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    Pakistan Civil Aviation Authority: (E.g 30/DEC/1977) : (City & Country)

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    Tauqir Ahmed
    This document is an application form for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer License (AML) from the Pakistan Civil Aviation Authority (PCAA). It requests personal details of the applicant, their employer, the type of license and ratings sought, experience and qualifications, payment method, and declarations agreeing to PCAA regulations. Recommendations from the employer and evaluating officers are also part of the application process.

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    Pakistan Civil Aviation Authority: (E.g 30/DEC/1977) : (City & Country)

    Uploaded by

    Tauqir Ahmed
    82 views3 pages
    This document is an application form for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer License (AML) from the Pakistan Civil Aviation Authority (PCAA). It requests personal details of the applicant, their employer, the type of license and ratings sought, experience and qualifications, payment method, and declarations agreeing to PCAA regulations. Recommendations from the employer and evaluating officers are also part of the application process.

    Original Title

    F-619R (1)

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    This document is an application form for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer License (AML) from the Pakistan Civil Aviation Authority (PCAA). It requests personal details of the applicant, their employer, the type of license and ratings sought, experience and qualifications, payment method, and declarations agreeing to PCAA regulations. Recommendations from the employer and evaluating officers are also part of the application process.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    82 views3 pages

    Pakistan Civil Aviation Authority: (E.g 30/DEC/1977) : (City & Country)

    Uploaded by

    Tauqir Ahmed
    This document is an application form for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer License (AML) from the Pakistan Civil Aviation Authority (PCAA). It requests personal details of the applicant, their employer, the type of license and ratings sought, experience and qualifications, payment method, and declarations agreeing to PCAA regulations. Recommendations from the employer and evaluating officers are also part of the application process.

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    © All Rights Reserved
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    PAKISTAN

    CIVIL AVIATION AUTHORITY

    APPLICATION FOR INITIAL/AMENDMENT/RENEWAL OF CAAF-619-AWRG-3.0


    ANO-066 “AIRCRAFT MAINTENANCE ENGINEER LICENSE”

    PCAA FORM 19
    AIRWORTHINESS DIRECTORATE
    THIS FORM SHALL BE FILLED ON SCREEN THEN PRINTED, SIGNED AND SUBMITTED AS INSTRUCTED

    1. APPLICANTS DETAILS: (Do not leave any field blank, otherwise the case will be returned un-actioned)
    Name: Email:
    Joining date of current employment: Cell Number:
    Date of Birth (e.g 30/DEC/1977): Place of Birth (City & Country):
    CNIC No: Nationality:
    Address:

    2. AML DETAILS: (if applicable)


    License Number: PCAA.66. Date of issue:

    3. EMPLOYERS DETAILS:
    Name: PIAC Date employment commended: N/A
    Address: HEAD OFFICE, JIAP, KARACHI.
    Organization approval number: PCAA.145.001 Head of Quality: Mr. KHAWAJA NOORUL QADIR
    Email Address: khimipk@piac.aero Cell number: 0323-2320390
    Previous employer: N/A Date of Joining: N/A Date of Resignation: N/A

    4. APPLICATION FOR: (tick relevant boxes)


    Initial issue of AML Amendment/Change of AML Renewal of AML ✔

    Rating: A B1 B2 B3 C
    Aeroplane Turbine N/A N/A N/A
    Aeroplane Piston N/A N/A N/A
    Helicopter Turbine N/A N/A N/A
    Helicopter Piston N/A N/A N/A
    Avionics N/A N/A N/A N/A
    Piston engine non-pressurised
    aerplanes of MTOM of 2t & below
    N/A N/A N/A N/A
    Complex motor-powered
    N/A N/A N/A N/A
    aircraft
    Aircraft other than complex
    N/A N/A N/A N/A
    motor-powered aircraft
    Type endorsements/Rating
    endorsement/Limitation
    removal (mention briefly):
    Page 1 of 3
    5. CREDIT CLAIM: (not required for AML renewal)
    I wish to claim the following credits (if applicable):
     Experience credit for 147 approved basic training
    Organization Name: N/A
    Course title:
    Course completion date: Certificate number:
     Experience credit due equivalent examination certificate
    (exam accredited and recognized by PCAA based on examination credit report)
    Name of institute: N/A
    Credit Report Ref No.
     Experience credit due to a skilled worker (Refer ANO.066.A.30)
    N/A

    Please enclose all relevant certificates

    6. SUMMARY OF EXPERIENCE: (not required for AML renewal)


    Dates Engine(s)
    Aircraft and/or Description of work experience
    From To Equipment
    N/A

    7. REMOVAL OF LIMITATION FROM BASIC/TYPE LICENSE:


    Limitations Basic/Type (mention details) List examination completed
    N/A

    8. LIST OF ALL RELEVANT CERTIFICATES ENCLOSED WITH THIS APPLICATION:


    1.AML ORIGINAL 2. MEDICAL CERTIFICATE
    3. CNIC ATTESTED COPY

    Page 2 of 3
    9. DECLARATION:

    I wish to apply for initial/amendment/renewal of ANO-066 AML as indicated and confirm that the information contained
    in this form was correct at the time of application. I herewith confirm that:

    1. I am not holding any Part 66 AML issued in another Member State.


    2. I have not applied for any Part 66 AML in another Member State and
    3. I never had a Part-66 AML issued in another Member State which was revoked or suspended in any other Member
    State. I also understand that any incorrect information could disqualify me from holding ANO-066 AML.

    Signatures: _________________________ Date: ___________________

    10. RECOMMENDATION: (not required for AML renewal)

    It is hereby certified that the applicant has met the relevant maintenance knowledge and experience requirements of
    ANO-066 and it is recommended that PCAA grants or endorses the ANO-066 AML.

    Name:_________________________________________________ Signature:________________________________

    Position:_____________________ Official stamp: _______________________ Date: ___________Place: __________

    11. PAYMENT METHOD: (refer latest issue of AWNOT-003 for required fee)

     Authorization of fee deduction from advance deposit account granted: Yes / No (or)
     Payment may be utilized from attached fee deposit slip of Rs. ________ Slip number/dt: _____________________

    12. FOR USE IN AIRWORTHINESS FIELD OFFICE: (to be filled by evaluating officer)

    Remarks: Satisfactory Un-Satisfactory (mention reason)

    Recommendations: _______________________________________________________________________________
    _______________________________________________________________________________________________

    Signature: _________________ Date: _____________ Official stamp: ___________________

    13. FOR USE IN HQs AIRWORTHINESS DIRECTORATE: (to be filled by evaluating officer)

    Reference Minute: Dated: Recommended Not-Recommended

    Signature: _________________ Date: _____________ Official stamp: ___________________

    Page 3 of 3

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