APPLICATION FOR GRANT/RENEWAL/ADDITIONAL OF GMF AEROASIA AUTHORIZATION

1. N a m e: 2. Pers. No:
INFORMATION
PERSONNEL

4. Date of Birth: / /
3. Unit:
Day / Month / Year
5. Date of Employee: / / 6. Formal Education:
Day / Month / year

Type Rating License, Basic Certificate, & GMF AeroAsia Authorization:

A/C Basic Certificate : A/C Type Rating License : GMF AeroAsia Authorization :
QUALIFICATION

Airframe *) License. No: Authorization No:

DATAS

Engine Rating: Rating, Category and Scope:

Electronic
Instrument
Electrical

*) Fill in appropriate item validity: validity:

GMF AeroAsia Authorization: Customer Authorization:

Certifying Staff Category A/P *) Special Process Authorization GA Authorization
Certifying Staff Category A/P(B1) Associate Quality Auditor CT Authorization
Certifying Staff Category E/A Certified Quality Auditor SJ Authorization
Certifying Staff Category E/A(B2) Qualification & Licensing Assessor Other (specify):
GSE Operator Authorization
AUTHORIZATION

Certifying Staff Category C

Certifying Staff Category D Others (specifiy):
REQUESTED

Scope of Authorization:

Reason of Requested :
1. New Authorization *) 3. Additional Rating
2. Renewal 4. Rating Change

*) Fill in appropriate item

Related Training to Grant GMF AeroAsia Authorization Requested:
From To Place Title of Training Result
TRAINING
RECORD

Aircraft/Component and any related Maintenance Working Experience relating to Authorization requested:
EXPERIENCE RECORD

From To Unit Position Work Performed

I Certify that above mentioned employee complies with requirements and has been properly trained to performed his
assigned task.

Date: / /
GM or Lead Auditor or Manager Name & Signature Day / Month / Year
Form No.: GMF/Q-076 R8