Approval of Flight Conditions for a Military Permit to Fly
1. Applicant and internal reference number / Company/Unit Name>
Reference No:
2. Registration marks: / X00-000 <Insert all applicable aircraft tail numbers like A34-001 through to A34-004>
3. Aircraft owner/operating organisation: / <Normally will be the MAO>
4. Aircraft manufacturer/type
Manufacturer name / Aircraft type <For example, British Aerospace / A27 Hawk Mk127> / 5. Manufacturer Serial number
<Use annex A for a large number of aircraft, otherwise list the manufacturer serial numbers and tail numbers here.>
6. Purpose of flight
Use terminology of DASR 21.A.701(a) and add any additional information for accurate description of the purpose, e.g. place, itinerary, duration…>
For an application due to a change of purpose (ref. DASR 21.A.713): reference to initial request and description of new purpose
7. Expected target date(s) for the flight(s) and duration
From: Until:
8. Aircraft configuration as relevant for the Military Permit to Fly
8.1 The above aircraft for which a military permit to fly is requested is defined in add reference to the document(s) identifying the configuration of the aircraft. Same as required in AMC DASR 21.A.263(c)(6) or AMC DASR 21.A.709(b) application approval DASR Form 18a or 18b, block 6>
8.2 The aircraft is in the following situation related to its maintenance schedule:
Describe status
9. Approval of flight conditions if not available at the time of application, indicate reference of request for approval>
Reference to:
1. Authority approval; or
2. MDOA approval form (see AMC DASR 21.A.263(c)(6)), if approved under MDOA privilege)
3. MPOA approval form (see AMC DASR 21.A.163(e), if approved under MPOA privilege)
10. Date: / 11. Signature of Applicant:
<Name> <Position>
Annex A: Applicable manufacturer serial numbers <Use of annex is optional: may be useful for listing a large number of aircraft otherwise list the manufacture serial number/s in Section 4 of this form.>
DASR Form 18b – V3.0
ID: AH6165307 Page 2 of 2
Defence Aviation Safety Authority / DASR Form 20aMilitary Permit to Fly
APPLICABLE MANUFACTURER SERIAL NUMBERS
Manufacturer Serial Number / Tail Number000 / X00-000
DASR Form 20a - V0.1 Annex A
ID: AH6165307 Page 2 of 2