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    CAA International: Overseas Venue - Part-66 Aircraft Maintenance Licence Application For Written Examination

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    CAA International: Overseas Venue - Part-66 Aircraft Maintenance Licence Application For Written Examination

    Uploaded by

    ayush
    6 views2 pages

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    exam form

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    Copyright:

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    6 views2 pages

    CAA International: Overseas Venue - Part-66 Aircraft Maintenance Licence Application For Written Examination

    Uploaded by

    ayush

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CAA International

    Overseas Venue - Part-66 Aircraft Maintenance Licence


    Application for Written Examination
    Please complete the form in BLOCK CAPITALS using type, black or dark blue ink

    1. Personal Details

    CAA Personal Reference number (if known) BCAR Licence No

    Part 66 Licence No (if held)

    Surname PAUDEL Forename GAURAB RAJ

    Title MR. Date of birth MAY-7-1993

    Town Country
    Nationality NEPALI SINDHUPALCHOWK NEPAL
    of birth of birth

    Permanent Address THOKARPA-2, SINDHUPALCHOWK

    City SINDHUPALCHOWK Postcode / zip code 45300 Country NEPAL

    Telephone no. 9844401831 Alternative tel no.

    Email address paudel.gaurab@gmail.com Fax no.

    Address BUDHANILKANTHA

    City KATHMANDU Postcode / zip code 44600 Country NEPAL

    2. Venue CAA International Exam Centre

    Exam Centre
    AM ✔ PM

    Exam date 1st choice 20 DEC' 2021 2nd choice 19 DEC' 2021

    Please see our website www.caainternational.com for exam dates and venues
    3. Category / Sub Category Of Examination (tick as appropriate)

    Category A B

    Aeroplane Turbine A1 B1-1


    Aeroplane Piston A2 B1-2
    Helicopter Turbine A3 B1-3
    Helicopter Piston A4 B1-4
    Avionic N/A ✔ B2

    4. For CI Use Only

    Date Cheque / PO/Cash/Mastercard/Visa £

    Enclosures Receipt No
    INT Version CI \1002 Page 1 of 2
    5. Additional Information

    I am applying to take examinations to convert from a BCAR Section L AMEL

    I am applying to take examinations to remove limitations from my Part-66 Licence


    I hold a Part-66 licence in a different category to the examinations for which I am applying

    6. EXAMINATION PAPERS (Please put check box(es) against the modules(s) you wish to take at this examination)

    Module CI Use only Module CI Use only

    Paper No % Paper No %
    1. Mathematics 10. Aviation Legislation

    2. Physics 11. Aeroplanes Aerodynamics,


    Structures and Systems
    ✔ 3. Electrical Fundamentals
    12. Helicopter Aerodynamics,
    4. Electronic Fundamentals Structures and Systems
    5. Digital Techniques / Electronic 13. Aircraft Aerodynamics
    Instrument Systems Structures and Systems
    6. Materials & Hardware 14. Propulsion
    7. Maintenance Practices 15. Gas Turbine Engine

    8. Basic Aerodynamics 16. Piston Engine


    17. Propellor
    9. Human Factors

    Essay Module 7 Module 9 Module 10 All

    7. Payment Methods (see guidance notes)

    Please complete form CI/1187. Please refer to website for for current fees.

    8. Declaration (*delete as appropriate)

    ✔ I declare that the information provided in this form is correct.


    ✔ I declare that I have not taken the above module exams within the last 90 days

    I have undertaken a course of retraining and have enclosed the course completion certificate to allow me to re-take the
    relevant modules in accordance with Part-66, Appendix II, 1.11

    I agree to receive Engineering Safety material from the CAA only Safety material from authorised sources

    I do not wish to receive this safety material

    Signed By Date

    9. Submission Instructions (see guidance notes)

    Send your completed application form to:


    CAA International Ltd, 3W Aviation House, Gatwick Airport South, West Sussex RH6 0YR or by fax: +44 (0) 1293 573992
    Together with:

    *a certified copy of your passport where needed

    Click here to print

    INT Version CI \1002 Page 2 of 2

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