KENYA CIVIL AVIATION AUTHORITY

RECORD OF EXPERIENCE
Note: This form is to be completed in compliance with KCAR’s Personnel Licensing Regulation 124.
Information and guidance on the schedule of experience required is contained in the second
Schedule to the same regulations and in Advisory Circular CAA-AC-PEL013A.
1. Personal Details
Surname: Forename(S):
Schedule Compiled For: License Category:
2. Record of Experience
Aircraft Type & Details of Work Performed Specific Date Name, Signature, Date
Registration Work & Position of Person in
Marks Performed Charge

NOTE: The person in charge should certify each entry (item) when satisfied that the
applicant participated in, or carried out the task.