Form SRG1013 "Application for Direct Course Approval to Conduct Theoretical Knowledge or Practical Training in Accordance With the Requirements of Part-66 Appendix Iii 1.(B)(I)" - United Kingdom

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Application for Direct Course Approval to Conduct Theoretical
Knowledge or Practical Training in Accordance with the
Requirements of Part-66 Appendix III 1.(b)(i)
Please complete this form online (preferred method) then print, sign and submit as instructed.
Alternatively, print, then complete in BLOCK CAPITALS using black or dark blue ink.
Unique Corporate No. (to be completed by CAA)
Please read the Guidance Notes before completing the technical sections of this form.
1. APPLICANT TYPE
Limited Liability Partnership
Complete Section 2. a)
Public Educational
Complete Section 2. b)
Establishment University/College
Limited Company
Complete Section 2. a)
Individual (Sole Traders)
Complete Section 2. c)
Partnership
Complete Section 2. c)
Charity
Complete Section 2. b)
Complete Section 2. b)
Private Clubs
Nominated Representative to
Ministry of Defence
Complete Section 2. c)
Complete Section 2. b)
Trust
2. APPLICANT DETAILS (The Applicant is the person responsible for payment of CAA charges)
a) A Company
Registered Company Name (in full): ..................................................................................................................................
Registered Company Number: ..........................................................................................................................................
Country of Company Registration: ................................................
Registered Office Address: ...............................................................................................................................................
........................................................................................
Postcode: ...............................
Telephone:
......................................................................
Fax:
.....................................................................................
E-mail:
...............................................................................................................................................................................
Trading Name: (if applicable) .............................................................................................................................................
Trading Address (primary site): ..........................................................................................................................................
........................................................................................
Postcode: ...............................
Website address: ..............................................................................................................................................................
Authorised Representative of Company
This application is to be signed by either a Director or Company Secretary or a person authorised by the board to act on
behalf of the Company, and who is thereby deemed to be the Accountable Manager.
Title: ................
Forename: ......................................................
Surname: .............................................................
Position in Company: .........................................................................................................................................................
Telephone No: ......................................
E-mail:
.............................................................................................................
If you are a not a Director or Company Secretary and have been authorised to sign the application form on behalf of the
Company, proof of that authority must be provided with the completed application form.
This application will be considered in respect of and, if appropriate, granted to, the Company Name as registered
under the Company Number provided on this form.
Page 1 of 7
Form SRG 1013 Issue 02
Application for Direct Course Approval to Conduct Theoretical
Knowledge or Practical Training in Accordance with the
Requirements of Part-66 Appendix III 1.(b)(i)
Please complete this form online (preferred method) then print, sign and submit as instructed.
Alternatively, print, then complete in BLOCK CAPITALS using black or dark blue ink.
Unique Corporate No. (to be completed by CAA)
Please read the Guidance Notes before completing the technical sections of this form.
1. APPLICANT TYPE
Limited Liability Partnership
Complete Section 2. a)
Public Educational
Complete Section 2. b)
Establishment University/College
Limited Company
Complete Section 2. a)
Individual (Sole Traders)
Complete Section 2. c)
Partnership
Complete Section 2. c)
Charity
Complete Section 2. b)
Complete Section 2. b)
Private Clubs
Nominated Representative to
Ministry of Defence
Complete Section 2. c)
Complete Section 2. b)
Trust
2. APPLICANT DETAILS (The Applicant is the person responsible for payment of CAA charges)
a) A Company
Registered Company Name (in full): ..................................................................................................................................
Registered Company Number: ..........................................................................................................................................
Country of Company Registration: ................................................
Registered Office Address: ...............................................................................................................................................
........................................................................................
Postcode: ...............................
Telephone:
......................................................................
Fax:
.....................................................................................
E-mail:
...............................................................................................................................................................................
Trading Name: (if applicable) .............................................................................................................................................
Trading Address (primary site): ..........................................................................................................................................
........................................................................................
Postcode: ...............................
Website address: ..............................................................................................................................................................
Authorised Representative of Company
This application is to be signed by either a Director or Company Secretary or a person authorised by the board to act on
behalf of the Company, and who is thereby deemed to be the Accountable Manager.
Title: ................
Forename: ......................................................
Surname: .............................................................
Position in Company: .........................................................................................................................................................
Telephone No: ......................................
E-mail:
.............................................................................................................
If you are a not a Director or Company Secretary and have been authorised to sign the application form on behalf of the
Company, proof of that authority must be provided with the completed application form.
This application will be considered in respect of and, if appropriate, granted to, the Company Name as registered
under the Company Number provided on this form.
Page 1 of 7
Form SRG 1013 Issue 02
or b)
An Unincorporated Association or other body
Name of Unincorporated Association or other body: ........................................................................................................
Address:
............................................................................................................................................................................
........................................................................................
Postcode: ..............................
Telephone: ......................................................................
Fax:
......................................................................................
E-mail:
.............................................................................
Mobile Telephone: ...............................................................
Website
address:
...............................................................................................................................................................
Authorised Representative
This application is to be signed by either a Director or Company Secretary or a person authorised by the board to act on
behalf of the Company, and who is thereby deemed to be the Accountable Manager.
Title: .................
Forename:
.......................................................
Surname: .............................................................
Position:
.............................................................................................................................................................................
Charity Number (if applicable): .............................................................
or c)
Individual (including sole traders and partnerships)
Title: ................
Forename: ......................................................
Surname: .............................................................
Address:
............................................................................................................................................................................
.........................................................................................
Postcode: .............................
Telephone: ......................................................................
Fax:
......................................................................................
E-mail:
.............................................................................
Mobile Telephone: ...............................................................
Trading Name: (if applicable) ..............................................................................................................................................
Website
address:
...............................................................................................................................................................
A photocopy of your valid Passport or valid photocard Driving Licence must accompany your application as proof of
identification. Failure to supply proof of identification may result in a delay to the application processing time.
In the case of a partnership, please complete details of all partners. Continued on a separate sheet
3. APPLICATION
Maintenance Organisation CAA Reference Number:
UK/145
.................................................................................
• 145 Organisation Number required for Practical Training applications.
Application for:
Theoretical Knowledge Training
Practical Training
• Please tick if application is for Theoretical Knowledge or Practical training.
Proposed Date Training to commence: ..................................
NB: Applications must be made a minimum of 4 weeks in advance.
4. APPLICATION FOR TRAINING & ASSESSMENTS (please complete all appropriate details, tick as applicable)
Type / Task
Rating
Airframe
Engine
Theory
Practical
B1
B2
Page 2 of 7
Form SRG 1013 Issue 02
5. ACCOMMODATION (please complete the address in respect of the application above)
1. Main Training Site Address (if not the address detailed in Part 1)
............................................................................................................................................................................................
Postcode:................................................................
Country:
..............................................................................................
Telephone Number: ................................................
2. Training Site Address
............................................................................................................................................................................................
Postcode:................................................................
Country:.........................................................................................
Telephone Number: ................................................
3. Training Site Address
............................................................................................................................................................................................
Postcode:................................................................
Country:.........................................................................................
Telephone Number: ................................................
• All training sites should be audited for suitability in advance of any training by the applicant organisation, and the audit
reports are to be made available at the time of any CAA audit or forwarded for review when requested by the
nominated surveyor.
6. MANAGEMENT STRUCTURE
Position/Post
Name
Licence Number
Accountable Manager
Maintenance Manager
Quality Manager
• Please complete in full for all applications.
7. COURSE DESCRIPTION
1
Aircraft type and engine installed
............................................................................
2
Course Category (A, B1, B2, C etc)
.............................................................................
3
Course provider
*In House
External
a)
b) Company Name
.....................................................................................................
Address
………………………………………………………………………………………………………………..
............................................................................................
Postcode
...........................................
c) Course Location ......................................................................................................
4
Course duration (in days) ....................................................... Instructional hours ..........................................
5
Training Needs Analysis
Meets Requirements
YES
NO
6
Training Facility
Meets Requirements
YES
NO
7
Examinations. No. of Papers: ………… No. of Phases for Course …………… No. Of Question / ATA Chapters ……………
8
Course Certificate
Meets Required Format YES
NO
Page 4 of 9
Form SRG 1013 Issue 02
8. FINANCIAL DECLARATION
• I hereby declare that to the best of my knowledge the particulars entered on this application are accurate.
• I enclose the charges payable on application as noted in Section 7 of this application form.
• I agree to pay any additional charges which may become payable in respect of this application under the Scheme of
Charges.
Name of Applicant: ............................................................................................................................................................
2 a), 2 b) or 2 c)
(as shown in
)
Signature of Applicant
2 c)
: ................................................................................................................................
(named in
)
or Signature of Accountable Manager
2 a) or 2 b)
: .................................................................................................
(named in
)
Date: ........................................
FALSE REPRESENTATION STATEMENT
It is an offence to make, with intent to deceive, any false representation for the purpose of procuring 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 not exceeding the statutory maximum (currently £5000, or in
Northern Ireland £2000) and on conviction on indictment to an unlimited fine or imprisonment for a term not exceeding
two years or both.
9. SUBMISSION INSTRUCTIONS
When you have completed this Form, please send it, with attachments as listed below, to:
Approvals CAA, Aviation House
Gatwick Airport South
West Sussex
RH6 0YR
• If you are not a Director or Company Secretary and have been authorised to sign the application form on behalf of the
Company, please enclose proof of that authority.
• NB. No applications will be progressed until all the relevant items on the checklist have been submitted.
Checklist for submission (All applicants): Please tick or complete, as requested, those items being enclosed.
Fee
SRG1013
Training Course Material (Theory Training only)
Sample of Examination Questions (Theory Training only)
Training Needs Analysis / Course Approval Form
(Theory or Practical Training)
Sample Course Completion Certificate (Theory or Practical Training)
Training Procedure or Process
Sample of Assessments (Practical Training only)
Nomination of Assessors / Instructors (with evidence of relevant experience
Logbook (Practical Training only)
Photocopy of PHOTO ID
(Passport or Photocard Driving Licence for Individuals/Sole Traders)
Page 5 of 9
Form SRG 1013 Issue 02
Guidance Note 1
Section 2: Applicant Details
• Registered Company Name and Number: this is the legal name and reference number of the company as registered
with Companies House or as detailed on the Company Certificate of Incorporation.
• Trading Name and Address: Where the company uses a name other than the above for trading / instructional
purposes, this name should be annotated accordingly and the main base for training should also be detailed.
• Authorised Representative of the Company: The Accountable Manager of the company may wish to delegate
responsibility for the completion of application forms to another Director of the company or to the designated Head of
Training. Details of the nominee should be completed and relevant correspondence verifying this agreement should
be forwarded from the Accountable Manager.
General Guidance
Use this form to apply for approval of aircraft type training to lead to the grant of a type rating on a BCAR Section L licence
1)
where an approved Part-147 type course is not being used for that purpose.
This form should be completed by the operator or maintenance organisation seeking the approval. The approval will be
2)
invested in and be specific to the operator or maintenance organisation not the course provider and will cover either a single,
one off course or defined series of the same course within a 12 month time limit.
Section 7 Course Description
The details of where the course is being held should be entered here. If you have answered No to any of the Yes/No questions
you must include an explanation of what action you propose to take to make up any shortfall in meeting the normal requirement.
A Training Needs Analysis (mechanical and avionic examples of which are at Appendix 1) is to accompany this application and
1)
should state the course duration in days and hours, subjects instructed and that the levels of training meet the Part-66.25
basic knowledge levels syllabus. All courses for Part 66 / BCAR Section L Licence holders should meet the specifications of
ATA 104 level III. The course must cover fully the LWTR(s) for which the type rating(s) will be sought and provide for meeting
the requirements for the certification authorisation that may need to be held. The course must include:
In service experience of the aircraft type.
a)
Feedback from in services difficulties/occurrence reporting etc.
b)
Significant Airworthiness Directives and/or Service Bulletins.
c)
The theoretical training should be supplemented with a review of the aircraft or systems hardware, ground simulator
d)
time, boroscope, engine running, use of training aids e.g. aircraft system components and computer based training.
The facility at which the operator intends the course to be conducted must meet the following requirements Part-147.A.100,
2)
147.A.115 and 147.A.120, referring to the AMC (Acceptable Means of Compliance).
Course examinations shall comprise multi choice questions and each question is to have three alternative answers of which
3)
only one is correct. The time allowed for answering each question is to be 75 seconds for level III questions. The minimum
number of questions is related to the course length with at least one question for each hour of instruction. The examination
shall be of "closed book" style with a pass mark of 75% with no penalty marking. Phase examinations should be a minimum
of four questions for each ATA chapter and may not be used in the final examination. One re-sit may be taken for failures
between 70 - 74%. There should be an analysis system for each course. Records of students, examination papers and results
must be maintained in a secure cabinet.
On successful completion of the course, a Course Certificate will be issued for each student by the Training Provider.
4)
With respect to BCAR Section L 2-6.3.2 (a) conditions apply in that an approved Type Training Course to ATA 104 Level 3
5)
covering the Type Rating and carried out by a suitably Approved Training Organisation is the basis for the applicant to apply
for the relevant Type Rating.
Section 9 Submission Instructions
You must enclose the following:
Completed Training Needs Analysis for the nominated course
Sample of the course notes
Final examination questions.
Details of the nominated Instructor / Assessor and MOE
Procedure for how Direct Course Approval will be managed
Page 6 of 9
Form SRG 1013 Issue 02
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