مرحله 1 از 5 - Personal Information 0% MOAC Reference No.: IR.145.76 Maintenance Experience LogbookPERSONAL ID. NO Date of birth*Y2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920M123456789101112D12345678910111213141516171819202122232425262728293031Name & Family Name Surname National Code*PositionCertyfing StaffMechanicsAvionicsNDTCertifying staff Privileges hold* (or intended to be granted)Certification Authorization No.: (if already hold)* Signature* Current Certification Status : 1. Trainee 2. Level I 3. Level II 4. Level III Method : PT - MT - UT - ET - RT - IRT - ST Certification DataMethodInitial Certificate No.Expire DateCertificate No.Expire DateCurrent Certification Status Add Remove LOGBOOK ITEM ATA Chapter Engine/Comp/Task Engine S/N & P/N Task Type Task of Activity Duration Task REF Date Actions Edit Delete There are no TASKs. Add ITEMs Maximum number of tasks reached. توجه : تازمانیکه فرم خود را بطور کامل تکمیل ننموده اید از SUBMIT کردن فرم خود خودداری نمائید و از گزینه SAVE & CONTINUE استفاده نمائید . -درصورتیکه فرم خود را به طور کامل تحت نظارت INSTRUCTOR دوره کامل نموده اید فرم مذکور را امضا نموده و گزینه SUBMIT را انتخاب نمائید . توجه نمائید شماره فرم دریافتی از سیستم را یاداشت نموده و در نزد خود نگه دارید .Accepting the content of the form* I fully accept the responsibility of accepting the correctness of the content recorded in the practical course form of group , and if the completed content is contrary to my functional correctness, this center has the right to reject the information sent by me.Quality Manager Signature*Workshop Manager Signature*Logbook owner`s signature*Date of Quality Manager Signature*Y2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920M123456789101112D12345678910111213141516171819202122232425262728293031Date of Workshop Manager Signature*Y2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920M123456789101112D12345678910111213141516171819202122232425262728293031Dateof owner`s signature*Y2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920M123456789101112D12345678910111213141516171819202122232425262728293031
