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PILOT PILOT

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									PILOT                                                                                   PILOT
                                                                      CA-9 (PILOT – Computer No.)
                                                                                Rev. January 2011

                                                                    FOR OFFICE USE
                                                         Computer No. Allotted:
                                                         P-

                          GOVERNMENT OF INDIA
 DIRECTORATE GENERAL OF CIVIL AVIATION, CENTRAL EXAMINATION ORGANIZATION

 APPLICATION FORM FOR ALLOTMENT OF COMPUTER NUMBER FOR PILOTS
          (Before filling up the application form, please read CAR Section 7 Series B Part I)

 Note:   All correspondence regarding written examination including duly filled in application forms
         should be forwarded to

 DIRECTOR OF AIRWORTHINESS
 CENTRAL EXAMINATION ORGANIZATION                                 Paste recent passport size
 O/O THE DIRECTOR GENERAL OF CIVIL AVIATION                       Photograph
 EAST BLOCK-III, R.K. PURAM, NEW DELHI-110 066
                                                                  (Without Attestation)




                                                                  Put your specimen signature in the
                                                                  above space in BLACK INK
 1. (a) NAME IN FULL (in Block Letters) (As in Matriculation or equivalent Certificate)


                 FIRST NAME                   MIDDLE NAME                         SURNAME



   (b) Sex (Male / Female) ___________________________________________________________
 2. Father’s Name: __________________________________________________________________

 3. Date of Birth (in Christian respective Era) (Enclose Attested Copy of 10th class pass certificate
    or certificate from municipal corporation /committee)


                           D     D      M     M      Y     Y      Y      Y

 4. Details of Educational Qualification (Enclose Attested Copies)

    (A) Passed 10th Standard or equivalent:                                          Write YES / NO
    _________________________
       (For PPL only)
    (B)Passed Class 10+2 or equivalent examination                               Write YES / NO
    _________________________
        With PHYSICS & MATHS
        (For CPL/ATPL)
    Note: In case basic qualification has been obtained from Foreign Country; enclose attested copy
          of ‘Equivalence Certificate’ which can be obtained from: - Association of Indian Universities,
          AIU House, 16 Kotla Marg, New Delhi-110 002
PILOT                                                                                      PILOT
                                                                       CA-9 (PILOT – Computer No.)
                                                                                 Rev. January 2011

    5. Nationality _______________ (Foreign National should submit ATTESTED copy of his/her
       Passport)
       Details of Passport:

        Passport No. ________________ Validity __________________ Country of Issue _____________

    6. Defence personnel –IAF/Navy/Army/Coastal General/BSF(tick), service No____________________
    7. Caste ___________ SC/ST/OBC/Others ( Tick as appropriate)
    8. PERMANENT Address : ________________________________________________________

        ______________________________________________________________________________

    9. MAILING Address: _______________________________________________________________

        _______________________________________________________________________________
        (Change in mailing address, in future, shall be immediately intimated to CEO)

    10. E-mail ID : ______________________________________________________________________

    I hereby certify that the above particulars/entries made by me are true and correct in every respect to
    the best of my knowledge and belief and that nothing has been concealed or withheld by me. I
    understand if any of my particulars/entries are found false or incorrect at any time, my candidature will
    stand rejected and further action can be taken against me by DGCA as per the rules. Further, I have
    read the requirements for issue extension of Pilots’ Licence / Rating, as laid down in Aircraft Rules /
    CARs amended from time to time.


    Date: _______________________                Signature of Applicant ___________________________

    Place_________________________


                         CERTIFICATE BY ATTESTING OFFICER

     (To be Attested by CFI/PII/Gazetted Officer)

     This is to certify that all the above particulars furnished by Mr./Ms _______   Applicant should paste
     ________________________________________________ have been                      His/her recent passport
     Verified by me and found to be correct.                                         Size photograph


                 Signature in full of Attesting Authority ____________________
                 (Signature & stamp shall partly cover this page & photograph)

     Date & Place: ___________


    INSTRUCTONS (IN BRIEF):
    1. Applicant shall read the CAR Section-7, Series B, Part-1 prior to filling up this form
    2. List of Allotted Computer Numbers will be given on DGCA website http://dgca.gov.in from time to
       time.
    3. Allotment of Computer Number does not mean the verification or authenticity of the qualification.
       Original qualification certificate shall be verified before the issue of Licence by DGCA, Allotment of
       computer number does not entitle any individual the right for acceptance of candidature to appear in
       the Pilot Licence Examination.
                               RECEIPT if application deposited by Hand

     Name of the Candidate         Computer Number               Category                   Session



Signature of receiving Official:
Date:                                                             Stamp

								
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