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    Lycaa Form 19 PDF

    Uploaded by

    Khalid Daghari
    This document is an application for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer Licence (AMEL) under LYCAR.66 regulations. The applicant provides their personal details and employer information. They are applying for ratings in categories A, B1, B2, B3, C, and specific aircraft type ratings. The applicant confirms the accuracy of the information and understands inaccurate information could disqualify them from holding an AMEL. The second page requests information on the applicant's maintenance experience and any credits they wish to claim from training or exams. It concludes with an optional recommendation from an authorized person to grant or endorse the applicant's AMEL.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Lycaa Form 19 PDF

    Uploaded by

    Khalid Daghari
    175 views2 pages
    This document is an application for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer Licence (AMEL) under LYCAR.66 regulations. The applicant provides their personal details and employer information. They are applying for ratings in categories A, B1, B2, B3, C, and specific aircraft type ratings. The applicant confirms the accuracy of the information and understands inaccurate information could disqualify them from holding an AMEL. The second page requests information on the applicant's maintenance experience and any credits they wish to claim from training or exams. It concludes with an optional recommendation from an authorized person to grant or endorse the applicant's AMEL.

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    LYCAA FORM 19-pdf

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    This document is an application for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer Licence (AMEL) under LYCAR.66 regulations. The applicant provides their personal details and employer information. They are applying for ratings in categories A, B1, B2, B3, C, and specific aircraft type ratings. The applicant confirms the accuracy of the information and understands inaccurate information could disqualify them from holding an AMEL. The second page requests information on the applicant's maintenance experience and any credits they wish to claim from training or exams. It concludes with an optional recommendation from an authorized person to grant or endorse the applicant's AMEL.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    175 views2 pages

    Lycaa Form 19 PDF

    Uploaded by

    Khalid Daghari
    This document is an application for the initial issuance, amendment, or renewal of an Aircraft Maintenance Engineer Licence (AMEL) under LYCAR.66 regulations. The applicant provides their personal details and employer information. They are applying for ratings in categories A, B1, B2, B3, C, and specific aircraft type ratings. The applicant confirms the accuracy of the information and understands inaccurate information could disqualify them from holding an AMEL. The second page requests information on the applicant's maintenance experience and any credits they wish to claim from training or exams. It concludes with an optional recommendation from an authorized person to grant or endorse the applicant's AMEL.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    LYCAA FORM 19

    (Page 1)

    APPLICATION FOR INITIAL / AMENDMENT / RENEWAL OF LYCAR.66 AIRCRAFT


    MAINTENANCE ENGINEER LICENCE (AMEL)
    APPLICANTS DETAILS :
    Name :

    Address :
    Fax
    Phone :
    (optional) :
    Email (optional) :
    Nationality : Date and Place of Birth :

    LYCAR.66 AMEL DETAILS (if applicable) :


    Licence No : Date of Issue :

    EMPLOYER’S DETAILS :
    Name :
    Address :

    Maintenance Organisation Approval


    Reference :
    Phone : Fax :

    APPLICATION FOR: (Tick the relevant box or boxes)


    Initial Amendment of Renewal of
    AMEL AMEL AMEL

    Rating A B1 B2 B3 C
    Turbine Aeroplane
    Piston-engine Aeroplane
    Turbine Helicopter
    Piston-engine Helicopter
    Avionics
    Piston-engine non-pressurised airplane of 2000 kg MTOM and below
    Large aircraft
    Aircraft other than large aircraft
    Aircraft type rating endorsement / sub-group rating endorsement / group rating endorsement (if applicable) :
    (specify the type rating according to Appendix I of the AMC of LYCAR.66,with the engine between brackets)
    OR limitation removal (delete as appropriate)(if applicable)

    I wish to apply for initial/amendment/renewal of LYCAR.66 AMEL as indicated and confirm that the information contained
    in this form was correct at the time of application.
    I also understand that any incorrect information could disqualify me from holding a LYCAR.66 AMEL.
    Name: Signed :
    Date :
    LYCAA FORM 19
    (Page 2)

    APPLICATION FOR INITIAL/AMENDMENT/RENEWAL OF CAR.66 AIRCRAFT


    ENGINEER MAINTENANCE LICENCE (AMEL)

    SIGNATURE OF
    MAINTENANCE EXPERIENCE ON AIRCRAFT :
    CONFIRMATION :

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    I wish to claim the following credits (if applicable) :

    Experience credit due LYCAR.Part-147 training

    Examination credit due equivalent exam certificates

    Please enclose all relevant certificates


    Recommendation (if applicable): It is hereby certified that the applicant has met the relevant maintenance knowledge and
    experience requirements of LYCAR.66 and it is recommended that the LYCAA grants or endorses the LYCAR.66 AMEL.

    Name : Signed :
    Position : Date :
    LYCAA FORM 19 Issue 1

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