JPA 32

030314
1


JABATAN PENERBANGAN AWAM
DEPARTMENT OF CIVIL AVIATION
MALAYSIA


APPLICATION FOR GRANT / RENEWAL / EXTENSION OF DCAM PART-66
AIRCRAFT MAINTENANCE LICENCE (AML)

APPLICANT DETAILS
Name:

Address:

Nationality:
3 passport size photo
required for GRANT of
licence.
NRIC / Passport No.:

Date of Birth:
Contact No.:
Email Address:
Employed at:
NOTE: Please provide a copy of NRIC / passport for GRANT of licence.
AML DETAILS (if applicable)
Licence No:

Licence valid until:

APPLICATION FOR : (Tick relevant box(es))
Grant

Renewal

Extension




Cat. A

Cat. B1

Cat. B2
Aeroplanes Turbine
Aeroplanes Piston
Helicopters Turbine
Helicopters Piston
Avionics


Application for Type endorsement (if applicable)


NOTE: Please attach: 1. Certified true copy of company approval 2. Type course attended
3. Support letter from the employer 4. Current DCAM Part-66 Aircraft Maintenance Licence
(renewal and extension)

JPA 32
030314
2


Applicants Declaration

I wish to apply for grant / renewal / extension of DCAM Part-66 AML as indicated and confirm that the
information contained in this form is correct at the time of application.

I hereby confirm that the following evidence that I have submitted for the purpose of the issuance of DCAM
Part-66 Aircraft Maintenance Licence are true and valid.

i) Evidence of competency in theoretical knowledge and the English language.
ii) Evidence of competency in practical skills certified by a validator.
iii) Evidence of practical assessments in Aircraft Maintenance Experience certified by an approved
assessor.

Signature: _____________________________ Date: _____________________________

Recommendation from Approved Maintenance Organization / Approved Training Organization

It is hereby certified that the applicant has met the relevant maintenance knowledge and experience
requirements of DCAM Part-66 and it is recommended that the DGCA renews / grants / endorses the DCAM
Part-66 AML.


Signature: __________________ Name: ______________________________________



Date: __________________ Position & Company Stamp: ______________________
For DCAM use onl y
Fee payable

Fee received

Receipt no.

Signature

Date



Remarks:
Reference No.:
Signature: _____________________________ Name: ____________________________

Date: _____________________________ Position: ____________________________