Page 1

EASA PART 66 APPROVED AIRCRAFT MAINTENANCE TRAINING APPLICATION

MALAYSIAN

INSTITUTE OF AVIATION

AERO路BILDUNGS

TECHNOLOGY

Month Year

Instructions: ~

GmbH

Please fill the application

~ Please tick

(--II where

in CAPITAL

LETTERS.

applicable.

SECTION 1: PROGRAMME PREFERENCE * CATEGORY B1

D(MECHANICAL)

DB

o o DB

CATEGORY B2

D

(AVIONICS)

1.1 : AEROPLANES TURBINE B 1.2 : AEROPLANE PISTON 1.3: HELICOPTER TURBINE B 1.4 : HELICOPTER PISTON

SECTION 2: PERSONAL DETAILS Full Name

ICorrespondence

Address

~ Postcode

1---------------------------State/Cou ntry IC/Passport No.

_________________

Contact No. Gender:

Nationality

--11 Mobile

c::J

DMaie

Race & Religion

No.

Female (For Malaysian only)

Age

Date of Birth

Marital Status Medical background:

Email Address Disability

SI;CTION 3: PARENT/GUARDIAN

Chronic Disease Code *

INFORMATION

Full Name

Note (*): Please refer to guidelines

Code *

Relationship

given.

Address

Contact No.


SECTION 4: QIJAUFICA. 10.. INFORMATION

D

SPM

SPMV

D

Subjects

O'Level

D

Year

Grade

Subjects

c::::J c::::J c::::J c::::J

1 2 3 4 FOR MALAYSIAN

APPLICANTS

6 7

8

1 ====~I

=====1 1......1

ONLY: SPM (July):

1

BAHASA MELAYU

5

MATHEMATICS

BAHASA INGGERISI"--_---J

1

_

OTHER QUALIFICATIONS Highest

Qualification

I Professional

Lisence

Major I Specialization University CGPA

WORKING

I Institute

D 路1""--_ EXPERIENCES*

Have you completed

your studies?

Yes

DNoC]

If applicable

Designation

Year

Company

From

Note (*): Five years prior to the applications

TI I declare that the information given herein are complete and correct and the document copies are true. I understand that my application can be rejected in the event that my submission are incorrect, incomplete or false. Applicant's

Date:

Signature:

2

To


CHECKLIST FOR APPLICANT The following

document

must be submitted

together

with application

form.

I ( \j

No Supporting document to be included Certified true copy of * SPM / SPMV / Q'Level Certficate 1

* STPM / A' Level Certificate

* Certficate / Diploma certificates 2

and

or with transcript/result

slip of every semester

Certification Letter of Completion of Studies from previous If applicants still waiting for final result.

3

A copy of NRIC and Birth Certificates

*

PLEASE SEND APPLICATION TO:

institutions,

EASA Program.

Malaysian Institute of Aviation Technology Lot 2891, Jalan Jenderam MALAYSIA. Fax: (603) 8768 7572/8485 Tel: (603) 8768 8487/7588

Hulu, Jenderam

Hulu, 43800, Dengkil, Selangor

Darul Ehsan.

)


GUIDELINES SECTION 1:

PROGRAMME PREFERENCE i) Programme offered by semester is subject to change

SECTION 2: MEDICAL BACKGROUND Physical Disability CODE

00 01 02 03 04 05 06 07 08

DESCRIPTION No disability Blind Deaf obe ear/both Dumb Leg-Disability Hand-Disability Lonq/Short Siqhted Colour Blind Others

Chronic Desease CODE DESCRIPTION 00 No Chronic Desease 01 Bladder Stone or Gall Stone, kolestisis 02 High Blood 03 Diabetes 04 Desease regarding blood/brain vessel Cataract, ptegrium 05 06 Tumor 07 Cancer Hernia, Fistulate, Hydrocale 08 09 Knee/Backbone problem 10 Endometriosis 11 Epilepsy 12 Gastric 13 Ulcer 14 Eritematocus 15 Prostate Glen Organ Disfunctional e.g Kidney 16 17 Mental illness 18 HIV 19 Others

Training Application Form for EASA Part 66 program  

This form is to be used for applying EASA Part 66 program in UniKL MIAT

Read more
Read more
Similar to
Popular now
Just for you