Ca Form 19-03

CAR 66 ISSUE II R 1
Appendix V –Applications and Formats

CA FORM 19-03: Application for renewal of CAR- 66 aircraft maintenance engineer’s licence
APPLICATION FOR RENEWAL OF DGCA INDIA
CAR- 66 AIRCRAFT MAINTENANCE ENGINEER’S LICENCE CA Form 19-03
Please complete the form in BLOCK CAPITALS using black or dark blue ink after reading the attached guidance notes. Fields marked
with an asterisk * are mandatory and must be completed in all cases. Use Date Format – DD-MM-YYYY
1. PERSONAL DETAILS
AME Licence No. Expiry Date
*Name in full
Details of Fees
*Permanent address (in case of any change) ……………………………………………………………………………………………………………………...

……………………………………………………………………………………………………………………………………………. PIN Code ………………………………
*Address for Communication ……………………………………………………………………………………………………………..............................

…………………………………………………………………………………………………………………................ PIN Code ……………………………
Applicant Contact Phone Number ………………………........................ E-mail………………..….……………………………………………..…….

Name of the Current Employer ….…………………………………………………………………………………………….…………….……………….…..
Contact Phone Number of Employer ……………………….................. E-mail…….……………………………..………………………..……………….
2. *APPLICATION
I wish to apply for Renewal of CAR-66 Aircraft Maintenance License as indicated and confirm that the information contained
in this form was correct at the time of application
3. *SUMMARY OF AERONAUTICAL EXPERIENCE PRECEEDING TWENTY FOUR MONTHS ( For expired AME licence only )
Date
Organisation Aircraft Description of Work
From To
*Relevant certificates/documents required to be submitted as enclosures (Enclosure No. II)

4.*DECLARATION
I hereby confirm that: i) I apply for renewal of CAR-66 Aircraft Maintenance Engineer’s Licence as indicated and confirm
that the information contained in this form was correct at the time of application. ii) I never had a CAR 66 AME Licence
issued which was revoked or suspended by DGCA iii) I did not apply earlier to the any other office of DGCA for renewal of
my AME Licence and the request was not turned down.
PLACE SIGNATURE
DATE NAME
INSTRUCTION AND CHECKLIST
CHECKLIST TO CA FORM 19-03 Enclosur DGCA

Enclosur
e Page Remarks
e No.
DETAILS OF ENCLOSURES No. Sat/Unsat
1. Original CAR 66 Aircraft Maintenance Engineer’s licence I
2. Certified true copies of Logbook / Work records for the corresponding II

period ( For expired AME licence only )
3. Medical fitness certificate issued by MBBS doctor on CA form 19-06 III
4. Fee paid
It is an offence to make, with intent to deceive, any false representations for the purpose of procuring the grant,
issue, renewal or extension of any certificate, licence, approval, permission or other document. Persons doing so render
themselves liable to administrative/Legal action n as per Aircraft Rule 1937. Further the licence is liable for revocation /
cancellation / suspension or permanently makes the person ineligible to have an Aircraft Maintenance Engineer’s Licence.
Please refer to current notification for details of fees required. All original documents if required to be submitted,
will be returned through the self-addressed cover affixed with necessary postal stamp (Speed post) provided by the
applicant.
Completed application with the checklist should be posted along with the required documentation to the respective
Regional / Sub-Regional Airworthiness Office
Notes: Having clear concise supporting data will enable DGCA office to renew the licenses more effectively and with
less risk of errors or rejections. DGCA office will not contact you for clarification of details on applications and therefore it
is most important that you have the correct information before applying.
In order that DGCA can process the licence application as quickly as possible, it is important that all sections marked
with an asterisk on the application form are completed and the required supporting documentation enclosed. Please note
failure to submit a correctly completed application form and the required documentation will lead to the rejection of the
application and the fees submitted will be utilized towards processing the application
Section 1: Indicate personal details as required.

Section 3: Indicate aircraft maintenance and certification work done during the period.

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CAR 66 ISSUE II R 1

Appendix V –Applications and Formats

*Permanent address (in case of any change) ……………………………………………………………………………………………………………………...

*Address for Communication ……………………………………………………………………………………………………………..............................

Applicant Contact Phone Number ………………………........................ E-mail………………..….……………………………………………..…….

*Relevant certificates/documents required to be submitted as enclosures (Enclosure No. II)

CHECKLIST TO CA FORM 19-03 Enclosur DGCA

2. Certified true copies of Logbook / Work records for the corresponding II

Section 1: Indicate personal details as required.

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