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Authority to Operate as General Sales Agent Non-Scheduled Domestic Air Carrier

CAB application form for authority to operate as general sales agent non - scheduled domestic air carrier including air taxi operator

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CAB-REF-13-001 M
Revised 0/June 2013

Republic of the Philippines
Department of Transportation and Communications

CIVIL AERONAUTICS BOARD
OLD MIA ROAD, PASAY CITY,
Metro Manila

APPLICATION FOR AUTHORITY TO OPERATE AS
GENERAL SALES AGENT OF NON-SCHEDULED DOMESTIC AIR
CARRIER (INCLUDING AIR TAXI OPERATOR)
1. Identification of Applicant:

CAB CASE NO. EP

4. Address of principal office:

(a) Name:

(b) Name in which applicant wishes Operating Authorization to

5. Mailing address:

be issued:

2. Type of application:

Telephone No(s):

Original

Renewal
E-mail:

3. Date of filing:
Fax:
6. Form of organization:
Corporation

Partnership

Sole Proprietorship

7. Place of incorporation or under whose

Other (Specify)

8. Date of incorporation or

laws company is authorized to operate:

formation of company:

9. Stockholders, partners, owners, officers or members of applicant:
(a) Full Name:

(b) Address:

(c) Title:

(d) Citizenship

(e) % of stock or

(Country):

other interest:

10. Board of Directors of Applicant:
(a) Full Name:

(b) Address:

(c) Citizenship

(d) % of stock or

(Country):

other interest:

11. Description of current business activities and length of time engaged therein:

12. Previous business experience related to transportation activities:
Dates
Description

From

To

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Page 2 of 2
13. Capitalization:authohrized capital stock, subscribed and paid-up capital of applicant:
a. Authorized:
b. Subscribed:

c. Paid-up:

14. Principal airline to be represented by applicant as General Sales Agent:

15. Address of air carrier to be represented:

16.Previous air carrier/s represented by applicant as General Sales Agent:

17. Submit with this application, in original and three (3) copies the documents enumerated in the attached list of requirements.

CERTIFICATION

I certify that the information contained in this application, and in the attachments hereto, is complete and accurate to the best of my
knowledge.

Signature over printed name of applicant
Date
Title / Designation
=========================================================================================================================

O A T H

Subscribed and sworn to before me this

day of

exhibited to me his residence Certificate No.
at

issued on

, 20

. Affiant

, 20

.

Notary Public

My commission expires
Doc. No.
Page No.
Book No.
Series of 20

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