Beruflich Dokumente
Kultur Dokumente
B. APPLICANT
NAME ADDRESSES
IV. INSPECTION AGENCY VERIFICATION (Complete the section only if CASR 21.183 (d) applies)
A. THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY:
AIRCRAFT OPERATOR CERTIFICATE HOLDER NO.: APPROVED MAINTENANCE ORGANIZATION HOLDER NO:
AIRCRAFT MANUFACTURER (GIVE NAME OR FIRM) OTHER:
DATE OF APPLICATION NAME AND TITLE SIGNATURE
B. PRODUCTION BASIS
PRODUCTION CERTIFICATE (GIVE PRODUCTION CERTIFICATE NUMBER)
TYPE CERTIFICATE
OTHER
C. GIVE QUANTITY OF CERTIFICATES REQUIRED FOR OPERATING NEEDS
DATE OF APPLICATION NAME AND TITLE SIGNATURE
VII. SPECIAL FLIGHT PERMIT PURPOSE OTHER THAN PRODUCTION FLIGHT TEST
A. DESCRIPTION OF AIRCRAFT
REGISTERED OWNER ADDRESS
B. DESCRIPTION OF FLIGHT
1. FROM 2. TO
F. CERTIFICATION – I hereby certify that I am the owner/builder (manufacturer)/operator of the aircraft described above that the aircraft is registered
with the Directorate General of Civil Aviation in accordance with Article 24 and 25 of the Aviation Act No. 1 of 2009 and applicable Civil
Aviation Safety Regulations and that the aircraft has been inspected and is safe for flight described.