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Registration Form
CAAP registration form for ELT
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES
PHILIPPINE 406MHZ ELT REGISTRATION FORM
15 HEX ID (UNIQUE IDENTIFICATION NUMBER)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1. BEACON OWNER INFORMATION
PURPOSE
New
Renewal
Revision
Change of ownership
Lost
STATUS (answer if revision only)
Sold
On lease
Stolen
NAME
ADDRESS
EMAIL ADDRESS
CONTACT NUMBER 1
(Please mark)
Cellular
Fax
Home
Work
Other
Cellular
Fax
Home
Work
Other
Cellular
Fax
Home
Work
Other
Cellular
Fax
Home
Work
Other
CONTACT NUMBER 2
(Please mark)
CONTACT NUMBER 3
(Please mark)
CONTACT NUMBER 4
(Please mark)
MIA ROAD CORNER NINOY AQUINO AVENUE, PASAY CITY, PHILIPPINES 1300
TEL. (+632) 672-7705/caap.gov.ph
15
Republic of the Philippines
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES
2. AIRCRAFT INFORMATION
AIRCRAFT TYPE
AIRCRAFT
MANUFACTURER
AIRCRAFT MODEL
AIRCRAFT COLOR
AIRCRAFT
OPERATOR
RADIO EQUIPMENT (PLEASE CHECK)
HF
VHF
MF
OTHER
SSB
DEPLOYABLE
SURVIVAL
CRAFT/EQUIPMENT
FIXED
SURVIVAL
CRAFT/EQUIPME
NT
AIRCRAFT OVERALL LENGTH (in feet)
AIRCRAFT CAPACITY
AIRCRAFT NATIONALITY
AIRCRAFT REGISTRATION NUMBER
AIRCRAFT 24-BIT ADDRESS
ADDITIONAL INFORMATION (INCLUDE AIRCRAFT PHOTO ON SEPARATE PAGE)
MIA ROAD CORNER NINOY AQUINO AVENUE, PASAY CITY, PHILIPPINES 1300
TEL. (+632) 672-7705/caap.gov.ph
Republic of the Philippines
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES
3. ELT INFORMATION
MANUFACTURER
MODEL
C-S TYPE APPROVAL
ACTIVATION METHOD (PLEASE CHECK)
NO DATA RECORDED
CATEGORY 1 (AUTOMATIC OR MANUAL)
CATEGORY 2 (MANUAL ONLY)
HOMING DEVICE (PLEASE CHECK)
121.5MHZ
SART
OTHERS
ADDITIONAL BEACON INFORMATION
(PLEASE INCLUDE PICTURE OF ELT)
MIA ROAD CORNER NINOY AQUINO AVENUE, PASAY CITY, PHILIPPINES 1300
TEL. (+632) 672-7705/caap.gov.ph
Republic of the Philippines
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES
4. 24-HOUR EMERGENCY CONTACT INFORMATION
* Name of Primary 24Emergency Contact:
(Please fill up in the given boxes only)
Primary Contact
Address Line 1:
Primary Contact
Address Line 2:
* Telephone:
(Please Check)
Cellular
Fax
Home
Work
Other
Primary Phone No 2
(Please Check)
Cellular
Fax
Home
Work
Other
Primary Phone No 3
(Please Check)
Cellular
Fax
Home
Work
Other
Primary Phone No 4
(Please Check)
Cellular
Fax
Home
Work
Other
* Name of Alternate 24Hour Emergency Contact:
(Please fill up in the given boxes only)
Alternate Contact
Address Line 1:
Alternate Contact
Address Line 2:
(Please include country/area code, if necessary)
Alternate Phone
Number 1
Cellular
Fax
Home
Work
Other
Alternate Phone
Number 2
Cellular
Fax
Home
Work
Other
Alternate Phone
Number 3
Cellular
Fax
Home
Work
Other
Alternate Phone
Number 4
Cellular
Fax
Home
Work
Other
MIA ROAD CORNER NINOY AQUINO AVENUE, PASAY CITY, PHILIPPINES 1300
TEL. (+632) 672-7705/caap.gov.ph
