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Appendix II — EASA Form 4

ED Decision 2015/029/R

 

[COMPETENT AUTHORITY]

 

 

Details of Management Personnel required to be accepted as specified in Part-………………

 

1.          Name:

 

2.          Position:

 

 

 

3.          Qualifications relevant to the item (2) position:

 

 

 

4.          Work experience relevant to the item (2) position:

 

 

 

 

 

 

 

 

 

 

 

Signature: .................................................................   Date: ..............................................................

 

On completion, please send this form under confidential cover to the competent authority.

 

 

Competent authority use only

Name and signature of authorised competent authority staff member accepting this person:

 

 

Signature: ................................................................   Date: ..............................................................

 

 

Name: ......................................................................   Office: .............................................................

 

 

 

EASA Form 4