Appendix 4 -- Declaration of UAS operators that intend to provide practical skill training and assessment of remote pilots in STS-x

• Regulation (EU) 2020/639 found in: Unmanned Aircraft Systems (2019/947 and 2019/945) Part-UAS (Jul 2024)

Appendix 4 — Declaration of UAS operators that intend to provide practical skill training and assessment of remote pilots in STS-x Regulation (EU) 2020/639 <table border="1" cellpadding="0" cellspacing="0"><tr><td rowspan="2" valign="top" width="198"><p><div class="image-container"><img alt="Résultat de recherche d'images pour &quot;logo easa download&quot;" src="/static/files/file_5I6t1EH0lEH/image041.png"/></div></p></td><td colspan="5" valign="top" width="403"><p><b>STS-x</b></p></td></tr><tr><td colspan="5" valign="top" width="403"><p><b>Declaration of UAS operators that intend to provide practical skill training and assessment of remote pilots</b></p></td></tr><tr><td colspan="6" valign="top" width="601"><p><b>Data protection</b>: Personal data included in this declaration is processed by the competent authority pursuant to Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). It will be processed for the purposes of the performance, management and follow up of the oversight activities according to Commission Regulation (EU) 2019/947.</p><p>If you require further information concerning the processing of your personal data or you wish to exercise your rights (e.g. to access or rectify any inaccurate or incomplete data), please refer to the contact point of the competent authority.</p><p>The applicant has the right to make a complaint regarding the processing of the personal data at any time to the national Data Protection Supervisory Authority.</p></td></tr><tr><td colspan="3" valign="top" width="378"><p>UAS operator registration number</p></td><td colspan="3" valign="top" width="223"></td></tr><tr><td colspan="3" valign="top" width="378"><p>UAS operator name</p></td><td colspan="3" valign="top" width="223"></td></tr><tr><td colspan="6" valign="top" width="601"><p><b>I hereby declare that:</b></p><p><b>I have submitted the operational declaration for STS-x;</b></p><p><b>I comply with the requirements defined in </b><a href="#_DxCrossRefBm1106656799"><b>Appendix 3</b></a><b> to the Annex to Implementing Regulation (EU) 2019/947; and</b></p><p><b>when operating an UAS in the context of training activities for STS.x, I comply with all the applicable provisions of Implementing Regulation (EU) 2019/947, including requirements for operations under STS.x</b></p></td></tr><tr><td colspan="2" valign="top" width="325"><p><b>Date</b></p></td><td colspan="2" valign="top" width="104"><p></p></td><td valign="top" width="126"><p><b>Signature or other verification</b></p></td><td valign="top" width="45"><p></p></td></tr><tr height="0"></tr></table> #### Appendix 4 — Declaration of UAS operators that intend to provide practical skill training and assessment of remote pilots in STS-x *Regulation (EU) 2020/639* <table cellpadding="7" cellspacing="0"> <col/> <col/> <col/> <col/> <col/> <col/> <tr valign="top"> <td rowspan="2"><p align="left"> <img align="left" border="0" hspace="12" name="Image21" src="source-marked.part-0002_html_27ded734.png"/> <br/> </p> </td> <td colspan="5"><p align="center"> <b>STS-x</b></p> </td> </tr> <tr valign="top"> <td colspan="5"><p align="justify"> <b>Declaration of UAS operators that intend to provide practical skill training and assessment of remote pilots</b></p> </td> </tr> <tr> <td colspan="6" valign="top"><p align="justify"> <b>Data protection</b>: Personal data included in this declaration is processed by the competent authority pursuant to Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation). It will be processed for the purposes of the performance, management and follow up of the oversight activities according to Commission Regulation (EU) 2019/947.</p> <p align="justify"> If you require further information concerning the processing of your personal data or you wish to exercise your rights (e.g. to access or rectify any inaccurate or incomplete data), please refer to the contact point of the competent authority.</p> <p align="justify"> The applicant has the right to make a complaint regarding the processing of the personal data at any time to the national Data Protection Supervisory Authority.</p> </td> </tr> <tr valign="top"> <td colspan="3"><p align="left"> UAS operator registration number</p> </td> <td colspan="3"><p align="justify"> <br/> </p> </td> </tr> <tr valign="top"> <td colspan="3"><p align="left"> UAS operator name</p> </td> <td colspan="3"><p align="justify"> <br/> </p> </td> </tr> <tr> <td colspan="6" valign="top"><p align="justify"> <b>I hereby declare that:</b></p> <p align="justify"> <b>I have submitted the operational declaration for STS-x;</b></p> <p align="justify"> <b>I comply with the requirements defined in </b><u><a href="#_DxCrossRefBm1295819116"><b>Appendix 3</b></a></u> <b>to the Annex to Implementing Regulation (EU) 2019/947; and</b></p> <p align="justify"> <b>when operating an UAS in the context of training activities for STS.x, I comply with all the applicable provisions of Implementing Regulation (EU) 2019/947, including requirements for operations under STS.x</b></p> </td> </tr> <tr valign="top"> <td colspan="2"><p align="justify"> <b>Date</b></p> </td> <td colspan="2"><p align="justify"> <br/> </p> </td> <td><p align="justify"> <b>Signature or other verification</b></p> </td> <td><p align="left"> <br/> </p> </td> </tr> </table>