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    Easa Form 19: Federal Office of Civil Aviation FOCA

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    vpro
    This document is an application form for an initial, amendment, or renewal of a Part-66 Aircraft Maintenance Licence from the Federal Office of Civil Aviation in Switzerland. The form requests information such as the applicant's personal details, current licence details if applicable, employer details, the types of categories and endorsements being applied for, credits being claimed, and a signature confirming the accuracy of the information provided. It also contains recommendations from maintenance organizations, instructions on where to send the completed form, and notes on penalties for providing false information.

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    © All Rights Reserved
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    Easa Form 19: Federal Office of Civil Aviation FOCA

    Uploaded by

    vpro
    173 views3 pages
    This document is an application form for an initial, amendment, or renewal of a Part-66 Aircraft Maintenance Licence from the Federal Office of Civil Aviation in Switzerland. The form requests information such as the applicant's personal details, current licence details if applicable, employer details, the types of categories and endorsements being applied for, credits being claimed, and a signature confirming the accuracy of the information provided. It also contains recommendations from maintenance organizations, instructions on where to send the completed form, and notes on penalties for providing false information.

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    EASA_Form_19

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    This document is an application form for an initial, amendment, or renewal of a Part-66 Aircraft Maintenance Licence from the Federal Office of Civil Aviation in Switzerland. The form requests information such as the applicant's personal details, current licence details if applicable, employer details, the types of categories and endorsements being applied for, credits being claimed, and a signature confirming the accuracy of the information provided. It also contains recommendations from maintenance organizations, instructions on where to send the completed form, and notes on penalties for providing false information.

    Copyright:

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

    Easa Form 19: Federal Office of Civil Aviation FOCA

    Uploaded by

    vpro
    This document is an application form for an initial, amendment, or renewal of a Part-66 Aircraft Maintenance Licence from the Federal Office of Civil Aviation in Switzerland. The form requests information such as the applicant's personal details, current licence details if applicable, employer details, the types of categories and endorsements being applied for, credits being claimed, and a signature confirming the accuracy of the information provided. It also contains recommendations from maintenance organizations, instructions on where to send the completed form, and notes on penalties for providing false information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Federal Department of the Environment,

    Transport, Energy and Communications DETEC


    Federal Office of Civil Aviation FOCA
    Safety Division - Aircraft

    APPLICATION FOR INITIAL / AMENDMENT / RENEWAL OF EASA FORM 19


    PART-66 AIRCRAFT MAINTENANCE LICENCE (AML)

    APPLICANTS DETAILS:

    Gender: Female  Male 

    Surname: First Name:

    Full address:

    Phone: E-mail:

    Nationality: Date and Place of Birth:

    Part-66 AML DETAILS (if applicable):


    Licence No: State and Date of first Issue:

    EMPLOYERS DETAILS:
    Name:

    Address:

    Maintenance Organisation Approval Reference:

    Phone: Fax: E-mail:

    Application for: (Tick (√) the relevant box(es))


    Initial AML 
    Amendment of AML:
    Extension of Categories 
    Endorsement of Types Rating(s) 
    Removal of limitation(s) 
    Renewal of AML 
    Conversion 
    License Duplicat 
    (Please fill in the Form „Lost or stolen Part-66 Aircraft Maintenance Licence”)
    Change of Address 

    341.101 FOCA EASA Form-19


    Rev. 13_09.08.2019 Page 1 of 3
    AML Categories: A B1 B2 B2L B3 C L
    Aeroplane Turbine
    Aeroplane Piston
    Helicopter Turbine
    Helicopter Piston
    Avionics see system ratings below
    Piston engine non-pressurised aeroplanes of MTOM of 2t and below
    Complex motor-powered aircraft
    Aircraft other than complex motor-powered aircraft

    System ratings for B2L licence:


    1. Autoflight
    2. instruments
    3. com/nav
    4. surveillance
    5. airframe systems

    L-licence subcategories:
    L1C: Composite sailplanes
    L1: Sailplanes
    L2C: Composite powered sailplanes and composite ELA1 aeroplanes
    L2: Powered sailplanes and ELA1 aeroplanes
    L3H: Hot-air balloons
    L3G: Gas balloons
    L4H: Hot-air airships
    L4G: ELA2 gas airships
    L5: Gas airship other than ELA2

    Type endorsement / Rating endorsement / Limitation removal (if applicable):

    I wish to claim the following credits (if applicable):

    Experience credit for Part-147 training:

    Examination credit for equivalent exam certificates:

    Please enclose all relevant copies of certificates.

    341.01 FOCA EASA Form 19


    Rev. 13_09.08.2019 Page 2 of 3
    I wish to apply for Initial / amendment / renewal of Part 66 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
    a Part 66 AML.

    Name: Place and Date:

    Signature:

    Recommendation (if applicable): It is hereby certified that the applicant has met the relevant
    maintenance knowledge and experience requirements of Part-66 and it is recommended that the
    competent authority grants or endorse the Part-66 AML.

    Name:

    Position:

    Company:

    Maintenance Organisation Approval Reference:

    Place and Date:

    Signature:

    Note: It is an offence to make, with intent to deceive, any false representation for the purpose of
    producing the grant, issue, renewal or extension of any license. Any person so doing renders him-
    self liable on conviction to a fine or to imprisonment (Penal Code of Swiss Federal Administration,
    SR 313.0, Art. 15).

    Note: The applicant to an Aircraft Maintenance Licence shall submit his/her current original aircraft
    maintenance licence to the competent authority together with the EASA Form 19.

    Please send this application duly completed together with the relevant documents to:

    Federal Office of Civil Aviation FOCA


    Safety Division – Aircraft
    Technical Organisations Bern STOB
    3003 Bern
    Switzerland

    EASA Form 19 Issue 5

    341.01 FOCA EASA Form 19


    Rev. 13_09.08.2019 Page 3 of 3

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