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Pilotexam Form
Pilotexam Form
06
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1. * COMPUTER NO.
2. SESSION
PM M Y Y Y Y
* If computer number NOT filled, the application will NOT be accepted.
4.
NAME:
5. Exam. CENTRE:
PPL/CPL / CHPL / ATPL / CPLCG/ / ATPLCG etc.) Fill only one Cat. in this box
(b) Do you desire to appear in PPLG composite paper* also. YES / NO:
..
* If you are appearing for the first time in this Category, enclose duly filled in Annexure-1
i) General Papers desired to appear (fill the appropriate boxes given below with YES/NO ):
Navigation
Meteorology
Regulation
Composite
Specific ( P-2)#
Performance( P-3)#
#Submit course completion certificate, if appearing in paper-2 (Specific) on any of the aircraft including Performance Completion Course, if
appearing on heavy aircraft . Defence candidates may enclose Commander Certificate.
7. Details of valid Indian Licenses held ( SPL /PPL /CPL/ ATPL /CHPL ) Licence Number .Validity..
8. Total Hours Flown :.Hrs..Mts
NOTE:- CHANGE IN MAILING ADDRESS , if any, should be intimated SEPARATELY & not to be written in this application.
14. Details of last two examinations attempted by the candidate:
Session
Roll No.
Subjects
Cat.
Nav /
appeared
Comp
Met.
Reg,
Rad. &
Inst.
Tech.P1
Tech.P2
Tech.
P3
Marks
obtained
Marks
obtained
I hereby declare that the above particulars are true in every respect and that nothing has been concealed or withheld by me. If any of my statements
are found false at any time, my candidature may be rejected. I have read and understood the requirements for issue of Pilots License, and the
instructions for appearing in examinations.
Date: ..........
Signature of applicant
Note: - 1. The Last date of submission of this application for each Session is displayed on DGCA Website: http://dgca.gov.in 2. List of admitted
candidates will be displayed on DGCA website three weeks prior to the date of written examination. 3. Mobile Phones are NOT permitted in the
Examination hall. 4. Display your Photo Identity Card during the entire period of examination. 5. No application should be forwarded one month
prior to the last date of of that session of examination.
Annexure-1
NOTE :
1.
Computer Number:
2.
Name of applicant: ..
3.
Date of Birth:
4.
Educational Qualification .
NOTE:
Enclose the attested copy of Marks-sheet of 10+2 with Physics & Mathematics in case the
applicant has acquired this qualification after allotment of computer number.
5.
6.
8.
Details of Flying:
(a) Total Flying Hours :
Hrs Mts ..
(b) Flying Hours as PIC: Hrs . Mts ..
Note: Enclose attested copy of the last page of the pilot Log book containing the summary of flying hours duly
certified by the PII or Commanding Officer , This page should bear the name and date of birth of the pilot or
pilot trainee.
______________________
Signature of applicant
Date :
CERTIFICATE
Certified that Mr./ Ms attended classes for the ground subjects at the
above mentioned Institutes and further certified that he / she has flying experience, as mentioned above.
Place:
Date:.
SEAL