8/2/2019 Pilot Exam
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CA-9 (PILOT): Rev. Aug. 06APPLICATION FORM FOR PILOTS EXAMINAT
ION (GEN & T ECH)
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1.* COMPUTER NO. 2. SESSION 3 FEES: @ Rs.500/- per paper on a
SINGLE DRAFT payable to PAO, DGCA,MCA ,New Delhi
Details of fee attached :
Amount Rs DD NoM M Y Y Y Y Issue branch .Dtd.
* If computer number NOT filled, the application will NOT be
accepted.
4. NAME: 5. Exam. CENTRE:
6. Details of Category of Lic and papers,the applicant desires
to appear:
(a) CATEGORYof L ic . PPL/CPL / CHPL / ATPL / CPLCG/ / ATPLCG
etc.)Fill only one Cat. in this box
(b)Do you desire to appear in PPLG composite paper* also. YES /
NO: ..
*If you are appearing for the first time in this Category,
enclose duly filled in Annexure-1
i) General Papersdesired to appear (fill the appropriate boxes
given below with YES/NO):Navigation Meteorology Regulation Radio
aids & Inst Composite
ii)Technical Papers : (write YES / NO in the following
blocks):Tech. Gen(P-1) Specific ( P-2)# Performance( P-3)# Name of
Aircraft with model for P-2/P-3
#Submit course completion certif icate, i f appearing in paper-2
(Specific) on any of the aircraft including Performance Completion
Courseappearing on heavy aircraft . Defence candidates may enclose
Commander Certificate.
7. Details of valid Indian Licenses held (SPL /PPL /CPL/ ATPL
/CHPL) Licence Number .Validity..
8. Total Hours Flown :.Hrs..Mts
9. Name and address of DGCA approved Flying Training
institute:
10. Name and address of DGCA approved Ground Training
Institute:
...
11. For CONVERSION to Indian license, furnish details of Foreign
Pilots license already held CategoryLicence No Country of issue
Validity . (Enclose attested copy)
12. Date of Birth: 13. Tel/ Mobile No.: NOTE:- CHANGE IN MAILING
ADDRESS , if any, should be intimated SEPARATELY & not to be
written in this application.
14. Details of last two examinations attempted by the
candidate:
Session Roll No. Subjectsappeared
Cat. Nav /Comp
Met. Reg, Rad. &Inst.
Tech.P1 Tech.P2 TechP3
Marksobtained
Marksobtained
I hereby declare that the above particulars are true in every
respect and that nothing has been concealed or withheld by me. If
any of my statemeare found false at any time, my candidature may be
rejected. I have read and understood the requirements for issue of
Pilots License, and tinstructions for appearing in
examinations.
Date: .......... Signature o f app l i cant Note: - 1. The Last
date of submission of this application for each Session is
displayed on DGCA Website: http://dgca.gov.in 2. List of
admittcandidates will be displayed on DGCA website three weeks
prior to the date of written examination. 3. Mobile Phones are NOT
permitted in tExamination hall. 4. Display your Photo Identity Card
during the entire period of examination. 5. No application should
be forwarded one monprior to the last date of of that session of
examination.
P-
*
8/2/2019 Pilot Exam
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CA-9 (PILOT): Rev. Aug. 06
Annexure-1
NOTE : THIS ANNEXURE IS ALSO REQUIRED TO BE FILLED UP ALONG WITH
CA-9 (PILOT)FORM WHENEVER APPEARING FIRST TIME IN PPL OR CPL OR
ATPL EXAMINATION
1. Computer Number:
2. Name of applicant: ..
3. Date of Birth:
4. Educational Qualification .
NOTE: Enclose the attested copy of Marks-sheet of 10+2 with
Physics & Mathematics in case the
applicant has acquired this qualification after allotment of
computer number.
5. Category of Licence, applicant desires to appear:
6. Details of Pilots Licence already held by the applicant:
(i) Category of Licence: .. (ii) Lic. No.: (iii) Validity: .(iv)
Is the CPL endorsed for Multi-engine Rating, YES / NO:.. (v) If
yes, name of the
aircraft.
(Enclose the attested copy of the Licence).
7. Name and address of the DGCA Approved Ground Training
Institute:.
8. Details of Flying:
(a) Total Flying Hours : Hrs Mts ..(b) Flying Hours as PIC: Hrs
. Mts ..
Note: Encloseattested copy of the last page of the pilot Log
book containing the summary of flying hours dulycertified by the
PII or Commanding Officer , This page should bear the name and date
of birth of the pilot orpilot trainee.
______________________Date : Signature of applicant
CERTIFICATE
Certified that Mr./ Ms attended classes for the ground subjects
at the
above mentioned Institutes and further certified that he / she
has flying experience, as mentioned above.
Place:
Date:. SEAL Signature of PII / DGM (Ops.)/ Commanding
Officer
