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Civil Aviation Authority of Sri Lanka

This document is an application form for an initial, amended, or renewed IS 66 Aircraft Maintenance License from the Civil Aviation Authority of Sri Lanka. It requests personal details of the applicant, license details if applicable, employer details, the type of application, examination modules completed, experience summary, limitations to be removed, and certificates to be enclosed. The applicant must declare that the information is correct and sign the form. A recommender from the applicant's organization must also sign to certify the applicant has met the requirements for the license and recommend its issuance. The form provides instructions on submitting the completed application and required documents to the Director of Training Organization and Personnel Licensing.
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0% found this document useful (0 votes)
332 views6 pages

Civil Aviation Authority of Sri Lanka

This document is an application form for an initial, amended, or renewed IS 66 Aircraft Maintenance License from the Civil Aviation Authority of Sri Lanka. It requests personal details of the applicant, license details if applicable, employer details, the type of application, examination modules completed, experience summary, limitations to be removed, and certificates to be enclosed. The applicant must declare that the information is correct and sign the form. A recommender from the applicant's organization must also sign to certify the applicant has met the requirements for the license and recommend its issuance. The form provides instructions on submitting the completed application and required documents to the Director of Training Organization and Personnel Licensing.
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
You are on page 1/ 6

CIVIL AVIATION AUTHORITY OF SRI LANKA

APPLICATION FOR CAASL/PL/I/08


INITIAL/AMENDMENT/RENEWAL OF (FORM 19)
IS 66 AIRCRAFT MAINTENANCE LICENSE (AML)

Please complete the form in BLOCK CAPITALS having read the guidance notes attached to this form.
1. APPLICANTS DETAILS: (Do not leave any field blank, otherwise the case will be returned un-actioned)

Full Name :

Title (Mr. / Mrs. / Ms etc) Date of Birth (dd/mm/yyyy):

Nationality: Place of Birth (City & Country):

Permanent Address:

Contact Tel Number: E-mail Address:

Address for correspondence


(if different from above):
Change of applicants details : Yes No Please indicate (e.g. change of address)

2. AML DETAILS: (if applicable)

License Number: Date of issue:

3. EMPLOYERS DETAILS:

Name of Employer : Date employment commended:

Maintenance Organization Address:


approval number:
Email Address: Contact Tel Number:

Previous employer: Date of Joining: Date of Resignation:

4. APPLICATION FOR: (tick relevant boxes)

Initial issue of AML Amendment/Change of AML Renewal of AML


( see Guidance note 3)

i. Renewal for 5 years


ii. Renewal for 1 year
Rating: A B1 B2 B3 C

Aeroplane Turbine A1 B1.1 N/A N/A N/A

Aeroplane Piston A2 B1.2 N/A N/A N/A

Helicopter Turbine A3 B 1.3 N/A N/A N/A

Helicopter Piston A4 B1.4 N/A N/A N/A

Avionics N/A N/A N/A N/A

Piston engine non-pressurised aerplanes of MTOM of 2t & below N/A N/A


Complex motor-powered aircraft N/A N/A N/A N/A

Aircraft other than complex


motor-powered aircraft N/A N/A N/A N/A
Page 1 of 6
Application for Type Rating Endorsements or Limitation removal being requested (if applicable)
Category(s): Type Rating:

5. EXAMINATION MODULES COMPLETED - Please enclose all relevant certificates


CREDIT CLAIM: (not required for AML renewal) (applicable to basic category only)
I wish to claim the following credits (if applicable):
Experience credit for IS 147 approved basic training
(only tick this box if you have attended a IS 147 approved basic training course)
Organization Name:
Course title:
Course completion date: Certificate number:
Experience credit due equivalent examination certificate
(examination credit report will be required)
Name of institute:
Credit Report Ref No.
Experience credit due to being a skilled worker (Refer IS 66.A.30)

Please enclose all relevant certificates

6a. SUMMARY OF EXPERIENCE: (Not applicable for CATEGORY C or Part-66 renewal applications)

Dates Engine(s) Description of work experience


Aircraft Type and/or Details of experience should include the category of such
From To Equipment experience i.e. A, B1, B2 or C

6b. EXPERIENCE GAINED ON - Applicable to B1.2 and B3 Initial Issues


Aeroplanes with metal tubing covered fabric
Composite structure aeroplanes
Metal structure aeroplanes
Pressurised aeroplanes
Wooden structure aeroplanes

7a. REMOVAL OF LIMITATION FROM BASIC LICENSE:

Limitations to be removed List examination(s) completed

Page 2 of 6
7b. REMOVAL OF LIMITATIONS FROM TYPE(S) -

List Aircraft Type/Series Engine Limitations to be Removed

7b. LIST OF ALL RELEVANT CERTIFICATES ENCLOSED WITH THIS APPLICATION:


please attach separate sheet if this space is not enough)

8. DECLARATION OF APPLICANT:
I wish to apply for initial/amendment/renewal of IS 66 AML as indicated and confirm that the information contained in
this form was correct at the time of application.
I herewith confirm that:
1. I am not holding any Part 66 AML issued in another State.
2. I have not applied for any Part 66 AML in another State and
3. I never had a Part-66 AML issued in another State which was revoked or suspended in any other State. I also
understand that any incorrect information could disqualify me from holding IS 66 AML.
4. I enclosed the payment slip of the charges payable on application in accordance with the CAASL Fees &
Charges & I agree to pay any additional charges which may become payable in respect of this application under
the CAASL Fees & Charges.

Signature: _________________________________________ Date: ___________________

Note: It is an offence for a person to make, procure to be made, or assist in making any false representations for the purpose of
procuring for any reason the issue, validation, extension or re-issue of a licence, whether for that person or any other person.

9. RECOMMENDATION:

It is hereby certified that the applicant has met the relevant maintenance knowledge and experience requirements of
IS 66 AML and it is recommended that DGCA Sri Lanka grants or endorses the IS 66 AML.
(Cat C only) has been exercising Category B1/B2 privileges for 3 years

Name:_______________________________________________________________________________________

Position:______________________________________ Organisations Approval number: ___________________

Signature:____________________________________ Date : ________________________________________

Official Stamp:

NOTE: The referee required to countersign the form must be a Quality Manager or the immediate senior person within the Quality
Department of your current employer, or the organisation where the experience was gained.

10. SUBMISSION INSTRUCTIONS


Documents Submitted:
1. Original IS 66 aircraft maintenance licence (if existing IS 66 licence holder)
2. Certified true copy of your Passport, National Identity Card or Driving Licence (for Initial Issue)
3. Certified true copies of Exam Certificates
4. Certified true copies of Approved IS 147 (or CAA) Certificates of Recognition
5. Certified true copies of Logbook/Work records
6. Certified true copy of Company Authorisation for Category 'C' issue.
7. enclose payment slip of the charges payable on application in accordance with the CAASL Fees & Charges
Should the need arise the CAASL retains the right to request the original document if it is deemed necessary in order
to complete the application Please refer to the CAASL Fees & Charges for details of fees required.
Please handover your completed application and supporting documentation as explained in page 5 to:
Director -Training Organization & Personnel Licensing (DTOPEL)
Civil Aviation Authority of Sri Lanka, No 152-1 , Minuwangoda Road, Katunayake, Sri Lanka.

Page 3 of 6
GUIDANCE NOTES, PAYMENT FORM & SUBMISSION INSTRUCTIONS

Guidance Note 1: Introduction


All sections of the application form must be completed by the applicant personally, any section not applicable should be marked
N/A.
Please complete the application form in BLOCK CAPITALS
Having a clear and correctly completed application form, together with any supporting documents (where appropriate) will enable
CAASL to issue licences, ratings and certificates more efficiently, with less risk of errors or rejections and subsequent delays to your
application.
Please note that failure to submit a correctly completed application form, with the required supporting, documents will lead to the
return of your application.

Guidance Note 2: Certifiers of Identification


The following people can act as 'certifiers':
 Head of a IS 145/147 Organisation.
 CAASL Inspector designated by Director -Training Organization & Personnel Licensing (DTOPEL)
Instructions for the certifier of your ID document are as follows:
1. Insert on the copy to be enclosed with the application: 'I have seen the original document and I certify that this is a
complete and accurate copy of the original'.
2. Insert signature and date.
3. Certifier’s name must be printed/written in block capitals.
4. Must include position or capacity, e.g. Head of a IS 145/147 Organisation.

Guidance Note 3: Sections of the Form Explained


Section(s) 1, and 2 Personal/ Details
To be completed in all cases
Section 3 - Employer Details
Please enter details of your current employer, including the organisations Approval Number.
Section 4 - Application
Renewal of AML- have two options (5 years or One year) for Renewal of AML. Therefore please Indicate the licence validity
period if you wish to apply.
Indicates what type of licence you are applying for. For type rating(s) endorsement, please list the individual types by
airframe/engine combination.
Section 5 - Examination Modules Completed
1) To be completed if claiming a reduction in the experience requirements on the basis of completing an Approved IS 147 Basic
Training Course or
2) Claiming an exam accredited and recognized by the CAASL.
3) please enter Details of Examination modules completed at CAASL examination pertaining to the category requested
Section 6-7 - Essential Information
Completing the relevant sections will enable your application to be processed more efficiently, failure to supply this information
may result in your application being delayed while we endeavor to contact you.
Section 6a – Summary of Aircraft Maintenance Experience
Enter a summary of any experience that is relevant to the application in this section. This section must be completed. Other
documents may be used but they must be referenced here. Certified true copies of original experience documents must be
submitted, (the nominated signatory must state that they certify document is a complete and true copy of original along and
insert their name (in block letters),signature, date and job title), this experience needs to be certified by Quality Manager or
accepted nominated signatories. Required maintenance experience shall be written up in a manner that the reader has a
reasonable understanding of where, when and what maintenance constitutes the experience. Cross referencing experience to
logbooks/work records submitted is unacceptable, a brief summary of experience relevant to the application will be required.
Section 7b- List of all relevant certificates enclosed with this application
Original Certificates of Recognition must be supplied. Certified true copies of originals may be accepted if the copy is verified
as per above Guidance Note 2.
Section 8 - Declaration
This section is to be completed in all cases
By signing the declaration you are confirming that all of the information is correct and true.
Section 9 – Recommendation(not for Part-66 renewal)
The referee required to countersign the form must be a Quality Manager or the immediate senior person within the Quality
Department of your current employer, or the organization where the experience was gained.

Guidance Note 2: Documents, Fees and Submission Instructions


This section should be used to ensure that the appropriate documents relevant to the application are submitted
This application will not be processed until the applicable charges have been received

Page 4 of 6
Required information / Documents that shall be submitted with each IS 66 AML Application

Initial Issue Amendment


Additional Category / Sub-Category
 CAASL Form 19 (this form) properly completed and  CAASL Form 19 (this form) properly completed
signed. and signed.
 Copy of Passport or National Identity Card  Copy of Passport or National Identity Card
 Copy of Birth Certificate  IS 66 AML (Original, not a Copy)
 Two Color Photos(2.5 by 2 cm)  All relevant IS 66 modular certificates for the
 Copy of Knowledge examination results) issued by required category(s). See guidance note for
CAASL for the required category(s). section 7b.
 Course completion certificate (Certificates of Recognition)  Evidence of the required experience, including
issued by Training Organization for the required appendix 1. See guidance note for section 6a.
category(s). See guidance note for section 7b  Completed payment slip.
 Evidence of the required experience, including  Two Color Photos(2.5 by 2 cm)
appendix 1. See guidance note for section 6a.
 Payment Slip.

Amendment Amendment
Addition of Type Rating Removal of a limitation

 CAASL Form 19 (this form) properly completed and  CAASL Form 19 (this form) properly completed
signed. and signed.
 Copy of Passport or National Identity Card  Copy of Passport or National Identity Card
 IS 66 AML (Original, not a Copy)  IS 66 AML (Original, not a Copy)
 Type training certificate(s) which must cover  All relevant IS 66 modular certificates for the
theoretical training and practical training and required category(s). See guidance note for
assessment. section 7b.
 Completed on the Job Training (for first type rating  Evidence of the required experience, including
only). This should be performed at a CAASL approved appendix 1. See guidance note for section 6a.
IS 145 organization. If not, the OJT must be accepted  Completed payment slip.
by the CAASL prior to use  Two Color Photos(2.5 by 2 cm)
 Completed payment slip.
 Two Color Photos(2.5 by 2 cm)

Renewal Duplicate Issuance

 CAASL Form 19 (this form) properly completed and  CAASL Form 19 (this form) properly completed
signed. and signed.
 Service letter issued by the Company(Non SLAL)  Police report.
 IS 66 AML (Original, not a Copy)  Requested letter sign by holder.
 ID/Passport copy  Completed payment slip.
 Type Authorization copy(if Available)  Two Color Photos(2.5 by 2 cm)
 Completed payment slip.
 Two Color Photos(2.5 by 2 cm)

Page 5 of 6
CIVIL AVIATION AUTHORITY OF SRI LANKA
APPLICATION FOR INITIAL/AMENDMENT/RENEWAL OF IS 66 AIRCRAFT CAASL/PL/I/08 (FORM 19)
MAINTENANCE LICENSE (AML)

Appendix 1: Basic Experience Matrix (see Guidance Notes)

Page 6 of 6

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