AIR OPERATOR CERTIFICATE

(Approval schedule for air transport operators)

Types of operation:  Commercial air transport (CAT)        ☐  Passengers;            ☐  Cargo;

☐  Other (¹): …………………………………………

(⁴)

State of the Operator (²)

(⁵)

Issuing Authority (³)

AOC # (⁶)^:

Operator Name (⁷)

Dba Trading Name (⁸)

Operator address (¹⁰):

Telephone (¹¹):

Fax:

E-mail:

Operational Points of Contact: (⁹)

Contact details, at which operational management can be contacted without undue delay, are listed in ....................... (¹²).

This certificate certifies that …………………….. (¹³) is authorised to perform commercial air operations, as defined in the attached operations specifications, in accordance with the operations manual, Annex V to Regulation (EU) 2018/1139 and its delegated and implementing acts.

Date of issue (¹⁴):

Name and Signature (¹⁵):

Title:

(¹)          Other type of transportation to be specified.

(²)          Replaced by the name of the State of the operator.

(³)          Replaced by the identification of the issuing competent authority.

(⁴)          For use of the competent authority.

(⁵)          For use of the competent authority.

(⁶)          Approval reference, as issued by the competent authority.

(⁷)          Replaced by the operator’s registered name.

(⁸)          Operator’s trading name, if different. Insert “Dba” (for “Doing business as”) before the trading name.

(⁹)          The contact details include the telephone and fax numbers, including the country code, and the email address (if available) at which operational management can be contacted without undue delay for issues related to flight operations, airworthiness, flight and cabin crew members’ competency, dangerous goods and other matters as appropriate.

(¹⁰)        Operator’s principal place of business address.

(¹¹)        Operator’s principal place of business telephone and fax details, including the country code. Email to be provided if available.

(¹²)        Insertion of the controlled document, carried on board, in which the contact details are listed, with the appropriate paragraph or page reference. E.g.: “Contact details … are listed in the operations manual, gen/basic, chapter 1, 1.1”; or “… are listed in the operations specifications, page 1”; or “… are listed in an attachment to this document”.

(¹³)        Operator’s registered name.

(¹⁴)        Issue date of the AOC (dd-mm-yyyy).

(¹⁵)        Title, name and signature of the competent authority representative. In addition, an official stamp

              may be applied on the AOC.