MINISTRY OF TRANSPORTATION

DIRECTORATE GENERAL OF CIVIL AVIATION

Office Complex Soekarno-Hatta International Airport, C3 St., Tangerang, Banten- Indonesia
Telp.: (+6221) 225 66288, (+6221) 256 08887 Fax. : (+6221) 225 66399
Website : hubud.dephub.go.id; e-mail: daao_dgca@dephub.go.id

ATTENDANT LIST

Examination : .......................................... Batch/Time : ..........................................

Subject : .......................................... Carried out - at : ..........................................

NO NAME SIGNATURE NO NAME SIGNATURE

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Date : ............................................................

Secretary of Examination Board : Supervisor of Examination :

1. ..................................................................

..................................................... 2. ..................................................................

DGCA Form No. 61-37 (Oct 2017)