(ELPT) LEVEL UPGRADING - Department Civil Aviation

SCHEDULE FOR 2015
ENGLISH LANGUAGE PROFICIENCY TEST (ELPT)
LEVEL UPGRADING:
1) 2 June 2015, Tuesday.
2) 15 December 2015, Tuesday.
The above test dates are opened to any Test-Taker of the following
categories:
A)
ELP LEVEL 3; or
B) ELP LEVEL 4 with 1 or 2 or 3 years validity, who wishes to improve the
score; or
C) ELP LEVEL 5 who wishes to apply for ELP LEVEL 6 assessment.
Application: Kindly submit ELPT application form – DCA/BIT/ELP 01
(appended below) by faxing the completed form to the
Air Traffic Inspectorate Division at 03-88714333.
DCA/BIT/ELP 01
JABATAN PENERBANGAN AWAM MALAYSIA
(DEPARTMENT OF CIVIL AVIATION MALAYSIA)
ENGLISH LANGUAGE PROFICIENCY TEST (ELPT)
APPLICATION
√ Please tick as appropriate
DCA
TUDM
PUTD
First ELPT
Renewal
1. TEST-TAKER INFORMATION
Name :
ID / IC No.:
(as appearred on Mykad / MyTentera)
(Mykad / MyTentera)
Office Address :
Air Traffic Controller Licence No.:
e-Mail :
Date of Expiry :
Mobile No.:
ATS Unit :
Grade (DCA) :
Current ATC Rating :
Rank (RMAF/PUTD) :
Current ELP Rating Scale :
Date of Expiry :
Age :
Years
Months
2. DECLARATION BY TEST-TAKER
I declare that all the above information given are complete and correct.
Signature : ...........................
Date : ...........................
3. DECLARATION BY HEAD OF UNIT
I support/do not support the application.
Signature : ................................................
Official Stamp :
Name: .......................................................
Designation: ..............................................
Date: ...............................
4. OFFICIAL USE BY AIR TRAFFIC INSPECTORATE DIVISION
Date received : .............................
Signature : .......................................
Test Date : ..................................
Name : ............................................
Test Location : ..............................
Designation : ...................................
Date : ...............................................
(01.09.2013)