Compno AME
Compno AME
AME
Application for ALLOTMENT OF COMPUTER NUMBER for AME Licence Exam This application to be filled once only FOR OFFICE USE
Computer Number Allotted:
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(b) SEX (MALE / FEMALE): __________________ (c) RANK (for Defence personnel):_____________________________ Note: Whenever there is any change in Rank (for Defence candidates), please intimate to CEO immediately. 2. Fathers name: ____________________________________ 3. Date of Birth (in Christian era): D 4. Educational Qualification: (a) Academic Qualification: D M M Y Y Y Y (Enclose ATTESTED copy) (Enclose ATTESTED copy)
( c ) Details of marks obtained in higher secondary (10+2 or equivalent) (I) Percentage of aggregate in Physics, Chemistry and Math. ______ %. (Enclose ATTESTED copy) (II) Year of Passing : _________ 5. (a) Name of the DGCA approved training school : _________________________________________________ (b) Batch No.: __________ ( c) Date of induction of the Batch : ________________________
6 DEFENCE Personnel (a) Whether belongs to Defence: Yes or No. if yes, tick the appropriate box :
ARMY
AIR FORCE
NAVY
Rev 6, Sept 2005 (c) Defence Commissioned Officers: Branch of Engineering:________ (Mech./Electronics) (Enclose ATTESTED copy d) Defence Non-Commissioned Officers: Trade :____________ ( Enclose attested copy of Trade Certificate)
7. EXPERIENCE, if any:. (Enclose documentary evidence of experience) a) Total aircraft engineering experience: _____Years ______Months. b) Details of Experience: (Give the details of the type of aircraft, types of jobs chronological order on separate sheet.)
undertaken in
8. (a) PERMANENTADDRESS____________________________________________________________________ _______________________________________________________________________________________ (b) MAILING ADDRESS for Correspondence like computer No./ Admit /Result Card: ______________________________________________________________________________________ _______________________________________________________________________________________ 9. NATIONALITY : ______________(Foreign National should enclose attested copy of a) Passport and b) Security clearance certificate/ NOC issued by DGCA) 10. CATEGORY (Tick the appropriate box) : SC / ST / OBC / OTHERS
I hereby certify that the above particulars/entries made by me are true and correct in every respect to the best of my knowledge and belief and that nothing has been Concealed or withheld by me. I understand that if any of my particulars/entries are found false or incorrect at any time, my candidature will stand rejected and further action can be taken against me by DGCA as per the rules. Further, I have read the requirements for issue / extension of AME Licence as laid down in Aircraft Rules / CARs amended from time to time.
DATE ______________
This is to certify that the particulars furnished by Mr./Ms __________________________________________ given above have been verified by me and found correct. Date & Place: ___________________ Signature ____________________
Seal:
Name & address of certifying officer ___________________________ _____________________________ _____________________________ This certificate to be attested by QCM/Chief Instructor of approved institute/Chief Engineering Officer in case of serving Defence personnel and Gazetted officer in case of unemployed persons. Note 1. Last date of submission of this application: Session Cand. of DGCA approved AME trg. Inst.
th
February Sess. 15 Oct. 15 Nov. th th June Sess. 15 Jan. 15 Feb. th th October Sess. 15 May 15 June Note: 2. Computer Number if NOT received within 40 days from the date of submission of this application, contact CEO. Note: 3. Candidate should NOT apply for any of the written examination unless he has obtained Computer Number -END-