Checklist 30 Ncar Part 66 Assessment Form
Checklist 30 Ncar Part 66 Assessment Form
Checklist 30 Ncar Part 66 Assessment Form
Name of Candidate
Date of Birth
Place of Birth
Address
Nationality
Operator (Recommended by)
CAAN Form 19 Status
Applied NCAR Part-66 Licence
NCAR Part-66 AML No.
Aircraft Practical Maintenance
Submitted Period/ OJT Period
Applied For
□ CONVERSION OF AMTL TO NCAR PART-66 LICENCE (PART-A)
□ CONVERSION OF FOREIGN PART-66 AML (EASA Countries) TO NCAR PART-66 LICENCE
(FOR NEPALESE CITIZEN ONLY) (PART-B)
□ NCAR PART-66 LICENCE WITHOUT TYPE RATING (LWTR) (PART-C)
□ ENDORSEMENT OF TYPE RATING IN NCAR PART-66 LICENCE (PART-D)
□ REMOVAL OF LIMITATION IN NCAR PART-66 LICENCE (PART-E)
□ NCAR PART-66 LICENCE WITHOUT TYPE RATING (LWTR) based on NCAR Section F (PART-F)
□ EXTENSION OF AIRCRAFT MAINTENANCE LICENCE TO INCLUDE AN ADDITIONAL BASIC
CATEGORY OR SUBCATEGORY (PART-G)
□ RENEWAL OF AN AIRCRAFT MAINTENANCE LICENCE VALIDITY (Part-H)
□ CONVERSION OF FOREIGN PART-66 AML (NON EASA) TO NCAR PART-66 LICENCE (FOR
NEPALESE CITIZEN ONLY) (PART-I)
Remarks:
The above assessment was found to be satisfactory. Hence, requested for preparation of conversion report
as per conversion matrix of NCAR Part-66 and issue of NCAR Part-66 Licence.
Assessment Performed By
Name Designation Organization Signature & Date
Assessment Performed By
Name Designation Organization Signature & Date
A or B1 Aeroplane B3
A or B1 Helicopter with
with Piston engine
non-
M. B2
Module Turbine Piston Turbine Piston pressurised Pass Date
No. Avionics
Engines Engines Engines Engines aeroplanes
B1.1 B1.2 B1.3 B1.4 (<2000 kg
MTOM)
1 MATHEMETICS
□ □ □ □ □ □
2 PHYSICS
□ □ □ □ □ □
3 ELECTRICAL FUNDAMENTALS
□ □ □ □ □ □
4 ELECTRONIC FUNDAMENTALS
□ □ □ □ □ □
5 DIGITAL
TECHNIQUESELECTRONIC □ □ □ □ □ □
INSTRUMENT SYSTEMS
6 MATERIALS AND HARDWARE
□ □ □ □ □ □
7A MAINTENANCE PRACTICES
□ □ □ □ □
7B MAINTENANCE PRACTICES
□
7E MAINTENANCE PRACTICES ESSAY
□ □ □ □ □ □
8 BASIC AERODYNAMICS
□ □ □ □ □ □
9A HUMAN FACTORS
□ □ □ □ □
9B HUMAN FACTORS
□
9E HUMAN FACTORS ESSAY
□ □ □ □ □ □
10 AVIATION LEGISLATION
□ □ □ □ □ □
10E AVIATION LEGISLATION ESSAY
□ □ □ □ □ □
11A TURBINE AEROPLANE
AERODYNAMICS, STRUCTURES □
AND SYSTEMS
11B PISTON AEROPLANE
AERODYNAMICS, STRUCTURES □
AND SYSTEMS
11C PISTON AEROPLANE
AERODYNAMICS, STRUCTURES □ □
AND SYSTEMS
12 HELICOPTER AERODYNAMICS,
STRUCTURES AND SYSTEMS □ □
13 AIRCRAFT AERODYNAMICS,
STRUCTURES AND SYSTEMS □ □
14 PROPULSION
□ □
15 GAS TURBINE ENGINE
□ □
16 PISTON ENGINE
□ □ □
17A PROPELLER
□ □
17B PROPELLER
□
BASIC NCAR
□ □ □ □ □ □
TOTAL MODULES 16 16 15 15 15 16
Assessment Performed By
Name Designation Organization Signature & Date
Assessment Performed By
Name Designation Organization Signature & Date
Recommendation:
Assessment Performed By
Name Designation Organization Signature & Date
Assessment Performed By
Name Designation Organization Signature & Date
Required Maintenance
Modules or Experience Limitation
Category Held Modules or Part Modules required Part Modules Required Held
Pass Date
ONE YEAR
Module 4.1.1b, 4.1.2,4.1.3b,4.2, 4.3b
Assessment Performed By
Note: Relevant Part of Part C, Subpart C2 shall be completed to meet the experience requirements.
Assessment Performed By
Note: Relevant Part of Part C, Subpart C2 shall be completed to meet the experience requirements.
Verify and compare the holder's aircraft maintenance licence with the CAA Nepal records for the
following details:
S.N. Topics Submitted Copy details CAA Nepal Records
1 Name
2 Licence Number
3 Licence Issued Date
4 Category
5 Aircraft Type Ratings held, if any
6 Basic Limitations Held
Recommendation:
Assessment Performed By
Assessment Performed By
Name Designation Organization Signature & Date