Application Form For Pilots Examination (General & Technical)
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1
2PILOT
PILOT
CA-9 (PILOT)
Rev. January 2011
APPLICATION FORM FOR PILOTS EXAMINATION (GENERAL & TECHNICAL)
(Before filling up the application form, please read CAR Section 7 Series B Part I)
1. COMPUTER NO. P- ____________________________ 2. SESSION: _____________(Month, Year)
3. NAME _______________________________________ 4. EXAM CENTRE
5. FEES : Amount Rs. ……………, Demand Draft No. …………….dated …………, Name of bank ,Issue
Branch ………………………………………………………………………………………………………………
(Demand Draft should be in favour of “PAO, DGCA, MCA, New Delhi payable at New Delhi)
6.
Category of Licence _______________ (PPL,/CPL/CHPL/ATPL/PPLCG/CPLCG/ATPLCG)
(Fill one category only)
General Papers: (Fill the appropriate boxes given below with YES/NO)
Navigation
Meteorology Regulation
Radio Aids &
Composite
ATPL-Navigation
ATPL-Radio Aids
nd
rd
Instrument
2
/ 3
Oral
& Inst.
nd
rd
2
/ 3
Oral
Technical Papers: (Fill the appropriate boxes given below with YES / NO)
Technical General
Specific
Performance
Name of Aircraft with
(Paper – 1)
(Paper – 2)
(Paper – 3)
Model / Type
Performance paper is applicable to heavy aircraft having MTOW more than 5700 kg or Twin Engine Helicopter
(Attach attested copy Ground class certificate)
7. (a)
Details of valid Indian Commercial Pilot Licence held for appearing ATPL Examination
(Enclose attested copy)
Category of Licence ______________ Licence Number _____________ Licence Validity _________
Multi-engine Endorsement, if any (please specify) ___________________
(b)
In case of defence personnel for appearing ATPL examination Total hrs flown_______ ____ and Hrs
Flown As in PIC ______________( attach the attested copy of log book which specify the Total hrs
flown and hrs flown as PIC.)
8. Date of Birth (DD/MM/YYYY) _____________________________________________________
9. E-mail ID:
_________________________________________________________________________
10. For CONVERSION to Indian Licence, Furnish details of Foreign Pilot’s Licence held:
(Enclose attested
copy)
Country of Issue ____________, Category ________________ Licence No. ______________________
I hereby declare that the above particulars are true in every respect and that nothing has been concealed or
withheld by me. If any of my statements are found false at any time, my candidature shall be rejected. I have
read and understood the requirements for issue of Piliot’s Licence, and the instructions for appearing in
examination as detailed in the CAR.
Date: ______________
Signature of Applicant ______________________
Place_______________
RECEIPT if application deposited by Hand
Name of the Candidate
Computer Number
Category
Session
Signature of receiving Official:
Date:
Stamp
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