560 Form AOC Pre-Application Statement of Intent

CAAP pre- application form for statement of intent

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: APPLICATION FOR
FOREIGN AOC OPERATIONS
SPECIFICATIONS

INSTRUCTIONS
Print or type. Do not write in shaded areas, these are for
CAAP use only. Submit original only to the Flight Standards
Inspectorate or a CAAP Authorized Person. If additional space
is required, use an attachment

A. APPLICANT INFORMATION:
1. COMPANY REGISTERED (AND TRADING) NAME

4. PERMANENT ADDRESS: PRINCIPAL PLACE OF BUSINESS (Street or Postal Number)

2. CENTRAL TELEPHONE & FAX NUMBERS

5. CITY

3. ICAO 3-LETTER DESIGNATOR

6. PROPOSED START DATE & FIRST AERODROME OF ENTRY

STATE/PROVINCE

MAIL CODE

COUNTRY

B. MANAGEMENT CONTACTS:
1. NAME/TITLE OF OPERATIONS DIRECTOR

PHONE #

E-MAIL

2. NAME/TITLE OF MAINTENANCE DIRECTOR

PHONE #

E-MAIL

3. NAME/TITLE OF PHILIPPINES-BASED REPRESENTATIVE

PHONE #

E-MAIL

C. APPROVALS REQUESTED:
YES?

APPROVALS

YES?

APPROVALS

1. Over-Flights & Technical Stops (1st & 2nd Freedom)

6. Passengers & Cargo

2. Commercial Landing & Departure (3rd & 4th Freedom)

7. Cargo Only

rd

th

3. Commercial Co-Terminalization (3 & 4 Freedom)

8. Scheduled Operations

th

4. Commercial Landing & Departure (5 Freedom)

9. Charter Operations

5. Cabotage (Attach Explanation Letter)

10. Dangerous Goods

D. AERODROME APPROVALS REQUESTED:
AERODROME NAME

(Additional aerodromes may be listed on a separate attachment)
ICAO

IATA

AERODROME NAME

1.

7.

3.

8.

4.

9.

5.

IATA

6.

2.

ICAO

10.

E. ADDITIONAL APPLICATION ATTACHMENTS:

(Additional application documents may be listed on a separate attachment)

1.Air Operator Certificate (copy)

5. Aircraft Insurance Certificate

9. Ground Handling Arrangements

2.Operations Specifications (copy)

6. Leasing Arrangements

10. Flight Dispatch Arrangements

3. Philippines Traffic Rights
(Economic)

7. Philippines Maintenance
Arrangements

11. Dangerous Goods Handling

4. Aircraft Registration Certificates

8. MEL (Approval Page)

12. Other (See Reverse)

F. STATE OF OPERATOR INFORMATION:
1. STATE OF OPERATOR

2. DIRECTOR-GENERAL

2. NAME OF CIVIL AVIATION AUTHORITY

4. CAA PERMANENT ADDRESS (Street or Postal Number)

5. CENTRAL TELEPHONE & FAX NUMBERS

6. CITY

7. CAA OPERATIONS CONTACT

8. CAA AIRWORTHINESS CONTACT

STATE/PROVINCE

MAIL CODE

COUNTRY

G. AIRCRAFT TO BE OPERATED:
#

AIRCRAFT MAKE/MODEL/SERIES

(Additional aircraft may be listed on a separate attachment)

AIRCRAFT REGISTRATION#

AIRCRAFT SERIAL NUMBER

RVSM

ETOPS

Noise

STATE OF REGISTRY

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

H. STATE OF REGISTRY INFORMATION:

(If more than 1 State of Registry, additional SORs may be listed on a separate attachment)

1. STATE OF REGISTRY

2. DIRECTOR-GENERAL

2. NAME OF CIVIL AVIATION AUTHORITY

4. CAA PERMANENT ADDRESS (Street or Postal Number)

5. CENTRAL TELEPHONE & FAX NUMBERS

6. CITY

7. CAA PERSONNEL LICENSING CONTACT

8. CAA AIRWORTHINESS CONTACT

STATE/PROVINCE

MAIL CODE

COUNTRY

I. ADDITIONAL INFORMATION PERTINENT TO THIS APPLICATION:
This space is provided for inclusion of information could not be inserted in the available category and spaces provided on front of form.

J. APPLICANT’S CERTIFICATION— The undersigned certify that all statements and answers provided on this application form and as attachments are
complete and true to the best of my knowledge and agree that they are to be considered as part of the basis for issuance operations specifications.
DATE

DATE#

MAINTENANCE DIRECTOR SIGNATURE

DATE:

A person shall not with intent to deceive or make any
false representation for the purpose of procuring for
himself or any other person the grant, issue, renewal
or variation of any such approval.

OPERATIONS DIRECTOR SIGNATURE:

PHILIPPINES-BASED OPERATOR REPRESENTATIVE:

K. CAAP CERTIFICATION:
1.

APPROVED (See Operations Specifications for Particulars).

3. Signature
CAAP Form 519 [0]2011

2.
4. Title

5. Date
Control Number:

DISAPPROVED