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Authority to Operate Non-Scheduled Domestic Air Transportation Services

CAB application form for authority to operate non-scheduled domestic air transportation services charter and/or taxi operators

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: CAB Case No. EP- _______________________________

CAB-REF-2017-001-CPCN
REVISION 05/April 2017

Republic of the Philippines
Department of Transportation

CIVIL AERONAUTICS BOARD
Old MIA Road, Pasay City, Metro Manila

APPLICATION FOR ISSUANCE OF
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY (CPCN)
TYPE OF APPLICATION:




FILING FEE: RATE + LRF (Php)

To Operate Domestic Scheduled Air Transportation Services
To Operate Domestic Non-Scheduled Air Transportation Services




Original

87,264.00

Original

43,632.00





Original

87,264.00

Original

65,448.00

Original

21,816.00




Renewal

43,632.00

Renewal

18,907.20





Renewal

43,632.00

Renewal

37,572.00

Renewal

7,272.00




100% Filipino

(Air Taxi and Agricultural Aerial Spraying Services)





To Operate International Scheduled Air Transportation Services
To Operate International Non-Scheduled Air Transportation Services
To Operate Aircraft in Furtherance or in the Conduct of Business

APPLICANT:

CONTACT PERSON:

BUSINESS NAME and ADDRESS:
CONTACT NUMBER:
EMAIL ADDRESS:
PLACE and DATE of INCORPORATION:

FORM of ORGANIZATION:






Corporation
Partnership
Sole Proprietorship
Others: _________________

60%-40% FilipinoForeign Ownership



Others: __________

CAPITALIZATION:
AUTHORIZED CAPITAL:

SUBSCRIBED:

PAID-UP:

STOCKHOLDERS, PARTNERS, PROPRIETORS
FULL NAME:

TITLE/POSITION

ACCOUNTABLE & KEY OFFICERS:
FULL NAME:

CITIZENSHIP

% of INTEREST

LIST OF AIRCRAFT:

TITLE/POSITION:

1 OF 2

MAKE/MODEL

REGISTRATION MARK

LIST OF PILOTS WITH THEIR VALID LICENSES:
FULL NAME

LICENSE NUMBER

RATINGS

BASE OF OPERATION and PROPOSED ROUTES:
PRIMARY:

SECONDARY:

AIR OPERATORS CERTIFICATE:
AOC NUMBER:

VALIDITY:

ACCOUNTABLE MANAGER:
CONTACT NUMBER:

PROPOSED RATES/FARES:

CERTIFICATION

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

Date

Signature over printed name of the Applicant

Title / Position

SUBSCRIBED AND SWORN to before me this day _______ of ______________, _____ at _________________
________________________________________________, exhibiting to me his/her ___________________________________
__________________________ issued on _______________________.

NOTARY PUBLIC
Doc. No. : _____________________
Page No. : _____________________
Book No. : _____________________
Series of _____

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