………………………..............

Signature……………………………………………………….....Date……………………………………………….............

Stamp.........................................................................................................................................................
7. DOCUMENTs CHECKLIST ( For GCAA USE )
Candidate to ensure submission of the manuals/documents along with this application
Document Submitted Not Submitted
1 Covering letter from employer

2 Copies of previous GCAA examination results ( as applicable )

3 One recent colour photograph with white background

(with initial application only)
4 Copy of Passport and valid Visa page

5 Applicable licensing fee

8. INSPECTOR REMARKS (For GCAA Use)

□ Recommended □ Not Recommended

Inspector Name: ___________________________________________________________________________________

Signature: ____________________________________ Date:______________________________________________

AMEL FORM 01/Rev 1 Page 3 of 4

Issued October 2011
 9 MANAGER – ENGINEERING LICENSING REMARKS (For GCAA Use)
□ Approved □ Not approved

Name: Signature: Date:

AMEL FORM 01/Rev 1 Page 4 of 4

Issued October 2011