AME Work Record as per CAR 66

1. AME WORK RECORD
DGCA FORM 19-10

2. FORMAT OF AIRCRAFT MAINTENACE ENGINEER WORK RECORD / LOG BOOK DGCA INDIA CA Form 19-10
1. PERSONAL DETAILS Affix recent
CEO Computer No E - passport size photo
Name in Full graph duly
Date of birth * Nationality INDIAN attested on the
front side
*Educational GENDER M/F AMEL No.
Qualification
*Permanent Address…………………………………………….................................……………………………………………………………………
PIN Code................................
Changed Permanent Address
*Address for Communication (if different from
above……………………….....................................................………………………………………………………………………………………………………….……………….
PIN Code................................
Changed Address for Communication:
Applicant Contact Phone Number ………………………….................. E-mail…….………………………………………………….
Name of the Current Employer :
Contact Phone Number of Employer :
Log Book Owners Name……………………………………………………………………….. Signature ………………………………..

3. 2. Record of Training:
Training Completed Training Establishment and From To Result
Location

4. 3. (i) Details of Employer / Organisation at which engaged in Aircraft Maintenance
Employer / Organisation:
From To Position Nature of Work
Types of Aircraft or other products.
Conformation of organisation
Name Signature Position & Stamp date
Mr. S P Singh Quality Manager/ Chief
Engineer
3. (ii) Details of Employer / Organisation at which engaged in Aircraft Maintenance
Employer / Organisation:
From To Position Nature of Work
Types of Aircraft or other products
Conformation of organisation
Name Signature Position & Stamp date
3. (iiI) Details of Employer / Organisation at which engaged in Aircraft Maintenance
Employer / Organisation:
Conformation of organisation
From To Position Nature of Work
Types of Aircraft or other products
Name Signature Position & Stamp date

5. 4. BASIC SKILL
Maintenance Task (1) Category Aircraft Reg No & Date on which Organisation (4) Supervisor name & AME no
Type (2) performed (3)
All the applicable aircraft maintenance tasks listed under Addendum II to AMC of CAR‐66 should be reproduced
under column (1).
• Details of tasks performed should be furnished under column 2, 3, 4 and 5
• Maintenance tasks not performed should be indicated as “ NOT PERFORMED”
Declaration
I hereby confirm that the information contained in this form was correct at the time of application
PLACE SIGNATURE
DATE NAME
It is an offence to make, with intent to deceive, any false representations for the purpose of procuring the
grant, issue, renewal or variation of any certificate, licence, approval, permission or other document. Personsdoing so render themselves liable to
administrative/legal actions as per Aircraft Rules 1937. Further the licenceis liable for revocation / cancellation / suspension or permanently makes
the person ineligible to have an AircraftMaintenance Engineer’s Licence