Form No: CAA/PL/E/09

CIVIL AVIATION AUTHORITY OF SRI LANKA

Application for Aircraft Maintenance Licence Examination

1. PARTICULARS OF THE APPLICANT

1. Full Name

2. Surname

3. Date of birth (dd/mm/yyyy) ......................................................... Age ....

4. Nationality...................................................................................

5. NIC/Passport Number .........................................................................................................................................................................

..

6. Postal Address for correspondence........................................................................................................................................................

..
7. Telephone Number ....................................................................
8. E-mail..........................................................................................

Fax Number ..................................................................................

9. Present Employer Name/Address

10. Present Designation .

2.

LICENCE DETAILS

11. Dates of previous sittings :

Date

Category

Pass/Fail

12. Present Aircraft Maintenance Licence held

Licence No

Issuing Authority

Endorsements/Ratings/
Categories

Validity Period

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3.

CATEGORY / SUB- CATEGORY OF EXAMINATION (tick appropriate box(s))

Category

Aeroplanes Turbine

A1

B1.1

Aeroplanes Piston

A2

B1.2

Helicopter Turbine

A3

B1.3

Helicopter Piston

A4

B1.4

Avionic

4.

N/A

B2

EXAMINATION PAPERS (tick appropriate box(s) against the module(s) you wish to take at this examination)

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Module

1. Mathematics

CAA Use
only

Module

10. Aviation Legislation

11A. Turbine Aero plane
Aerodynamics,
Structures and Systems

2. Physics

3. Electrical Fundamentals

11B. Piston Aero plane

Aerodynamics,
Structures and Systems

4. Electronic Fundamentals

12. Helicopter Aerodynamics

Structures and Systems

5. Digital
Techniques/Electronic
Instrument Systems

13. Aircraft Aerodynamics

Structures and Systems

6. Materials and Hardware

14. Propulsion

7. Maintenance Practices

15. Gas Turbine Engine

8. Basic Aerodynamics

16. Piston Engine

9. Human Factors

17. Propeller

5.

CAA Use
only

EDUCATIONAL QUALIFICATIONS (attach certified copies of certificates)

Examination

6.

Year

Results (Subject/ Category)

TRAINING COURSES IN AIRCRAFT MAINTENANCE

(Attach copies of training course details and certificates, signed and certified placing the seal as true copy of the original by
Present Employer /Notary public/ Justice of peace. Attach extra papers if space is inadequate)

Name

Institute
Country

Period
From-To

Course Title

Results

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7.

EXPERIENCE IN AIRCRAFT MAINTENANCE

( *Attach copies of the worksheets /AM logbook certified by the Supervisor,
*Column 03 of the following table must be signed by a Manager of the Organization who provided the training or provides
employment , giving full name , designation and signature,
* Attach extra papers if space is inadequate)

(1)
Precise Nature
of work & Types
of Aircraft,
Engines or
Systems

(2)
Period

From

(3)
Certifying Officer

To

Name/Designatio
n

Organization

Signature

I hereby certify that the particulars furnished by me in this application form are true and accurate
to the best of my knowledge
I also certify that I am aware of the requirements and conditions applicable to the issue of an
Aircraft Maintenance Licence as specified by the DGCA and of the fact that my application will be
rejected if any of the particulars furnished above are found to be false or incorrect.
I have obtained a copy of ASN 083 & 097 & have read and understood its contents as it applies
to this application.

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_______________________
Signature of the Applicant

Date :________________

For official use only

Qualifies
Yes

No

Remarks

Signature of the
CAA Officer

Experience

Educational
Qualifications
Qualifies for
conversion
Fee paid
Application
Rejected
Applicant
Notified
Other details

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