PILOT

Application for Allotment of COMPUTER NUMBER

PILOT

Rev. Aug. 06
CA-9(Pilot -Compt. No)

GOVERNMENT OF INDIA DIRECTOR GENERAL OF CIVIL AVIATION, CENTRAL EXAMINATION ORGANISATION This application to be filled once only Allotted Computer No. will be valid for all categories of Pilots Licence. FOR OFFICE USE Computer No. allotted:

P-

Paste recent passport size photograph

( WITHOUT ATTESTATION)

Note : All correspondence regarding written examination including duly filled in application forms for
computer no. / written examination should be forwarded to DIRECTOR OF AIRWORTHINESS (CEO) O/O THE DIRECTOR GENERAL OF CIVIL AVIATION EAST BLOCK-III, R.K. PURAM, NEW DELHI-110066.

Put your specimen signature in the above space IN BLACK INK

1(a) NAME IN FULL ,( in block letters):FIRST NAME MIDDLE NAME SURNAME

(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: . (Enclose ATTESTED Copy) D D M M Y Y Y Y ( Enclose ATTESTED copy) (Enclose Mark Sheet - Attested)

3. Date of Birth (in Christian era): 4. Details of Educational Qualification: th (a) Passed 10 standard, (b) Passed class (10+2) with PHYSICS and MATHS or equivalent

Write YES or NO Write YES or NO

Note : 1. In case basic qualification has been obtained from foreign country , enclose attested copy of Equivalent Certificate which can be obtained from :- Association of Indian Universities, AIU house , 16, Kotla Marg, New Delhi -110 002

5. Nationality

______________

(Foreign National should submit ATTESTED copy of his / her passport )

6. (a) PERMANENT Address : . (b) MAILING Address: .......................... ..

Note:Change in mailing address shall be IMMEDIATELY intimated to CEO

7.

Defence personnel:- IAF / Navy /Army / Coastal General/BSF (Tick) Service No. (Enclose NOC) SC / ST / OBC / Others (Tick the appropriate)

8. Caste:

PILOT

PILOT

PILOT

PILOT

PILOT

Rev. Aug. 06

9. (a) Student Pilot Licence (SPL) No: ... Date of issue of SPL : (Enclose attested copy) (b) Any other higher category of Pilots Licence: (i) Category of Licence: (ii) Licence No.:. (iii) Validity:. (iv) Endorsement on Multi-engine : YES / NO ______ (Enclose attested copy of the Licence) 10. (a) (b) Date of First training flight : .. (i)Total Flying Hourshrs.mts (ii) Total Flying Hours as Pilot-in-Command:_______

Note: Enclose Attested copy of first page of Pilots Log Book and the summary of the total flying hours duly attested by Chief Flying Instructor / Commanding Officer. 11. Name of the DGCA Approved (i) Flying Training Institute:_________________________________ (ii) Ground Training Institute:________________________________
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 Pilots Licence / Rating, as laid down in Aircraft Rules / CARs amended from time to time.

Date: ______________________

Signature of applicant ________________________________

CERTIFICATE BY ATTESTING OFFICER (To be attested by CFI/PII/Gazetted Officer. In case of serving Defence personnel, this may be attested by another serving Commissioned Officer)

This is to certify that all the above particulars furnished by Mr./Ms___________________________ have been verified by me and found to be correct. *Signature in full of attesting authority Date & Place *Signature & stamp shall partly cover this page and photograph INSTRUCTIONS (IN BRIEF)

Applicant should paste his recent passport size photograph

1. LAST DATE of submission of this application is given on DGCA website http://dgca.gov.in 2. The applicant should NOT forward their application for written examination with this application. They should apply separately as per the schedule given on the DGCA website for the session. 3. LIST of ALLOTTED COMPUTER NUMBERS will be given on DGCA website two weeks prior to the last date of submission of application for written examination of that session 4. Applicant shall read the CAR section -7 series B Part -1 prior to filling up this form and application form for written examination . This CAR can be seen / downloaded from DGCA website or hard copy of the same can be obtained from the English Book Store, 17 L,Connaught place , New Delhi -01 Application for written examination and last date of its submission can be seen and downloaded from DGCA website http://dgca.gov.in 5. Applications should be submitted before their respective last date of submission but not before one month prior to their respective last date. 6. List of admitted candidates will be given on DGCA website three weeks prior to date of examination 8. Electronic gadgets like Mobile phone are not permitted in the examination hall. Photo ID card (SPL, Airport entry card issued by BCAS) shall be displayed during Examination. 9. Allotment of Computer number alone does not entitle any individual the right for acceptance of candidature to appear in the examination.

PILOT

PILOT

PILOT