Title:

First Name:

Surname:

Home address:

Application for issue or extension of BGA Maintenance Authorisation
BGA Inspector Number
I/ /
Second Name and Initials:
Date of Birth (dd/mm/yyyy):

Post Code: Email address:
Your home BGA club:

Telephone: Mobile

Is this an initial issue

or an extension to existing Authorisation

BGA Inspector Ratings – full details in BGA Airworthiness Exposition Tick relevant box(s)

GL Glider Inspector

WR Wooden Airframe Repair

MR Metal Airframe Repair

CR Composite Airframe Repair

SS Self Sustainer Sailplane Engine

MG Powered Sailplane & Motor Glider

TG Tug Inspector

ST Senior Tug Inspector

EP Electric Powerplant

RE Radio Engineer

CE Chief Engineer/ARC signatory

JP Jet Powerplant (Not yet available)

CM Component Maintenance

EO Engine Overhaul

Employer and/or profession:

Training and Qualifications applicable to ratings applied for:

Please bring applicable certificates to interview. Please see additional information required for new applicants.
BGA AMP Part 1, Leaflet 1-3, Appendix 8, page 1

BGA 221 11/10

General experience

From

To

Name of company, club etc and type of work demonstrating a minimum of four years in applicable maintenance or continued airworthiness:

Confirmed by

Please attach worksheets detailing work experience for the ratings applied for.
BGA 220 PER may be used or other suitable format.
Additional information required by new applicants (Biographical Data) Basic training (Vocational training, Further education etc):

Type and specialised training (Specific to aircraft maintenance and continued airworthiness):

Recurrent training (Inspector seminars, continuation training, Human Factors training):

Nominations – initial applications. By signing below I confirm the following: I consider the applicant to have sufficient technical knowledge, skills and applicable work experience to be granted a BGA Inspector authorisation. I have reviewed the work experience details submitted to support this application. I also consider the applicant to be suitable in all other respects to be a BGA Authorised inspector. At least one signatory must be a current BGA inspector

BGA AMP Part 1, Leaflet 1-3, Appendix 8, page 2

BGA 221 11/10

Name____________________________________________ BGA Authorisation No____________________ Signature_________________________________________Date__________________________________
Name____________________________________________ BGA Authorisation No____________________(if applicable) Signature_________________________________________Date__________________________________ All applicants; Other supporting information:

Venues for interview – Leicester preferred or elsewhere by arrangement. Interview Location:

Please note: during the interview you will be required to show a photographic form if identity (Passport)

Signature of Applicant:

Initials:

Date:

BGA Use Only
Interview completed by__________________________________________________Date__________________ CTO use only: Authorisation ratings approved___________________________________________________________

Signed ______________________________Date_________

Please send the completed form to:
British Gliding Association 8 Merus Court Meridian Business Park Leicester LE19 1RJ 0116 289 2956
Please do not send any fees at this stage.
BGA AMP Part 1, Leaflet 1-3, Appendix 8, page 3

BGA 221 11/10