EASA Exam Declaration
Name
(Required)
First
Last
Student Number (AAA)
(Required)
Module Exam
(Required)
Please select from the list based on the exam you are about to complete
Choose exam
Module 1
Module 2
Module 3
Module 4
Module 5
Module 6
Module 7 Part A
Module 7 Part B
Module 8
Module 9
Module 10
Module 11 Part A
Module 11 Part B
Module 12 Part A
Module 12 Part B
Module 13 Part A
Module 13 Part B
Module 13 Part C
Module 14
Module 15 Part A
Module 15 Part B
Module 17
Is this an initial examination for this module or a resit?
(Required)
Initial exam (I am sitting this exam for the first time)
Resit exam (I have sat this exam before)
Have you attempted this Part 66 exam at Aviation Australia or any other Part 147 institution?
(Required)
Yes
No
How many previous attempts have you made for this exam in the last 12 months?
(Required)
Please enter a number from
0
to
3
.
What was the date of exam 1 attempted?
(Required)
MM slash DD slash YYYY
Which institution was attempt 1 with?
(Required)
What was the date of exam 2 attempted? (If applicable)
(Required)
MM slash DD slash YYYY
Which institution was attempt 2 with? (If applicable)
(Required)
What was the date of exam 3 attempted? (If applicable)
(Required)
MM slash DD slash YYYY
Which institution was attempt 3 with? (If applicable)
(Required)
Upload evidence of exam/s and/or remedial training
If this is a resit, this is a required field. You can attach multiple files.
Drop files here or
Select files
Accepted file types: pdf, docx, jpg, jpeg, png, Max. file size: 50 MB, Max. files: 10.
Declaration
(Required)
EASA Regulation Part 66 Appendix II Part 1.13. The maximum number of attempts for each examination is three in a 12-month period. The applicant shall provide in a written statement to the approved maintenance training organisation or the competent authority to which they apply for an examination, the number, and dates of attempts during the 12 months preceding the examination, and the organisation or the competent authority where those attempts took place. The approved maintenance training organisation or the competent authority is responsible for checking the number of attempts within the applicable time frames.
I declare that I have answered these questions truthfully.
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