INITIAL ISSUE OF AIRCRAFT MAINTENANCE ENGINEERS LICENCE

1.

 Name in full

2.

Nationality 

3.

Date of Birth

4.

Place of Birth (Dist/State)

5.

Educational Qualification

6.

Permanent Address

7.

Present Address

8.

Details of Licence

Roll No.  

Examination passed

Session: February

June

October

Category

9.

Details of fees 

Draft/ Postal Order No.
(As per Aircraft Rule 62)

Dated

Dated

Signature of the Applicant 

Enclosures:

Note:    1. Certified true copies for Sr.No. 3, 5 and 8  should  be attached.
            2. Medical  Certificate in the prescribed form  should  be attached.

        OFFICE OF THE DIRECTOR GENERAL OF CIVIL AVIATION
        Opp. Safdarjung Airport, New Delhi - 110 003.

                                        

(To be given by Registered Medical Practitioner holding at least MBBS)

   

             M E D I C A L    C E R T I F I C A T E

_______________________________________________________

Mr/Ms    whose  signature  is given below, has been medically examined by me. 

He / She has      *    the following physical disabilities

                        * no physical disabilities

Signature of the  Applicant 

Signature of Doctor  

Designation

Registration No. 

Date  

 MEDICAL CERTIFICATE FOR COLOUR VISION

I,  Dr. hereby certify that  I  have examined Mr/Ms whose  signature is appended below, and certify that his colour vision is  Normal/ Defective  safe/ Defective unsafe. (Strike  off  which   is   not applicable).

The colour vision has been tested with :-

(1) Pseudo - Isochromatic plates
(2) Approved Lantern test
(3) Any other test applicable

   (Strike off which is not applicable).

Signature of the  Applicant 

Signature of Doctor  

Designation

Registration No. 

Date