Registration Form CONTINENTAL DIESEL TMG Maintenance Seminar For Engine Type CD-135/CD-155 (TAE 125-Series) and Centurion 1.7

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1 Background: According to the Operation and Maintenance Manual all inspections and repairs on CONTINENTAL DIESEL TMG engines must be carried out by an organization which is authorized by TMG. The main purpose of this seminar is to familiarize and train inspectors, certifying staff and mechanics to perform regular maintenance and diagnoses on CONTINENTAL DIESEL TMG engines. Additionally, you will gain special skills for efficient fault isolation procedures as well as quick and safe diagnoses. This is required to become an authorized CONTINENTAL DIESEL TMG maintenance organization according to the Service Bulletin "TM TAE ". Please see also We hereby register for the held at the facility of Continental Motors, Inc 2039 South Broad Street Mobile, Alabama USA Driving directions to Continental Motors, Inc: From Interstate 10, Take Exit 23, Michigan Avenue. Then turn South. First left, first right. See the guards. 5 7 December > registration deadline: 27 November March > registration deadline: 23 February June > registration deadline: 25 May September > registration deadline: 20 August December > registration deadline: 23 November 2018 Beginning of the seminar: 08:00 a.m. central time A Company name and address as it registered by the authorities Company Name and Address: End of the seminar: 05:00 p.m. central time 02:00 p.m. central time on Friday Phone: Fax: Web address: Value Added Tax identification no.: Tax no.: DUNS no.: CEO: Page 1 of 9

2 B Participant First Name: Last Name: Date of Birth: (Date/Month/Year) Place of Birth (City/ Country): Phone : Mobile Phone: Fax: C Type of participant Private: Aircraft owner Commercial: Aircraft Service Centre Flying club Fleet Operator other Flying School OEM other Position in company: D Type of Aircraft Maintenance License: Seminar fee for this 4 day seminar is USD / participant Food and beverages within the are included in the seminar fee. Please select: Standard (incl. pork) Vegetarian Other: The Seminar will only take place if a minimum number of 4 participants (max. 15 participants) are registered. Tools to be provided by participant: LapTop Computer (one per person) with MS Office package (Word, Excel). Your registration is ONLY valid when confirmed by TMG in writing and, in case of payment by bank transfer, the seminar fee is credited to TMG s account on or before the due date see table below. Certificates will be handed out after the seminar if the participant has passed the final test. Being in possession of an aircraft maintenance license is no requirement to be allowed to participate at the seminar. Page 2 of 9

3 Payment Terms: By Bank Transfer in advance until/on registration deadline You will receive an invoice for the seminar fee including our bank details to arrange for bank transfer. Do not transfer any money before receipt of our invoice. By Credit Card Last Name: First Name: Credit Card No: Valid until: / Credit Card Institute: Mastercard Visa Security code no. * Please note that in case of cancellations of participation after the registration deadline payment will not be refunded. In this case payment will not allow participation at another seminar date. ** In case of non-participation without any prior notice of cancellation payment will not be refunded. In this case payment will not allow participation at another seminar date. *** Please note that the training only covers certified types of our engines for General Aviation and for special types specific trainings would have to be requested. Hotel accommodations are available at the following hotels: Marriott Hotels: One in Daphne across Mobile Bay and the other in Mobile on Airport Blvd, fairly close to the plant. Hampton Inn is in downtown Mobile and very close to the Continental facility: Page 3 of 9

4 In case of requests or need of further information please contact Ms Andrea Becher at Technify Motors GmbH in Germany exclusively: Phone: Fax: Please check carefully that the company name and address you have provided are the same as is registered with the Regulatory authorities. This is important for your authorization as a CONTINENTAL DIESEL TMG Service Center by the Regulatory authorities. Please return this completed form via fax to: or the scanned registration by to. Place, Date Printed Name, Title Company Stamp Signature Thank you! Page 4 of 9

5 APPENDIX SEMINAR DESCRIPTION Target Group Inspectors, certifying staff and mechanics Target The Seminar familiarizes and trains participants to perform regular maintenance on CENTURION engines. Additionally, you will gain special skills for efficient fault isolation procedures as well as quick and safe diagnoses. Content The following material is covered in the seminar: Engine Performance Engine Construction Engine Fuel Systems Fuel Injection Systems Engine Controls FADEC Starting and Ignition Systems Induction, Exhaust and Cooling Systems Supercharging/Turbocharging Lubricants and Fuels Lubrication Systems Engine Indication Systems Powerplant Installation Engine Monitoring and Ground Operation Engine Storage and Preservation Page 5 of 9

6 SERVICE CENTER QUESTIONNAIRE / APPLICATION FORM To become an authorized service center for Continental Diesel engines by Technify Motors GmbH and maintain this status every maintenance facility has to fulfil the following requirements: to be a maintenance facility licensed according to Annex II (Part-145) of the Regulation (EC) No 1321/2014 or equivalent and offer repair and maintenance services for aircraft to participate in the Continental Diesel Maintenance Seminar and pass maintenance test successfully to buy a special tool set, a basic tool set and a CAN interface to fill out the Service Center Questionnaire to sign the Continental Diesel service center agreement by Technify Motors GmbH BASIC DATA: Company name: Company address: Street: City, State, Zip: Value Added Tax identification number: D-U-N-S (dun&bradstreet) number: Tax no.: Owner: CEO: Phone number: Fax number: Web address: Number of employees: CONTACT INFORMATION address for technical news/info letters: Main contact person (purchase): Page 6 of 9

7 Name: address: Phone /fax number: address to be published on TAE website FORWARDING AGENT CUSTOMER NO: Please specify Agent Name (DHL, UPS, FEDEX, TNT) and provide Customer Number. This will be used for your orders of parts and tools only. UPS: DHL: FEDEX: TNT: TYPE OF MAINTENANCE FACILITY: Aircraft Service Center Fleet Operator (maintaining only own fleet) Capabilities: (Please attach listing and certificates) SERVICE CENTER OF: Cessna Diamond Piper Others: MAINTENANCE STATION LOCATIONS: (if different from company address) ICAO Code (Airport): Page 7 of 9

8 END CUSTOMER PRICES ON MAINTENANCE SITE: Repair shop labor rate: Landing fees, approach fees for test flights: (Cessna 172, DA40D, DA42, DR400, PA28 Cadet/Warrior) EUR EUR PLANNING: Current number and types of aircraft with CD- 135/155 engines in regular maintenance: Expected in 6/12 months from now: Cessna qty. Diamond qty. DR400 qty. Others: Piper qty. BANK DETAILS: Full bank name: Remittee: Full bank address: Bank account number: Sort Code: IBAN code: SWIFT-BIC: Page 8 of 9

9 CREDIT REFERENCES: Company: Address: Phone No.: Contact person: I authorize release of all company information. Applicant / Service Center: city, date authorized signature printed name, title company stamp To be filled in by Technify Motors internally only! Check Sales & Service Printed name: Check Accounts Dept Printed name: Date and Signature: Date and Signature: Page 9 of 9