I hereby apply for the issuance/renewal of the license for the maintenance personnel and 
 
ensure the
 
faithfulness and correctness of all the application materials while any incorrect 
 
information will affect the 
 
validity of my qualifications.
 
Signature:                                 Date:                             
 
 

F66‐1（8/2005）.
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Application for the Issuance/Renewal of the License for the Civil Aircraft 
 
Maintenance Personnel
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    Time Performed Maintenance  Referee
 
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   Time                 Training Record                   Referee
 
 
 
 
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The applicant shall concurrently submit the materials as follows
 
Initial application
The notification originals of the results of the passed written and oral examinations of the basic portion of the license, the notification original of the result of the passed examination on basic skills of the basic portion of the license, and a copy of the diploma references
Working experience references
A copy of the license issued in accordance with the CCAR-65 Regulations (if applicable)
Health references within 60 days before the date upon which the application is submitted
Renewal
Relevant working experience references
Health references within 60 days before the date upon which the application is submitted Relevant training references
 
 

F66-1（8/2005）  
 
 
 
 
 
                                                2-2.
Annex Ⅱ
Civil.Aircraft.Maintenance.Personnel.License.
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People’s Republic of China
 
License for Civil Aircraft Maintenance Personnel
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Issuance Requirements and Authorizations:
 
The license is issued in accordance with the relevant provisions of the Civil Aviation Law of The People’s Republic of China and ICAO Annex 1. No issuance, endorsement or amendment of the license shall be permitted, except by the Minister of Civil Aviation Administration of China or by the persons authorized by the Minister for this purpose. .
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Cover Inside Cover
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People’s Republic of China
 
License for Civil Aircraft Maintenance 
 
Personnel
License.No.....................
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Name：...............
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Sex：....................photo.
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Date.of.Birth：.................
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Nationality：..............
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Holder.Signature：........................
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Issuing.Date.&.issued.by：..................
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Stamp.of.issuing.authority：.
　
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本文鏈接地址：Management Rule of Civil Aircraft Maintenance Personnel Lice(12)