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Airports Authority of India

AELP Training Organisation/Testing Service Provider


Kolkata Air Traffic Services, Airports Authority of India
ATS Complex, NSCBI Airport, Kolkata – 700 052 Appendix H

Application for Aviation English Language Proficiency (AELP) Test

Personal Details
Title First Name Last Name

Place of Birth Date of Birth Country of Birth Nationality

Mobile No >>> Email >>>


Type of Licence Licence No Validity of License (When
when applicable When applicable applicable)
From To

Ratings endorsed on licence or rating(s) held or ASO certification/authorisation held

Details of Employer or Sponsor of AELP Test

Name and address Employee No Date of joining of the


organisation
(DD/MM/YYYY)

Details of Last AELP Test (when applicable and attach self-attested copy of the certificate)

Date of last AELP test AELP Level Date of validity Name and address of AELP Testing
Organisation

If it is your first AELP Test or if your AELP level was below ICAO operational level 4 during last AELP test, provide details of
last AELP training (Attach self-attested copy of certificate of successful completion AELP training as specified in DGCA CAR
Section 7 Series G Part III.)

From To No. of Hours of Name & Address of the Training


(Date dd/mm/yy) (Date dd/mm/yy) training Organisation

Declaration of Candidate/Test-taker For office use

I hereby declare that the information given


in this form is true and correct to the best Date of AELP Test……………… (dd/mm/yy)
of my knowledge and belief.
I have presented the required Remarks of official verifying the details
Photograph of the
photographic evidence of my identity. VERIFIED FROM ORIGINALS
Candidate/Test-taker

Signature of the Candidate/Test-taker Signature of official

September 2020 VECC/ATM2020/V1.00-TPM-AELP Page H-1

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