DGCA INDIA

APPLICATION FOR ONLINE REGISTRATION

CA FORM 19-08A

Government of India
Director General of Civil Aviation, Central Examination Organisation

COMPUTER NUMBER : E-09054858

1. PERSONAL DETAILS

Name Mr Vineet Kumar Singh

Gender Male
Paste Recent coloured
Date of Birth 22-07-1987 Passport
size Photograph and
Signature below with black
Father's Name Surender Singh ink
Mother's Name sangeeta singh

Email Address innovativevineet@gmail.com

Category GENERAL
Nationality INDIA
UIDAI Number 362514657859
(Adhar No.)

Passport Date of Date of AIU Equivalent Security

Country Place of Issue
Number Issue Expiry Educational Clearance
J5427718 INDIA 2011-03-01 2021-02-28 New Delhi

Correspondence Address Permanent Address

754-RISHI NAGAR RANI BAGH 754-RISHI NAGAR RANI BAGH

NEW DELHI NEW DELHI

Delhi 110034 Delhi 110034
 2. QUALIFICATION DETAILS
Level Degree Name Board/ University Duration Year of Passing Total Marks(%) Max. Marks
10 + 2 AISSCE CBSE 1.0 2005 58.0
B.Sc AIRCRAFT State Board 3.0 2011 78.80999755

10+2 DETAILS
Subject Marks Obtained Maximum Marks Board/University
Physics 69.0 100.0 CBSE
Chemistry 55.0 100.0 CBSE
Maths 33.0 100.0 CBSE
English 52.0 100.0 CBSE
Other 72.0 100.0 CBSE
56.20%
Total Aggregate:

3. APPLICANT TYPE : GENERAL

Name of Organization / Approved institutes Stream Category
Air Asia India Ltd Mechanical A1,A2,A3,A4,B1.1,B1.2,B1.3,B1.4

4. AIRCRAFT MAINTENANCE EXPERIENCE

Total Experience: 5 Years and 11 Months
DETAILS OF AIRCRAFT MAINTAINENCE EXPERIENCE
Type of Aircraft Organisation/Approved AME Area of Work Major/Line/ From To Period
engines/system Institute Shop/AME Institute (in months)
CESSNA AIR HIND AVIATION MAJOR/MINOR 25-01-2011 25-07-2011 6
BEECHCRAFT B-200, SARAYA AVIATION MAJOR/MINOR/LINE 22-11-2011 13-02-2014 27
BOEING 737 NG/ SPICEJET LIMITED LINE 14-03-2014 13-02-2015 11

5. DOCUMENTS UPLOADED AND TO BE ENCLOSED

6. DECLARATION
I hereby declare that the information provided in this form is correct in every respect to the best of my knowledge and belief and that nothing has been
concealed or withheld by me. I understand that if any of my particulars/entries are found false or incorrect before or after the examination, my candidature
shall be rejected and further action can be taken against me by DGCA as deemed fit. Further, I understand that unutilized fees paid(if any), for previous
session(s), will not be adjusted, carried forward for future examination(s)
It is an offence to make, with intent to deceive, any false representation for the purpose of procurring the grant, issue,renewal or variation of any certificate,
licence, approval, permission or other document. Persons doing so render themselves liable, on summary conviction, to a fine of one lakh rupees and / or
imprisonment for a term not exceeding three months . Further , it renders the person permanently ineligible to have an Aircraft Maintainance Engineer's
Licence.
I declare that I have read and understood the INSTRUCTIONS.

PLACE SIGNATURE

DATE NAME

CERTIFICATE
This is to certify that the particulars furnished by Mr/Ms . Vineet Kumar Singh given above have been verified by me and found correct.

Date: Seal of Signature:

Organisation
Place: Name
and Designation:
This certificate to be attested by QM/Chief Instructor of approved AME Training Institute/Chief Engineering Officer in case of serving Defence personnel
and Gazetted officer / Self Attested in case of PRIVATE/ Unemployed candidate.