Application for eExam Assessment

Application for Theoretical Knowledge Assessment (eExam)
Students Name*

First NameLast Name
CAA Registration No. *
Preferred Contact Number*
Please enter a valid phone number.
Attempts - This is my*

1st Assessment Attempt2nd Assessment Attempt3rd Assessment Attempt4th (and I am aware of action on failure - see below)
Select Exam Required*

Air LawAircraft General KnowledgeFlight Planning and PerformanceHuman PerformanceMeteorologyNavigationOperational ProceduresPrinciples of FlightCommunications
By submitting this form I confirm that I am fully conversant with all the items listed in the Theoretical Knowledge Assessment Headings. Check with your Tutor/Instructor if unsure what this means.
Enter in this box the Training Manuals, ancillary training literature and/or courses which you have studied relative to the above subject(s). Include your Certificate of Course Assessment REFERENCE if you used a Ground School *
Enter name of the Instructor or Tutor who will support your application*
NOTE: FAILURE of the FOURTH Attempt of a PPL e-Exam
1. The PPL e-Exams system will automatically place the exam candidate in stand-down meaning they cannot take further PPL e-Exams.
2. A candidate failing the fourth exam attempt will be barred from making any further attempts for a period of 3 months from the date of the last examination.
3. ALL previous examination passes, in ALL subjects are rendered null and void by a fourth attempt failure.
REMAINDER OF FORM FOR OPS USE ONLY
Instructor Agreement date:
6 month Validity
Head of Training Agreement date:
6 month Validity
Should be Empty:

Application for Theoretical Knowledge Assessment (eExam)