Form. No. RPPL.F.

054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 1 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

Please complete the form in BLOCK CAPITALS having read the guidance notes attached to this form.

1. APPLICANTS DETAILS

KHALID SOHAIL
Surname: .........................................................................................First Name(s) : ................................................................................
MR 14/03/1991
Title (Mr. / Mrs. / Ms etc): ............................................................... Date of Birth (dd/mm/yyyy): .............................................................
PAKISTANI GUJRANWALA PAKISTAN
Nationality: ...................................................................................... Place of Birth (Town): …....................... (Country): .........................
ROOM 16 ALHAMD MUSLIM TOWN HOSTEL WAHDAT ROAD LAHORE
Permanent address: ……...........................................................................................................................................................................

........................................................................................................ Postcode: .........................................................................................

+923147358472 +923337709356
Contact Tel. No. ............................................................................ Mobile Tel. No. .................................................................................
[email protected]
E-mail address: ..............................................................................
SAME AS ABOVE
Address for correspondence (if different from above): ..............................................................................................................................
54000
........................................................................................................ Postcode: .........................................................................................

Change of applicant’s details: Yes □ □X No Please indicate (e.g. change of address) ........................................................................................

…………………………………………………………………………………………………………………………………………………………………………...
……………………………………………………………………………………………………………………………………………………………………………

2. PART-66 AML DETAILS (if applicable)

EL.66.012140 12/11/2020
Licence No. ............................................................................ Date of Issue. .................................................................................

3. EMPLOYER DETAILS

Name: GERRYSDNATA PVT LTD

Address: ROOM 1709 , APRON AREA INTERNATIONAL JUNCTION TERMINAL, JIIAP KARACHI.

Maintenance Organisation Approval Reference: PCAA. 145. 028

Fax. No./
+92 3040894809 [email protected]
Contact Tel. No. Email
 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 2 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

4. I AM APPLYING FOR: (Please only tick  relevant boxes for items being requested)
Initial X
Amendment of AML: Replacement of AML: Transfer of State:
AML:
Renewal Conversion
Removal of Limitation:
of AML: (National to Part-66 AML):

A B1 B2 B2L B3 C L
(see below)
Category / Sub-Category

Aeroplane Turbine  X


Aeroplane Piston  

Helicopter Turbine  

Helicopter Piston  

Avionics   (see system ratings below)

Piston engine non-pressurised aeroplanes of MTOM of 2t and below 

Complex motor-powered aircraft 

Aircraft other than complex motor-powered aircraft 

System ratings for B2L licence:

1. autoflight, 

2. instruments 

3. com/nav 

4. surveillance 

5. airframe systems 

L-licence subcategories:

L1C: Composite sailplanes 

L1: Sailplanes 

L2C: Composite powered sailplanes and composite ELA1 aeroplanes 

L2: Powered sailplanes and ELA1 aeroplanes 

L3H: Hot-air balloons 

L3G: Gas balloons 

L4H: Hot-air airships 

L4G: ELA2 gas airships 

L5: Gas airships other than ELA2 

Continued on page 3
 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 3 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

Application for Type Rating Endorsements or Limitation removal being requested (if applicable)

Category(s): Type Rating:

N/A

I wish to claim the following credits (applicable to basic category only)

Experience credit due Part-147 training (details of Part-147 Organisation

attended) – only tick this box if you have attended a Part 147 approved basic

training course.

Examination credit due equivalent exam certificates (examination credit report

will be required)


Experience credit due to being considered a skilled worker, e.g. having

completed the Irish aircraft mechanic apprenticeship (see Part-66.A.30; (a) 1 (ii)

and (a) 2 (ii) . (FETEC Certificate or equivalent will be required)

5. PLEASE LIST ALL RELEVANT CERTIFICATES ENCLOSED WITH THIS APPLICATION (List Below)
Originals certificates may be required (refer to guidance notes for section 5).
EASA Form 19 (this form) properly completed and signed.

Copy of Passport

Part-66 AML(certified true copy of the licence)

Completed payment form.

6. SUMMARY OF AIRCRAFT MAINTENANCE EXPERIENCE INCLUDED WITH THIS APPLICATION (relevant to

this application only)
NOTE: Other documents may be used but they must be referenced and verified here.

Date Aircraft Type Description of Experience

from / to Details of experience should include the category of such experience i.e. A, B1, B2 or C
OCT 2018 TO
OCT 2020 Beechcraft King Air 200 LINE +BASE MAINTENANCE
APRIL 2017 TO
A320/330 V2500 /CF6 LINE +BASE MAINTENENACE AND CHECK A
AUG 2018
NOV 2014 TO
FEB 2017 Beechcraft King Air 200 LINE +BASE MAINTENANCE
 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 4 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

7. IAA SUMMARY PRIVACY NOTICE

How will we use your information?

The information you provide to us via this form will be used to enable us to carry out our regulatory duties including processing your request detailed in
Section 4 of this form, the administration and maintenance of subsequent licences/certificates and for enforcement purposes.

We will not disclose any of your information to any organisation without your explicit consent, except where we are obliged to do so under relevant EU
and Irish legislation, or to verify supporting documentation supplied by you, or to comply with law enforcement agencies.

Where can you find out more?

To find out more about how the IAA respects your privacy, please read our detailed privacy notice at https://www.iaa.ie/home/footer-tools/privacy or
contact our Data Protection Officer at [email protected], or write to Data Protection Officer, Irish Aviation Authority, The Times Building, 11-12
D'Olier Street, Dublin 2, D02 T449.Date:

8. APPLICATION & DECLARATION

I wish to apply for initial / amendment / renewal / transfer of Part-66 AML as indicated and confirm that the information contained in this form was correct
at the time of application.

I herewith confirm that:

1. I am not holding any Part-66 AML issued in another Member State (unless this is a transfer request identified in Section 4),
2. I have not applied for any Part-66 AML in another Member State and
3. I never had a Part-66 AML issued in another Member State which was revoked or suspended in any other Member State.

I also understand that any incorrect information could disqualify me from holding a Part-66 AML.

I consent to the IAA verifying any elements of this application with the appropriate issuing bodies or organisations relevant to the application.

SOHAIL KHALID
Signed: ……………………………………………………………… Print Name…………………………………………………………..

25/05/2022
Date: ............................................................................................

Note: It is an offence for a person to make, procure to be made, or assist in making any false representations for the purpose of procuring for any
reason the issue, validation, extension or re-issue of a licence, whether for that person or any other person.

9. VERIFICATION (required for initial application and addition of category / sub-category)

Verification (if applicable). I hereby verify that the experience claimed in this application and accomplished in this Organisation is correct.

MUNAWAR HUSSAIN JEELANI

Name: ………………………………………………………………………………………………………………………………………………………………………...

25/05/2022
Signature: ………………………………………………………………………………... Date: ………………………………………………………………………….

[email protected] PCAA.145.028
Email address: …………………………………………………………………………. Organisations Approval number: ………………………………………...

Organisation Stamp:

NOTE: The referee required to countersign the form must be a Quality Manager or the immediate senior person within the Quality Department of your
current employer, or the organisation where the experience was gained.
 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 5 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

GUIDANCE NOTES, PAYMENT FORM & SUBMISSION INSTRUCTIONS

Guidance Notes

All sections of the application form must be completed by the applicant personally, any section not applicable should be marked N/A.

Please complete the application form in BLOCK CAPITALS.

Details of where to send your application, including a checklist for the required supporting documentation can be found under ‘Submission
Instructions’ at the end of this form.

In order for the IAA to process your application as quickly as possible, it is important that you complete the application form correctly. The application
form applies to a number of different categories and ratings, so not all sections may be applicable to you. Please complete the form in conjunction
with the following guidance notes.

Section 1 – Applicant Details

The permanent address will be the address to which the licence will be sent if issued. If you want the licence sent to an alternative address, please
enter the details under “Address for correspondence”.

Section 2 – Part-66 AML Details

Remember that your current licence must be submitted with the application (see the relevant checklist on page 6).

Section 3 - Employer Details

Please enter details of your current employer, including the organisations Approval Number.

Section 4 – Application for:

Indicate the type of application being made namely:

 Initial application for an AML
 Amendment of AML
 Removal of Limitations
 Conversion (National AMEL to Part-66 AML)
 Renewal of AML
 Replacement of AML
 Transfer of State

NOTE: Only one Category B request will be processed at initial application (e.g.: B1.1 or B2).

In the type rating endorsements section indicate which new or additional ratings you are requesting in this application.

Provide details of any credits that you are claiming. Remember to enclose all relevant certificates.

Section 5 – List all relevant Certificates enclosed with this application

Original Certificates of Recognition must be supplied. Certified true copies of originals may be accepted if the copy is verified by an Irish Part-145 or
Part M/F Organisations Quality Manager or accepted nominated signatories.

Section 6 – Summary of Aircraft Maintenance Experience

Enter a summary of any experience that is relevant to the application in this section. This section must be completed. Other documents may be used
but they must be referenced here.
Certified true copies of original experience documents must be submitted, (the nominated signatory must state that they certify document is a
complete and true copy of original along and insert their name (in block letters),signature, date and job title), this experience needs to be certified by
Quality Manager or accepted nominated signatories.
Required maintenance experience shall be written up in a manner that the reader has a reasonable understanding of where, when and what
maintenance constitutes the experience.

Section 8 – Application & Declaration

This section must be completed by the applicant after reviewing all information entered on the application form.

Section 9 – Verification (not for Part-66 renewal)

The referee required to countersign the form must be a Quality Manager or the immediate senior person within the Quality Department of your current
employer, or the organisation where the experience was gained.

Appendix 1 – Basic Experience Matrix

This section must be completed by the applicant when applying for an initial or an amendment to a basic category. Failure to complete accurately will
result in your application being returned to you and any incorrect information could disqualify you from holding a Part-66 AML. Return postage
charges may apply.

Note: It is an offence for a person to make, procure to be made, or assist in making any false representations for the purpose of procuring for any
reason the issue, validation, extension or re-issue of a licence, whether for that person or any other person.
 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 6 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

PAYMENT FORM
The current Licence fees can be found on the IAA website (www.iaa.ie).

Full details of fees charged and levied by the IAA are published in the Irish Aviation Authority (Fees) Order.
I am paying by: -

MASTERCARD □ VISA □X OTHER □ ______________________

(please specify)
- PLEASE DO NOT SEND CASH -

Please make cheques payable to ‘Irish Aviation Authority’.

Please note that we do not accept AMERICAN EXPRESS or DINERS CARD.
If paying by credit or debit card, please complete the information required below (in block capitals). Note: All credit card details are destroyed upon
completion of the transaction. If you would prefer to give card details over the telephone, please call us on +353 1 603 1109 ensuring that you have
all the information required below to hand.

Do you require your licence to be sent: By Courier (at your own expense) □ By Registered Post (see notes below) □
SOHAIL KHALID
Name of Card holder (as stated on the card) ____________________________________________________________________

Card Number

□□□□□□□□□□□□□□□□□□□
4 2 1 4 - 6 1 8 1 - 0 0 6 7 - 3 8 3 2

□□ / □□
Valid from: □□ / □□ 1 0 2 1
Expiry Date
1 0 2 6

□□
Security Code (last 3 digits on signature strip on reverse of card) □
1 4 9

NO
Address of Card holder, if different from applicant ________________________________________________________________
________________________________________________________________________________________________________

SUBMISSION INSTRUCTIONS (see Guidance Notes)

Send your completed application form to:
Personnel Licensing Office (Maintenance Engineer), Irish Aviation Authority, The Times Building, 11-12 D’Olier Street, Dublin 2, Ireland.
The tables on page 6 of this form outline the required information / documents that shall be submitted with each EASA Part-66 AML application.

Note 1. Items sent by registered post to locations outside the EU or by courier service will be charged a fee according to the regional area destination
of each posting in addition to the normal fee. Items sent by registered post within the EU do not normally attract additional charges unless the
returned submission is considered to be other than an envelope (e.g. a packet)

Note 2. Where an application is made for the issue of a Licence, and where such application is subsequently withdrawn after the Authority has
incurred the expense of the administration associated with such application, the fee payable will be 80% of the fee payable for the issue of the
relevant Licence.
Please note that failure to submit all required documentation may result in the return of your application.
 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 7 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

Please enclose the following with your application:

Initial Issue Initial Issue

(Conversion of National AMEL)

 EASA Form 19 (this form) properly completed and signed.  EASA Form 19 (this form) properly completed and signed.

 Copy of Passport  Copy of Passport.

All relevant Part-66 modular certificates for the required

  National Licence (Original, not a Copy)
category(s)... See guidance note for section 5
Evidence of the required experience, including appendix 1.
 See guidance note for section 6 especially reference to  Details and evidence of BAEC examinations passed.
Certified true copies.
Only one Category B request will be processed at initial
  Completed payment form.
application (e.g.: B1.1 or B2).

 Completed payment form. 

Amendment Amendment
Additional Category / Sub-Category Addition of Type Rating

 EASA Form 19 (this form) properly completed and signed.  EASA Form 19 (this form) properly completed and signed.

 Copy of Passport  Copy of Passport.

 Part-66 AML (Original, not a Copy)  Part-66 AML (Original, not a Copy)

All relevant Part-66 modular certificates for the required Type training certificate(s) which must cover theoretical training
 
category(s). See guidance note for section 5. and practical training and assessment.

Completed On the Job Training (for first type rating only).

Evidence of the required experience, including appendix 1.
This should be performed at an IAA approved Part 145
 See guidance note for section 6 especially reference to 
organisation. If not, the OJT must be accepted by the IAA prior
Certified true copies...
to use.

 Completed payment form.  Completed payment form.

Amendment Replacement
Removal of a limitation

 EASA Form 19 (this form) properly completed and signed.  Copy of Garda Report, signed, stamped, and dated.

 Copy of Passport  EASA Form 19 (this form) properly completed and signed.

 Part-66 AML (Original, not a Copy)  Copy of Passport

Training certificated as required. See guidance note for section

  Copy of Licence if available
5.

Evidence of the required experience. See guidance note for

  Completed payment form.
section 6 especially reference to Certified true copies...

 Completed payment form.

Renewal Transfer of EASA Part 66 from another State

 EASA Form 19 (this form) properly completed and signed.  EASA Form 19 (this form) properly completed and signed.

 Copy of Passport  Copy of Passport

 Part-66 AML (Original, not a Copy)  Part-66 AML (Original. If original State require the original to be
sent to them, submit a certified true copy of the licence)

 Completed payment form.  Completed payment form.

 Form. No. RPPL.F.054
APPLICATION FOR
AMDT No. 10.0 INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT
MAINTENANCE LICENCE (AML)
Page No. 8 of 8
Issue Date: 03/12/2021 EASA FORM 19 (Issue 5)

Appendix 1: Basic Experience Matrix (see Guidance Notes)