AMT's details

Name:
Signature:
Date of birth:
Part-7 licence number:
AMO name:
AMO location:
Aircraft type:
Licence subcategory:

ATA Page No.

5
6
Sum

ATA:
Time limits Maintenance checks Relevant tasks: Total number of
05
# Task description Relevant Manual reference Replaces task #
1
2
3
4
5
6
7
8
9
details

No. of relevant tasks (total) No. of tasks performed

Applicable for:
Total number of Task performed: (total number of)
All A/C
Replaces task # Date A/C reg. AMT Supervisor