COMPANY LETTERHEAD
ENAC – FROM Malpensa
Servizio Sicurezza SEA SpA
Ufficio Tesserini Aeroporto Malpensa
OBJECT: Request of permanent vehicle access badge
Having taken note of all relevant Orders and Circulars in force, pursuant to the Presidential Decree 28 December 2000, no. 445, as amended, aware of the criminal consequences which could arise in the event of false declarations, we request the issue of a permanent access badge for the following company vehicle, of which we enclose a copy of the registration certificate:
1 / TYPE of VEHICLE and REGISTRATION or FRAME NUMBER(In case of foreign registration number, specify the country) /
TYPE
REGISTRATION/FRAME NUMBER
/COUNTRY
2 / COMPANY VEHICLE PROGRESSIVE NUMBER3 / INSURANCE COMPANY and POLICY NUMBER
4 / POLICY EXPIRATION DATE / From To
5 /
INSURANCE OVERALL LIMITS
/(Up to 3,5 tons equivalent of € 5 million. € 10 million for exceeding weight)
6 /TYPE OF VEHICLE CONTRACT
COMPANY NAME
/ □ RENT From ToCONTRACT NO.
□ LEASING From To
CONTRACT NO.
□ HIRE From To
CONTRACT NO.
7 / COMPANY NAME
In case of Subcontracts, supply or maintenance contracts, specify contract number / □ CONTRACTOR From To
CONTRACT NO.
□ SUB- CONTRACTOR From To
CONTRACT NO.
□ SUPPLIER From To
CONTRACT NO.
□ MAINTENANCE SERVICE SUPPLIER From To
CONTRACT NO.
8 / ENAC CONFORMITY DECLARATION / □ Exhaust retro filter □ Obstruction lights
□ Registered Company name
□Chequered flag □ Company Progressive No.
9 / ACCESS AREAS / □Apron/ Movement area
□ Apron (aircraft stands excluded) / Manoeuvring area
□ Perimetric areas/ Customs control point no.
□ MXP only
DATE / APPLICANT COMPANY
(Company stamp and signature) / BELONGING COMPANY
(Company stamp and signature)
The company furthermore declares under its own responsibility that the applicant or the Company are in possession of the following documents:
◊ legible COPY, of the registration certificate or of the provisional registration document of the numberplated vehicle.
◊ legible COPY, of the EU or EEC declaration of conformity of the not numberplated vehicle.
◊COPY of the Chamber of Commerce Company survey in case of first badge request.
◊Certificate of eligibility issued by ENAC for ground handling companies acting on their own account regulated by Ministerial Decree 18/99
◊ ENAC Authorization for the subcontracting companies of ground handling services regulated by Ministerial Decree 18/99
The request form must completely filled in. on the company headed paper and in electronic format. Il must be clearly legible and completed with stamp and signature of both the applicant company and the belonging company.
The applicant company is responsible in case of false declarations and undertakes to carry out appropriate surveillance to its employees activities concerning correct badge use and restricted areas access.
The applicant company also undertakes to timely return the badge when the access to airport areas is no longer needed.
INVOICING DATA(Registered Company name, registered office address, VAT Reg. No.) Page 1 of 2