Documente Academic
Documente Profesional
Documente Cultură
PERSONAL DETAILS
EMPLOYERS DETAILS
Aeroplane Turbine
A1
B1.1
Aeroplane Piston
A2
B1.2
Helicopter Turbine
A3
B1.3
Helicopter Piston
A4
B1.4
Avionics
B2
Yes
No
Yes
No
Is the examination being taken for addition of another category to existing license
Yes
No
Page 1 of 4
Please select modules applied for through this application by selecting () the appropriate modules:
Module
Exam (MCQ)
Module
Exam(MCQ)
Mathematics
12
Physics
13
Electrical Fundamentals
14
Propulsion
Electronics Fundamentals
15
Digital Techniques/Electronic
16
Piston Engine
Instrument systems
17
Propeller
18
Air Legislation
Maintenance Practices
Basic Aerodynamics
Maintenance Practices
Human Factors
Human Factor
10
Aviation Legislation
10
Aviation Legislation
11
18
Air Legislation
Essays
& Systems
4.
EXAMINATION MODULES SUCCESSFULLY COMPLETED WITH GCAA (Please tick appropriate boxes)
None
Module
Exam (MCQ)
Module
Exam(MCQ)
Mathematics
12
Physics
13
Electrical Fundamentals
14
Propulsion
Electronics Fundamentals
15
Digital Techniques/Electronic
16
Piston Engine
Instrument systems
17
Propeller
18
Air Legislation
Maintenance Practices
Basic Aerodynamics
Maintenance Practices
Human Factors
Human Factor
10
Aviation Legislation
10
Aviation Legislation
11
18
Air Legislation
Essays
& Systems
Page 2 of 4
5.
DECLARATION
I hereby declare and certify all information that I have furnished on this form is true and correct to the best of my
knowledge and belief. I undertake that I have not taken examination in any of the modules applied in this application
within the last ninety (90) days. I understand any false or misleading statement may result in the refusal of this application
or revocation / suspension of the licence.
DATE: ________________
Day / Month / Year
Stamp.........................................................................................................................................................
7. DOCUMENTs CHECKLIST ( For GCAA USE )
Candidate to ensure submission of the manuals/documents along with this application
Document
Submitted
8.
Not Submitted
Recommended
Not Recommended
Page 3 of 4
Approved
Name:
Not approved
Signature:
Date:
Page 4 of 4