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Ca Form 19-05

This document is an application form for a duplicate CAR-66 aircraft maintenance engineer's license. It requests personal details of the applicant such as name, address, license number. It asks the applicant to specify if they are applying because their previous license was lost or mutilated and provide details. The applicant must declare that their license is not suspended or cancelled, they have not applied for a duplicate before, and the information is correct. The applicant must enclose documents like the original mutilated license, FIR for lost license, license copy if available, photographs and fee payment details. Completed applications should be mailed to the Directorate General of Civil Aviation in New Delhi.

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Rahul Deo Parteti
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124 views

Ca Form 19-05

This document is an application form for a duplicate CAR-66 aircraft maintenance engineer's license. It requests personal details of the applicant such as name, address, license number. It asks the applicant to specify if they are applying because their previous license was lost or mutilated and provide details. The applicant must declare that their license is not suspended or cancelled, they have not applied for a duplicate before, and the information is correct. The applicant must enclose documents like the original mutilated license, FIR for lost license, license copy if available, photographs and fee payment details. Completed applications should be mailed to the Directorate General of Civil Aviation in New Delhi.

Uploaded by

Rahul Deo Parteti
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CAR 66 ISSUE II R 1

Appendix V –Applications and Formats


CA FORM 19-05: Application for issue of duplicate CAR- 66 aircraft maintenance engineer’s licence

APPLICATION FOR ISSUE OF DUPLICATE DGCA INDIA


CAR- 66 AIRCRAFT MAINTENANCE ENGINEER’S LICENCE CA Form 19-05
Please complete the form in BLOCK CAPITALS using black or dark blue ink after reading the attached guidance notes. Fields marked
with an asterisk * are mandatory and must be completed in all cases. Use Date Format – DD-MM-YYYY

1. PERSONAL DETAILS

*Name in full
AME Licence
No.

*Permanent address ................................……………………………………………………………


…………………………………………………………………………………………………………………………PIN Code................................

*Address for Communication (if different from above)……………………….....................................................


………………………………………………………………………………………………………….……………….PIN Code................................
Applicant Contact Phone Number …………………..................E-mail…….……………………………………………………..
Name of the Current Employer …………………………………………………………………………………………………………..
Contact Phone Number of Employer ………………………..................E-mail…….…………………………………………………
2. *APPLICATION
I wish to apply for issue of Duplicate CAR-66 Aircraft Maintenance License as indicated and the information
contained in this form was correct at the time of application.
3. *Reason for issue of duplicate AME Licence( Mark √ as
LOST MUTILATED
applicable)
If the licence was lost provide a brief account of circumstances under which the licence was lost:

4.*DECLARATION
I hereby confirm that: i) I apply for issue of duplicate CAR-66 Aircraft Maintenance Engineer’s Licence as
indicated and confirm that the information contained in this form is correct at the time of application. ii) My
CAR 66 AME Licence not suspended / cancelled by DGCA and no disciplinary case is pending against me iii) I did
not apply earlier to the office of DGCA for issue of my duplicate AME Licence and the request was not turned
down.

PLACE SIGNATURE

DATE NAME
Enclosure Tick DGCA
5.DETAILS OF DOCUMENTS, PHOTOGRAPH AND FEE ENCLOSURES Remarks
No. Mark

1.Original Mutilated AME Licence or Affidavit duly notarized by Authorized


I
notary in case of loss of AME Licence
2. Copy of FIR lodged with the police station in case of loss of AME Licence II
3. Copy of AME Licence (if available) in case of loss III
4. Three copy of recent photograph IV
5. Details of fee paid as per Rule 62 V
Please refer to current notification for details of fees required. All original documents submitted will be returned
through the self-addressed cover affixed with necessary postal stamp (for speed post).
Completed application should be posted along with the required documentation to: Directorate General of Civil
Aviation, Opposite Safdarjung Airport, New Delhi 110003,
Notes: Having clear concise supporting data will enable DGCA to issue licences more effectively and with less
risk of errors or rejections. Licensing & Training Standards will not contact you for clarification of details on
applications and therefore it is most important that you have the correct information before applying.
Instruction on how to complete CAR-66 Licence issue of duplicate Application Form (CA Form 19-05).
In order that DGCA can process your licence application as quickly as possible, it is important that all sections
marked with an asterisk on the application form are completed and the required supporting documentation
submitted. Please note failure to submit a correctly completed application form and the required
documentation will lead to the rejection of your application and the fees submitted will be utilized towards
processing the application.
Section 2: Indicate what type of licence you are applying for.
Section 3: Tick whether the AME Licence is lost or mutilated
Section 4: By signing the declaration you are confirming that all of the information is correct and true.

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