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Permit to Operate Scheduled Domestic Air Transportation Services
CAB application form for permit to operate scheduled domestic air transportation services
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 _____
2 OF 2
