Part-66 Examination Application Form Personal Information Nationality*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArmeniaArubaAustraliaAustriaAzerbaijanAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet Island (Bouvetoya)BrazilBritish Indian Ocean Territory (Chagos Archipelago)British Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManItalyJamaicaJapanJerseyJordanKazakhstanKazakhstanKenyaKiribatiKoreaKoreaKuwaitKyrgyz RepublicLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Netherlands)Slovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & S. Sandwich IslandsSpainSri LankaSudanSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe If you have not previously attended an exam with BAETC, please leave blank. If you do not currently hold an EASA Part-66 valid license, please leave blank. Examination Details Choose Exam Type*Basic ExamType ExamExtension Exam Basic Examination Examination Category*B1B2 Examination Element*MCQEssayBoth Type Examination Examination Category*B1B2 Extension Examination I currently hold an EASA Part-66 B1 License and wish to include B2I currently hold an EASA Part-66 B2 License and wish to include B1 Examination Details Have you attended this module examination in the past 12 months?*YesNo Number of Attempts*12345 Effective from 1st August 2012 Candidates are required to state the number of attempts during the last year and the organisation where these attempts took place. Candidates who do not declare this information will not be permitted to attend the examination. The maximum number of consecutive attempts for each module is three. Futher attempts are permitted after a 1 year period. Examination Guidelines All candidates are required to apply for examinations using this form. Registration is only confirmed once payment is received and/or any outstanding fees are met. Candidates must provide a good copy of photographic identification with their application. Photographic identification must be presented prior to entry to the examination. Candidates who cannot produce photographic identification will not be allowed to enter examination room. Candidates are advised to arrive at the examination venue at least ten minutes in advance of the start time. Examinations begin promptly at the published time. Once the examination has started, no candidates may enter the examination room. It is advised all candidates read the requirements of EASA Part-66 before registering for an examination. The rules and regulations are available on the EASA website Examination Fees All fees must be paid in advance and before the registration closing date. The fee for each module (MCQ element) is 60BD. For modules 7, 9, 10, the fee is 30BD if the candidate wishes to attend only the essay element. The fee is 90BD for both MCQ and Essay elements of these modules. Note that 5% VAT is applied to all charges. If an applicant cancels an examination after the advertised examination closing date, a refund will be offered minus 50% of the paid fee. If the examination is cancelled within 48 hours prior to the examination, a refund will be offered minus 90% of the paid fee. No refund will be offered if the candidate fails to attend the examination. Please contact Training Centre Administration if you have any enquiries or require further clarification of the cancellation policy. Declaration I declare the information provided in this form is correct. Any false information or deliberate alteration of facts stated herein may result in cancellation of my examination. I have also read and understood the guidelines stipulated on this form.