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APPLICATION FOR RENEWAL VAR-PART 7

AIRCRAFT MAINTENANCE TECHNICIAN LICENCE (AMT)

CAAV FORM 19

APPLICATION DETAILS:
Name:
Address:
Nationality:
Date and place of birth:
VAR-7 AIRCRAFT MAINTENANCE TECHNICIAN LICENCE
CAAV AMT Licence No:
Issue date:

Expire date:

EMPLOYERS DETAILS:
Company: HAI AU AVIATION
Head Office: Villa 21 - 86B Tran Phu Street, Loc Tho Ward, Nha Trang City, Khanh Hoa Province, Vietnam
Tel: +84.58.352.8252
Fax: +84.58.352.8272
Ha Noi Office: 12th Floor, 70 - 72 Ba Trieu Str., Hang Bai Ward, Hoan Kiem District, Ha Noi, Vietnam
Tel: +84.4.3943.9966
Fax: +84.4.3943.2299
Ho Chi Minh Office: 10th Floor, 157 Pasteur Str., Ward 3, Ho Chi Minh City, Vietnam
Tel: +84.8.3820.7272
Fax: +84.8.3820.4020
APPLICATION FOR: (Tick () relevant box(es))
Initial issue AMT

Renewal of AMT

Variation of AMT

Rating
Aeroplanes Turbine

B1

Aeroplanes Piston

Helicopter Turbine

Helicopter Piston

Avionics

Type endorsements (if applicable):

B2

Cessna 208 EX

I wish to apply for initial issue/variation of/continuity of VAR-7 AMT Licence as indicated and
confirm the information contained in this form was correct at the time of application. I also
understand that my incorrect information could disqualify me from holding a VAR-7 AMT Licence.
Date:
Signed:
Name:

APPLICATION FOR RENEWAL OF VAR-7

CAAV FORM 19

AIRCRAFT MAINTENANCE TECHNICIAN LICENCE (AMT)


AIRCRAFT MAINTENANCE EXPERIENCE:

TRAINING COURSES

Start

End

WORK EXPERIENCE

I wish to claim the following credits (if applicable):


Experience credit due approved training:
Examination credit due equivalent exam:

Enclose relevant certificates

It is hereby certified that the applicant has met the relevant maintenance knowledge and
experience requirements of VAR-7 and it is recommended that the CAAV grants or endorses the
VAR-7 AMT Licence
Date:
Signed:
Name:

Delaney Fernando

Position: Maintenance System Post Holder