Ame Written Exam

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AME

AME

AME Rev July ' 07 CA-9 (AME- Written)

APPLICATION FOR WRITTEN PAPERS OF AME LICENCE EXAMINATION GOVERNMENT OF INDIA CENTRAL EXAMINATION ORGANISATION, O/O DIRECTOR GENERAL OF CIVIL AVIATION, 1. COMPUTER NO.

2. SESSION

3.FEES: Amount Rs

E--

D D No. Issue Date Bank

M M Y Y Y Y

DD should be payable to PAO,DGCA,MCA,NEW DELHI DD should not be drawn 30 days before submission

4. Date of Birth D

D

M

M Y

Y

Y Y

6. EXAM

5. NAME

CENTRE

7. Name of Approved Institute / Sponsoring Organization / Employer :

8. Papers in which the applicant desires to appear: FOR OFFICIAL USE Papers desired to appear

Papers Accepted YES / NO

ROLL NO ALLOTTED REASONS FOR REJECTION , IF ANY

Paper

YES / NO

CATEGORY

Paper 1

/////////////////

Paper 2

////////////////

Paper 3 CAT Paper 4

TYPE OF A/C, ENG, SYSTEM Signature of DGCA Officer

Candidates who had passed theirPaper 1 before 1992 should submit their duly attested result ofPaper1(combined paper1&2) /BAMEL/ AMElicence copy along with the application while applying for PAPER 3

9. Details of the last two examinations attemped by the candidate Session

Roll No

Subjects

Paper 1

Paper 2

Paper 3 CAT CAT

Paper 4 Type of A/C,Eng,Sys

Marks Obtained Marks Obtained

10. Type of Applicant:

AME TRG ( Read Instructions, Tick the appropriate category )

11. DEFENCE Applicants

DEF

a) Tick the appropriate box

GET

GEN

Serving

Retired

b) TRADE /BRANCH of Engineering for Defence personnel relevant to Aircraft Maintenance: (Enclose documentary evidence)

12.EXPERIENCE:

(attach additional sheets of experience, if required).

a) Total Aircraft Engineering experience: _____Years ______Months b) Details of Aircraft Maintenance Experience: Type of aircraft engines,system

Organisation / Approved Institute

(Enclose Attested copy of certified experience)

Area of Work Major / Line

From

Number of 100 hr or Duration higher inspection To Period in Months schedules carried out

NOTE. ( If additional sheets are attached, the same should bear the full signature of the candidate. )

c) Type Rated Experience:( Applicable for Paper 4 only): Type of aircraft, engines, system.

Organisation / Approved Institute

Area of Work Major / Line

(Enclose attested copy of BAMEL or Proof of passing Papers 1,2,3) From

Duration To Period in Months

Brief Details of Experience

13. AME Trg. Schools: Categories of Basic Licence in which the candidate has covered the DGCA Approved Syllabus and undergone practical training 1. Cat._______

14. a)

2. Cat.________

(Enclose documentary evidence of passing Semester Examination & Practical training)

AME Licence No, if issued

b) Cat of BAMEL, if issued I hereby certify that the above particulars/entries made by me are true and correct in every respect to the best of my knowledge and belief and that nothing has been concealed or withheld by me. I understand that if any of my particulars/entries are found false or incorrect before or after the examination, my candidature will be rejected and further action can be taken against me by DGCA . Further, I certify that I have read & understood the INSTRUCTIONS

Full Signature of applicant

DATE

CERTIFICATE It is certified that the * experience claimed by Mr./Ms _________________________has been verified by me and found correct Signature & Stamp of QCM / CI of Trg. Inst./ Chief Engg. Officer ( in case of serving defence candidates). DATE :

SEAL OF ORGANISATION

NAME

*if the applicant is unemployed or has gained part of the experience with other organization for the papers applied for, he should enclose the copy of experience certificate or relevant pages of AME Log Book duly attested by DGCA officer.

AME

AME

AME

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