JPA-5AER

020500

JABATAN PENERBANGAN AWAM

MALAYSIA
1 IC-size
photos (30x35) mm
required for
GRANT of Licence

APPLICATION FOR *GRANT/EXTENSION/RENEWAL OF

AIRCRAFT MAINTENANCE ENGINEERS LICENCE
(*delete as appropriate)

PLEASE READ IMPORTANT NOTES ON PAGE 3

(USE BLOCK CAPITAL)

1.

Full Name

2.

Permanent Address

3.

Correspondence Address

4.

Telephone Number

5.

Place of Birth

6.

Nationality

7.

Date of Birth

8.

IC / Passport No.

9.

Particulars of Employment :-

a)

Name of Employer

b)

Telephone No.

c)

Currently At

d)

Date of Joining

e)

Employed As

Expiry Date

10.

Malaysian AMEL No.

11.

Details of Licence for which you wish to make an application:(See current issue of BCAR Section L and Airworthiness Notice No. 10)
Licence

Category

Sub Division/Type Rating being applied for

A&C

TURBINE ENGINE ROTORCRAFT

FOR DCA USE ONLY

Grant / Extension / Renewal
Fees Payable

: RM

Fees Received

: RM

Remarks

Signature

* Cash / Cheque / Money Order / Postal Order

Receipt No.

Date

Page 1 of 3

Date

JPA-5AER
020500

12.

Nature of Employment
a) For GRANT of Licence, state below in DATE order, full particulars of employment and/or apprenticeship
including service in the Armed Forces.
b)

For EXTENSION of Licence within a Category, state only particulars of relevant experience since the date
of last application for that category, with particular reference to experience on the type to which the
application relates.

c)

For RENEWAL of Licence, state precise nature of employment since the date of last application.

Types of Aircraft,
Engine or
Equipment

Dates
Month/Year
Particulars of Employment
From

Page 2 of 3

To

Signature
of Person
confirming
adjacent
entry

JPA-5AER
020500

13

Give details of ALL applications made for GRANT of EXTENSION of an AMEL during the last two years,
including those made to other licensing authorities.

Approximate
Date

14.

Category and/or
Type Rating

Was
Application
accepted?

Result of
Exam

Particulars of any AMEL issued by other Licensing Authority:a)

Issuing Authority

b)

Licence No.

NOTE:

15.

Authority to
Whom the
Application was
Made

Date of Expiry

The above licence should be forwardrd with this application for initial grant of
Malaysian AMEL.

Are you conversant with the current issue of the following:(Delete as appropriate)

16.

a)

Malaysian Civil Aviation Regulation

YES / NO

b)

BCAR Section A, B and L

YES / NO

c)

Airworthiness Notices

YES / NO

Application for RENEWAL of the licence should state

a)

The approximate date of the last certification in accordance with the MCAR:-

b)

The issue number of last Airworthiness Notice received:

DECLARATION BY APPLICANT
I hereby declare that the particulars given on this form are true in every aspect and enclose herewith
RM_______________ in respect of the fee payable.
Signature:

Date:

IMPORTANT NOTES

1.
2.
3.
4.

Number of copies required for application :

a)
GRANT of AMEL
3 copies.
b)
RENEWAL/EXTENSION
1 copy.
All payments (Cheque/PO/MO/Bank Draft) should be in Malaysian Ringgit, crossed and made payable to the
DIRECTOR GENERAL OF CIVIL AVIATION, MALAYSIA.
For application from overseas for Licence Renewal / Extension, do not send the licence cover.
All fees are as per the latest issue of Airworthiness Notice No. 9.

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