.....F66‐5(10/2001)...................Page3..........Page4..................F66‐5(10/2001).
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FUNCTION SIGNATURE.
 RESTRICTIONS.
 
Function.
 Signature.
 Date.
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 RENEWAL.
 
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 Signer
 Date.
 
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.F66‐5(10/2001).......................Page5.......Page6........................F66‐5(10/2001).
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Notes:
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1． This.license.is.valid.when.complied.with.the.record.in.personal.technical.file..

2． Endorsement.of.item.rating.means.the.holder.is.qualified.to.issue.maintenance.release.for.such.item.at.the.date.of.endorsement..

3． Except.suspended.or.revoked,.this.license.remains.valid.until.the.expiry.date.whilst.in.CCAR‐66.28..

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Inside Back Cover Back Cover

Annex Ⅵ
 
 
Application for the Issuance/Renewal of the Certificate for the Civil Aircraft Maintenance Management Personnel
 
 
 
Details about Applicant:
 
 
Name:            Sex:             Date of Birth:   Month    Date   Year
 
ID Card Number:
 
 
 
Address: 
 
Post Code: Telephone：  
 
Nationality:      Birth Place:   
 
Diploma：  
 
 School of Graduation：  
 
Details about Certificate (applies to renewal thereof)：
 
Certificate No.：   Issuance Date：  
 
 Time Work Experience  Referee
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
.
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F66-6(8/2005) 1-2.
 
 

Attachment Ⅵ：
 
Application for the Issuance/Renewal of the License for the Civil Aircraft Component maintenance personnel.
 
Details about Applicant:
 
Name:       Sex：       Date of Birth:         Month  Date Year
　
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