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)
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