Title Page
1. Personal Details
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Surname
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First Name
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BA Staff number
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Date of Birth (if under 21)
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Authoristation/Stamp No
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Date Joined BA
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Line Station
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Post Code
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Contact Number
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Area Base/Line
2. What Authorisation Code is required. NOTE: All applications must be within scope of licence held.
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Code Applied for including scope.
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Airline/Operator Name
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3. Is this code a reinstatement of a previously held authoristaion.
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4. Approval number for certification.
Provide details of your Document and Procedures course below.
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Held at
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Date
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Name of Docs & Procs Approved Instructor & Operator.
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5. Have completed Customer ETOPS awareness training
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5a. Have you recorded & submitted ETOPS specific items in PER BOOK.
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6. Have you completed any Specific Technical Training for this code? Attach Course Certificates if YES.
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a. Course title
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a. Course ref
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a. Held at
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a. Dates
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b. Course ref
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b. Course title
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b. Held at
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b. Dates
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c. Course ref
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c. Course title
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c. Held at
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c. Dates
Licence Details
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7. Type of Licence Held.
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8. Are you listed on the operator's/NAA Approval Documentation?
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9. Does the Line Station have the Operator's/NAA's Approval for this code? Which?
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10. Are you stated on form QU-X624 for the F-Code requested?
11. Please summarise your aircraft maintenance experience in the last 2 years, listing only the maintenance tasks relevant to the code required and the Aircraft/Engines/Equipment type to which it is applicable.
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What
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Where
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When
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What
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Where
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When
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What
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Where
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When
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What
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Where
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When
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What
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Where
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When
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What
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Where
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When
Declaration
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I Declare that I have successfully attended British Airways Continuation Training within the previous 2 years
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I Declare that BA Engineering Quality have a copy of my current licence and that it is valid and on EWS
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Signature
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Date
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To have a new Code issued all parts of Sections 1 to 11 must be completed by the engineer. (Use N/A as appropriate.)
12. Recommendation - To be completed by the Area Maintenance Manager
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Surname
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First Name
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Managers Title
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Telephone Number
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I confirm that the applicant is suitably qualified to hold this authorisation.
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I confirm that the training completed by this person satisfies the requirements of QU-APP-AMQ REQUIREMENTS for issue of this Qualification.
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I confirm that the applicant requires this Authorisation.
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I confirm that I will suspend this Authorisation if circumstances arise which determine such action appropriate and will immediately notify British Airways Engineering Quality Manager of my actions.
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I confirm that the applicant has the appropriate competency for the authorisation requested.
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I declare that all requirements of the Engineering Procedures have been complied with and recommend that British Airways Engineering Quality Authorisations & Licensing issues the following Authorisation Code.
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To
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Signature
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Date
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All parts of Section 12 must be completed by recommending Manager.
NOTES:
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For assistance in completing any part of this form, please refer to Engineering Procedures and/or Quality Standards Manual.
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A person cannot recommend the issue of a code to themselves.
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Please send this completed form to Authorisations and Licensing. ENGAUTH@ba.com
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For British Airways Quality Approvals use only.
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Processed By
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Code Entered Onto EWS
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Licence Entered Onto EWS
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ETOPS/PER Review
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FTS PH 1-2
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Fast-Track
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Notes
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Date Completed
