168 Government Gazette 25 April 2003 No. 2967

Transcription

1 168 Government Gazette 25 April 2003 No Annexure C REPUBLIC OF NAMIBIA CIVIL AVIATION APPLICATION FOR THE ISSUING OF AN AIR OPERATOR CERTIFICATE APPLICATION FOR THE AMENDMENT OF AN AIR OPERATOR CERTFICATE APPLICATION FOR THE RENEWAL OF AN AIR OPERATOR CERTIFICATE Notes: (i) (ii) (iii) (iv) (v) (vi) (vii) An application for the issuing of an air operator certificate, or an amendment thereof, must comply with the provisions of CAR An application for the renewal of an air operator certificate, must comply with the provisions of CAR Section 1 must be completed in all cases. All other sections must be completed if applicable to the specific application. The original application must be submitted to the Director: Civil Aviation. Where the required information cannot be furnished in the space provided, the information must be submitted as a separate memorandum and attached hereto. Please delete if not applicable. Application for the issuing of an air operator certificate Application for the amendment of an air operator certificate Application for the renewal of an air operator certificate 1. PARTICULARS REGARDING THE APPLICANT/HOLDER 1.1 Full name : 1.2 Trade name, if any : Principal place of business: 1.4 Postal address : Postal code...

2 No Government Gazette 25 April Telephone number : Telefax number : Cell phone number : address: SITA code (if any) : Telex number : Legal status of applicant/holder (individual/close corporation/company/trust/other - specify: Registration number in the case of a close corporation/company/trust: Full particulars in respect of the individual/each responsible director/shareholder/partner/ member/office bearer: Name Position Identity Number Nationality Country of permanent residence The applicant/holder declares hereby that the particulars provided in this application are true in every respect Signature Date 2. APPLICATION FOR THE ISSUING OF AN AIR OPERATOR CERTIFICATE 2.1 Description of the type(s) of operation(s) applied for: Type(s) of helicopter(s) to be operated: Nationality and registration mark(s) of the helicopter(s) to be operated: Proposed area(s) of operation: Attached documents: Operations manual Proof of financial capability Maintenance management manual Helicopter maintenance programme Helicopter technical log Maintenance arrangements between applicant and approved aircraft maintenance organisation

3 170 Government Gazette 25 April 2003 No APPLICATION FOR THE AMENDMENT OF AN AIR OPERATOR CERTIFICATE 3.1 Certificate number: Expiry date : Particulars of amendment(s) applied for : Attached documents : Amendment to approved operations manual Proof of financial capability in respect of amendment Amended maintenance management manual Amendment to approved helicopter maintenance programme Amendment to approved helicopter technical log Maintenance arrangements between holder and approved aircraft maintenance organisation in respect of amendment 4. APPLICATION FOR THE RENEWAL OF AN AIR OPERATOR CERTIFICATE 4.1 Certificate number : Expiry date : Description of the type(s) of operation(s) applied for: Type(s) of helicopter(s) to be operated: Nationality and registration mark(s) of the helicopter(s) to be operated: Proposed area(s) of operation: Supporting documents : Operations manual Proof of financial capability Maintenance management manual Helicopter maintenance programme Helicopter technical log Maintenance arrangements between holder and approved aircraft maintenance organisation

4 No Government Gazette 25 April Annexure D REPUBLIC OF NAMIBIA CIVIL AVIATION AIR OPERATOR CERTIFICATE 1. Certificate number: Name of holder : Principal place of business of holder : 4. Postal address of holder: Postal Code Type(s) of operation(s) authorised: 6. Type(s) ofaeroplane(s) authorised... for operation: Nationality and registration mark(s) of helicopter(s) authorised for operation: Area(s) of operation: Conditions:. 10. Date issued: Expiry date: Date renewed: Expiry date: I hereby certify that the holder of this certificate has been duly certificated in accordance with Part 127 of the Namibian Civil Aviation Regulations, Any attachment to this certificate which supplements its contents, forms an integral part hereof Signature Date

5 172 Government Gazette 25 April 2003 No Annexure E REPUBLIC OF NAMIBIA CIVIL AVIATION Notes: APPLICATION FOR THE ISSUING OF A FOREIGN AIR OPERATOR PERMIT APPLICATION FOR THE AMENDMENT OF A FOREIGN AIR OPERATOR PERMIT APPLICATION FOR THE RENEWAL OF A FOREIGN AIR OPERATOR PERMIT (i) (ii) (iii) (iv) (v) (vi) An application for the issuing of a foreign air operator permit, or an amendment thereof, must comply with the provisions of CAR An application for the renewal of a foreign air operator permit, must comply with the provisions of CAR Section 1 must be completed in all cases. All other sections must be completed if applicable to the specific application. The original application must be submitted to the Director: Civil Aviation. Where the required information cannot be furnished in the space provided, the information must be submitted as a separate memorandum and attached thereto. Application for the issuing of a foreign air operator permit Application for the amendment of a foreign air operator permit Application for the renewal of a foreign air operator permit 1. PARTICULARS REGARDING THE APPLICANT/HOLDER 1.1 Full name : 1.2 Trade name, if any : Full business/residential address: 1.4 Postal address : Postal code...

6 No Government Gazette 25 April Telephone number : Telefax number : Cell phone number : address: SITA code (if any) : Telex number : Legal status of applicant/holder (individual/close corporation/company/trust/other - specify: Registration number in the case of a close corporation/company/trust: Full particulars in respect of the individual/each responsible director/shareholder/partner/ member/office bearer: Name Position Identity Number Nationality Country of permanent residence The applicant/holder declares hereby that the particulars provided in this application are true in every respect Signature Date 2. APPLICATION FOR THE ISSUING OF A FOREIGN AIR OPERATOR PERMIT 2.1 Description of the type(s) of operation(s) applied for: Type(s) of helicopter(s) to be operated: Nationality and registration mark(s) of the helicopter(s) to be operated: Proposed area(s) of operation: Attached documents: Declaration of competency Copy of valid air operator certificate/equivalent authorisation Statement certifying the availability of insurance

7 174 Government Gazette 25 April 2003 No APPLICATION FOR THE AMENDMENT OF A AIR OPERATOR CERTIFICATE 3.1 Certificate number: Expiry date : Particulars of amendment(s) applied for : Attached documents : Declaration of competency Copy of air operator certificate/equivalent authorisation Statement certifying the availability of insurance 4. APPLICATION FOR THE RENEWAL OF A FOREIGN AIR OPERATOR PERMIT 4.1 Certificate number : Expiry date : Description of the type(s) of operation(s) applied for: Type(s) of helicopter(s) to be operated: Nationality and registration mark(s) of the helicopter(s) to be operated: Proposed area(s) of operation: Supporting documents : Declaration of competency Copy of valid air operator certificate/equivalent authorisation Statement certifying the availability of insurance

8 No Government Gazette 25 April Annexure F REPUBLIC OF NAMIBIA CIVIL AVIATION FOREIGN AIR OPERATOR PERMIT 1. Permit number: Name of holder : Principal place of business of holder : 4. Postal address of holder: Postal Code... 5 Type(s) of operation(s) authorised: 6 Type(s) of helicopter(s) authorised for operation:... 7 Nationality and registration mark(s) of helicopter(s) authorised for operation: Area(s) of operation: Conditions:. 10. Date issued: Expiry date: Date renewed: Expiry date: I hereby certify that the holder of this certificate has been duly certificated in accordance with Part 127 of the Namibian Civil Aviation Regulations, Any attachment to this certificate which supplements its contents, forms an integral part hereof Signature Date