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Appendix X to AMC M.B.602(a) and AMC M.B.702(a) — 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