REPUBLIC OF SAN MARINO

CIVIL AVIATION AUTHORITY

TEL: +378 (0549) 941539| FAX: +378 (0549) 970525| EMAIL: registration@smar.aero

FORMAL APPLICATION FOR AIR OPERATOR CERTIFICATE

FORM  SM  55  Issue  N°  01     01  March  2013  

 Please  complete  this  form  electronically  or  in  block  capitals  using  black  ink.  

 

1.  APPLICANT  DETAILS  (Operator)  

Name/Trading  Name:    

Principal  Place  of  Business:    

Telephone  No.:     Email:  

2.  AIRCRAFT  

Manufacturer   Type  Designation   Registration  Mark   Leased  (Yes/No)  

                                 T7-­‐    

                                 T7-­‐    

                                 T7-­‐    

3.  PROPOSED  OPERATION  

Geographical  areas:    

Type  of  operation:         Passenger  &  Cargo               Cargo  only               Scheduled                 Charter  Specific  approvals:         RVSM                             ETOPS                             MNPS                         EFB               CPDLC  4.  KEY  MANAGEMENT  

Name   Title   Contact  Details  

  Accountable  Manager    

  Flight  Operations  Postholder    

  Maintenance  Postholder    

  Crew  Training  Postholder    

  Ground  Operations  Postholder    

  Quality  Manager    

5.  APPLICANTS  DECLARATION  I   hereby   apply   for   the   grant   of   an   Air   Operator   Certificate   and   declare   that,   to   the   best   of   my  knowledge  and  belief,  the  statements  given  in  this  application  are  true.    Position  in  Company:   Date:  

Name  of  Applicant:    

Signature  of  Applicant: