Get Form 19

EASA Form 19/B PRACTICAL EXPERIENCE CERTIFICATE Appendix to Form 19 Part-66 Aircraft Maintenance Licence application According to Commission Regulation EC No. 2042/2003 Part-66 /Part-145 /Part-147 H-1675 Budapest Ferihegy Airport 1. Pf. 41 Reminder - write with capital letters means put mark X as applicable - only valid with properly filled Form 19 1. Should be filled in accordance with Form 19 part Rev-4. General maintenance per AMM Exchange of simple parts and modules Exchange and rigging of parts of flight controls rudder flaps etc. Work on hydraulic systems especially landing gear flight controls and trim system Minor Repairs and Changes On sheet metal parts simple rivetting On wooden parts including glueing and work on textile modules On composite parts Major Repairs Changes and Overhaul Assistance during Major Repair on parts of the primary airframe structure Metal structure Wooden structure Composite structure including re-assembly Maintenance on airframe and systems replacement of equipment and components rigging functional checks Maintenance and trouble shooting on fuel hydraulics pneumatic systems electrical power system firedetection and firewarning system oxygen system Replacement of Avionics LRU s and simple BITE self tests Piston engine Turbine engine Removal and re-installation of complete engines combustion chambers etc. on constant-speed propellers Dis-/reassembly Inspection Trouble Shooting Communication Systems HF-Communication Navigation Systems VOR - Navigation ILS - Navigation ADF - Navigation Inertial Navigation Hyperbolic Navigation Pulse Coded Systems Transponder DME System Radio Altimeter Weather Radar Auto Flight Systems Autopilot Auto throttle Flightcontrols Indicating and Recording Systems Electronic Indication System Flight Management System Test- and Maintenance System Air Data Computer Compass System Electronic Warning System Flight Data Recorder Voice Data Recorder Other relevant experience Please attach the appropriate supporting documents. relevant experience eg. experience gained at Police or Military environment. Please attach the relevant certificate to verify 4. STATEMENT OF AUTHORIZED MANAGER I certify that the statements in this application and the attached supporting documents are correct and complete. 2. EMPLOYERS DETAILS Name Details of the authority approved maintenance organization providing practical experience certification. Contact postal Address City Post code AMO Approval Reference Part-145 or Part-M approval number AMO Approval Reference Phone number Fax Hereby I certify that the applicant get practical experience at our maintenance organization on the following aircraft/engine types from to Total duration in months Position Aircraft Mechanic Avionics Type of Company Authorisation Engineer Other Reference number Maintenance area Base maintenance Line maintenance I claim the following credits against experience requirement Part-147 course CAA HU Version Relevant technical qualification Oldal 1 / 4 Write the type of CA if applicable given in accordance with internal procedures of the organization. Experience requirement and experience credits can be found in Part-66. Should be filled in accordance with Form 19 part Rev-4. General maintenance per AMM Exchange of simple parts and modules Exchange and rigging of parts of flight controls rudder flaps etc. Work on hydraulic systems especially landing gear flight controls and trim system Minor Repairs and Changes On sheet metal parts simple rivetting On wooden parts including glueing and work on textile modules On composite parts Major Repairs Changes and Overhaul Assistance during Major Repair on parts of the primary airframe structure Metal structure Wooden structure Composite structure including re-assembly Maintenance on airframe and systems replacement of equipment and components rigging functional checks Maintenance and trouble shooting on fuel hydraulics pneumatic systems electrical power system firedetection and firewarning system oxygen system Replacement of Avionics LRU s and simple BITE self tests Piston engine Turbine engine Removal and re-installation of complete engines combustion chambers etc. on constant-speed propellers Dis-/reassembly Inspection Trouble Shooting Communication Systems HF-Communication Navigation Systems VOR - Navigation ILS - Navigation ADF - Navigation Inertial Navigation Hyperbolic Navigation Pulse Coded Systems Transponder DME System Radio Altimeter Weather Radar Auto Flight Systems Autopilot Auto throttle Flightcontrols Indicating and Recording Systems Electronic Indication System Flight Management System Test- and Maintenance System Air Data Computer Compass System Electronic Warning System Flight Data Recorder Voice Data Recorder Other relevant experience Please attach the appropriate supporting documents. relevant experience eg. experience gained at Police or Military environment. Please attach the relevant certificate to verify 4. APPLICANT DETAILS Surname First name Place of Birth Date of Birth Licence No. Date of Issue fields do not have to be completed at initial issue. 2. EMPLOYERS DETAILS Name Details of the authority approved maintenance organization providing practical experience certification. Contact postal Address City Post code AMO Approval Reference Part-145 or Part-M approval number AMO Approval Reference Phone number Fax Hereby I certify that the applicant get practical experience at our maintenance organization on the following aircraft/engine types from to Total duration in months Position Aircraft Mechanic Avionics Type of Company Authorisation Engineer Other Reference number Maintenance area Base maintenance Line maintenance I claim the following credits against experience requirement Part-147 course CAA HU Version Relevant technical qualification Oldal 1 / 4 Write the type of CA if applicable given in accordance with internal procedures of the organization. Experience requirement and experience credits can be found in Part-66. Should be filled in accordance with Form 19 part Rev-4. General maintenance per AMM Exchange of simple parts and modules Exchange and rigging of parts of flight controls rudder flaps etc. Work on hydraulic systems especially landing gear flight controls and trim system Minor Repairs and Changes On sheet metal parts simple rivetting On wooden parts including glueing and work on textile modules On composite parts Major Repairs Changes and Overhaul Assistance during Major Repair on parts of the primary airframe structure Metal structure Wooden structure Composite structure including re-assembly Maintenance on airframe and systems replacement of equipment and components rigging functional checks Maintenance and trouble shooting on fuel hydraulics pneumatic systems electrical power system firedetection and firewarning system oxygen system Replacement of Avionics LRU s and simple BITE self tests Piston engine Turbine engine Removal and re-installation of complete engines combustion chambers etc. on constant-speed propellers Dis-/reassembly Inspection Trouble Shooting Communication Systems HF-Communication Navigation Systems VOR - Navigation ILS - Navigation ADF - Navigation Inertial Navigation Hyperbolic Navigation Pulse Coded Systems Transponder DME System Radio Altimeter Weather Radar Auto Flight Systems Autopilot Auto throttle Flightcontrols Indicating and Recording Systems Electronic Indication System Flight Management System Test- and Maintenance System Air Data Computer Compass System Electronic Warning System Flight Data Recorder Voice Data Recorder Other relevant experience Please attach the appropriate supporting documents.