Airworthiness Inspector Handbook Part-II - Civil Aviation Authority of ...

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AIRWORTHINESS INSPECTORSHANDBOOK-FOR NCAR 145/66/147/MCAAN Form 19CIVIL AVIATION AUTHORITY OF NEPALAPPLICATION FOR INITIAL/AMENDMENT/RENEWAL OFNCAR PART-66 AIRCRAFT MAINTENANCE LICENCE (AML)APPLICANT’S DETAILSName …………………………………………………………………………………………..Address…………………………………………………………………………………………………………………………………………………………………………………………….Nationality…………………………………………Date of birth……………………………...NCAR Part-66 AML details (if applicable):Licence No……………………………………..….Date of issue………………………………EMPLOYER’S DETAILSName……………………………………………………………………………………………..Address…………………………………………………………………………………………..……………………………………………………………………………………………………AMOReference……………………………………………………………………….Approval…………………………………………………..Fax……………………………………………July 2012 Page 42
AIRWORTHINESS INSPECTORSHANDBOOK-FOR NCAR 145/66/147/MAPPLICATION FOR: (Tick (√) relevant box(es))Initial AML □ Amendment of AML □ Renewal of AML □Rating A B1 B2 CAirplane Turbine □ □Airplane Piston □ □Helicopter Turbine □ □Helicopter Piston □ □Reserved □ □Reserved □ □Avionics□Aircraft□Type endorsements (if applicable)………………………………………………………………………………………………………..……………………………………………………………………………………………………….I wish to apply for initial/amendment/renewal of NCAR Part-66 AML as indicated andconfirm that the information contained in this form was correct at the time of application.Signed……………............................................Name……………………………………………Date…………………………………..I wish to claim the following credits (if applicable):Experience credit due NCAR Part 147 trainingExamination credit due equivalent exam certificatesEnclose relevant certificatesRecommendation (if applicable): It is hereby certified that the applicant has met the relevantmaintenance knowledge and experience requirements of NCAR Part-66 and it isrecommended that CAA Nepal grants or endorses the NCAR Part-66 AML.Signed………………………………………….Name………………………………………………..Position…………………………………………Date…………………………………………………July 2012 Page 43
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