Application Form For Renewal Of Amt Licence - Civil Aviation Authority Of Nepal
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1Chapter No: F.2
Application No: 15
CIVIL AVIATION AUTHORITY OF NEPAL
AIRWORTHINESS INSPECTION DIVISION
APPLICATION FORM FOR RENEWAL OF AMT LICENCE
Name: ____________________________________
Organization: ______________________________
Nationality: ________________________________
Holder of AMT/Authorization: _________________
Licence/Authorization No: _____________________
Date of Issue: _______________________________
Place of Issue: _______________________________
Valid till: ______________________
Expiry date of validation: _______________________
Herewith request
-
Issuance/Validation or renewal of AMT Licence
-
Entering the following Rating(s) in the Licence
Category: ________________
Rating: __________________
Applicant herewith submits the following documents:
Yes
No
N/A
-
Documents supporting the issuance or renewal of
AMT Licence
-
Medical Certificate
-
The Licence mentioned above
-
Log Book(s) Copy.
-
Voucher, Cheque or cash money for fee
(Equivalent to US$ as per CAR)
Date: __________________
Signature of applicant: _________________
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