Remedial Teaching Agreement

EXAMINATION BOOKING FORM

(External Students) AA Form TO-06a

Examination dates are located here http://www.aviationaustralia.aero/engineering/Training-Calendar.php Please complete this form electronically. All fully completed booking requests must be emailed to [email protected] no later than 7 days from the requested examination date. One booking form per date. All fields must be completed or the form will not be processed. Once scheduled, you will receive a confirmation email with booking details and total cost. Examination/Essay costs are $130 per hour (or part thereof) and must be paid prior to examination sitting. Examination/Essay cannot be undertaken until full payment has been received. Proof of payment will be required to enter the examination. All results will be processed and relevant certificates posted within the timeframes below: Examinations - 15 working days from the exam date, Essays - 30 working days from the essay date.

STUDENT DETAILS

I understand that by completing and submitting this form, I confirm that the details are true and correct.

First Name: Surname:

Student No: ARN: (if applicable) (if applicable) Date of Birth: Place of Birth: DD/MM/YYYY (City, Country) Postal Suburb, State. Address: Postcode Email: Phone:

Are you currently completing RPL through Aviation Australia?  No Yes

EXAMINATION/S REQUIRED All nominated examinations will be scheduled for the one sitting. Once submitted & the session is closed, your request cannot be edited. Any changes or failure to attend will require a new application to be submitted.

Exam Date: Time: Location: BNE / CNS Type:  Initial  Resit - Attempt # Have you attempted this Part 66 module / subject examination at any other institution?  No  Yes – Attach information Select the examination from the listing below. Enter a ‘X’ in the box for the selected examination/s: CASA EASA MODULE EXAMS CASA SUBJECT EXAMS B-1 Mathematics (MCQ) B1-3a Electrical Fundamentals I (MCQ) B-2 Physics (MCQ) B1-3b Electrical Fundamentals II (MCQ) B1-3 Electrical Fundamentals (MCQ) B2-4a Electronic Fundamentals I (MCQ) B1-4 Electronic Fundamentals (MCQ) B2-4b Electronic Fundamentals II (MCQ) B2-4 Electronic Fundamentals (MCQ) B1-5a Digital Techniques I (MCQ) B1-5 Digital Techniques (MCQ) B1-5b Digital Techniques I (MCQ) B2-5 Digital Techniques (MCQ) B2-5a Digital Techniques I (MCQ) B1-6 Materials & Hardware (MCQ) B2-5b Digital Techniques I (MCQ) B2-6 Materials & Hardware (MCQ) B-6a Aircraft Materials & Corrosion (MCQ) B1-7A Maintenance Practices (MCQ) B-6b Aircraft Hardware (MCQ) B1-7A Maintenance Practices (Essay) B-6c Aircraft Electrical Hardware (MCQ) B2-7A Maintenance Practices (MCQ) B1-6d Aircraft Materials Wood/Fabric (MCQ) B2-7A Maintenance Practices (Essay) B-7a OH&S in Aviation (MCQ) B-8 Basic Aerodynamics (MCQ) B-7b Maintenance Practices - General (MCQ) B-9A Human Factors (MCQ) B-7c Maintenance Practices - Avionics (MCQ) B-9A Human Factors (Essay) B1-7d Maintenance Practices – Structural (MCQ) B1-10 Aviation Legislation (MCQ) B-7e Aircraft Handling & Storage (MCQ) B1-11a Aeroplane Aerodynamics and Flight Controls B1-10 Aviation Legislation (Essay) and Structures (MCQ)

Revision Date: 20 Dec 2013 Rev: 1 Business Owner: Training Administration Page: 1 of 2 EXAMINATION BOOKING FORM

(External Students) AA Form TO-06a

CASA EASA MODULE EXAMS CASA SUBJECT EXAMS B1-11A Aeroplane Aerodynamics, Structures B1-11b Aeroplane Structures (MCQ) & Systems (MCQ) B1-11c Aeroplane Systems (Airframe) (MCQ) B1-12 Helicopter Aerodynamics, Structures & B1-11d Aeroplane Systems (Pneumatic) (MCQ) Systems (MCQ) B1-11e Aeroplane (Electrical) (MCQ) B1-11f Aeroplane Systems (Instrument) (MCQ) B2-13 Part A - Aircraft Aerodynamics Structures and Systems (MCQ) B1-12a Helicopter Aerodynamics & Flight Control Systems (MCQ) B2-13 Part B - Aircraft Aerodynamics B1-12b Helicopter Structures (MCQ) Structures and Systems (MCQ) B1-12c Helicopter Systems (Airframe) (MCQ) B2-14 Propulsion (MCQ) B1-12d Helicopter Systems (Pnuematic) (MCQ) B1-15 Gas Turbine Engines (MCQ) B1-12e Helicopter Systems (Electrical) (MCQ) B1-16 Piston Engine (MCQ) B1-12f Helicopter Systems (Instrument/Av) (MCQ) B2-13a Aeroplane Aerodynamics and Flight Control B1-17 Propeller Systems (MCQ) Systems (MCQ) B2-13b Aircraft Structures (MCQ) B2-13c Aircraft Systems (Autoflight) (MCQ) B2-13d Aircraft Systems (Communication) (MCQ) B2-13e Aircraft Systems (Navigation) (MCQ) B2-13f Aircraft Systems (Electrical) (MCQ) B2-13g Aircraft Systems (Instrument – Pitot Static) (MCQ) B2-13h Aircraft Systems (Instrument – Gyroscopic) OTHER – Custom examination request (see (MCQ) note below): B2-13i Aircraft Systems (Instrument – Other) (MCQ) B2-13j Aircraft Systems (Airframe) (MCQ) B2-13k Aircraft Systems (Avionics – Modular) (MCQ) B1-15a Gas Turbine Theory (MCQ) B1-15b Gas Turbine Systems (MCQ) B1-15c Gas Turbine Maintenance (MCQ) B1-16a Piston Engine Theory (MCQ) NOTE – a minimum of 14 days’ notice must be provided B1-16b Piston Engine Systems (MCQ) if you require a custom examination, to ensure B1-16c Piston Engine Maintenance (MCQ) enough time for the examination to be built to your requirements. B1-16d Supercharging / Turbocharging (MCQ)

OFFICE USE ONLY Examinations

Payment:  N/A  Yes – Receipt attached

Exam Booked:  Yes: Paper: ______Date: ______

 No: ______

Comments:

TAO Name: Date: Administration Certificate:  N/A  Yes – Copy attached – Posted date ______

TAO Name: Date:

Revision Date: 20 Dec 2013 Rev: 1 Business Owner: Training Administration Page: 2 of 2