(Airworthiness Review Recommendation) / LHD-4 ELA
Dags. 25.09.2013
Application for initial approval
Application for change
Application for renewal
Full name of applicant
Applicants contact address
ICETRA issued Part 66 Licence Number / IS.66. / Expiry date of licence
Approval number (only for change and renewal)
Telephone number: home / work
mobile / fax
E-mail address
Aircraft type(s)/series/group subject to this application
I hereby confirm that my issued Part 66 licence is current and contains certification privileges applicable to ELA1 aircraft types.
I hereby confirm that I am in compliance with M.A. 707(a) 2(a), namely three years’ experience in continuing airworthiness and I am in compliance with Part 66.A.20 (b) in respect of certification privileges.
- I understand that I have to perform satisfactory Airworthiness Review (AR) under supervision before I can be approved
- I understand that during the review I will be required to demonstrate adequate knowledge to perform the AR as per M.A.710 and that the outcome may be inconclusive
- If approved, I understand that ICETRA may conduct sample checks upon ARrecommendation of these aircraftand their records.
- If approved, I understand that ICETRA reserves the right to suspend, revoke, limit or refuse to renew the approval issued as per M.A.901(g) if ICETRA has evidence showing that the requirements as per M.A.710 and/or M.A.901(g) are not fulfilled.
- I understand that if approved, the validation of the approval is for maximum two years each time, or as stated in the approval letter
I agree to pay the charges payable in accordance with the current ICETRA Scheme of Charges.
Attached to this application:
Copy of the current Part 66 licence
Evidence of three years’ experience as per M.A.707(a) 2(a) (only for initial approval)
Evidence of compliance with 66.A.20(b) 2
Former LHD-5 ELA letter of approval (only for change and renewal)
Date / Signature of the applicant
FOR ICETRA USE ONLY
Málsnúmer
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