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AMC1 21.A.134 Application

Available versions for ERULES-1963177438-21894

ED Decision 2023/014/R found in: Initial Airworthiness and Environmental Protection (748/2012) Part-21 Part-21L (Jul 2024)

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AMC1 21.A.134 Application

ED Decision 2023/014/R

APPLICATION FORM

An applicant for a POA should complete and
submit to the competent authority an EASA Form 50 (see below).

The completed form, an outline of the
production organisation exposition, and details of the proposed terms of
approval should be forwarded to the competent authority.

<table border="1" cellpadding="0" cellspacing="0" width="603">
<tr>
<td colspan="2" width="603">
EASA Form 50
Application
 for a Part 21 production organisation approval
</td>
</tr>
<tr>
<td colspan="2" width="603">
Competent authority
of an EU Member State or
EASA
</td>
</tr>
<tr>
<td width="317">
1.          Registered
 name and address of the organisation:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
2.          Trade
 name (if different)
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
3.          Location(s)
 for which the approval is applied for:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td colspan="2" width="603">
4.          Brief
 summary of the proposed activities at the addresses listed in Block 3:
</td>
</tr>
<tr>
<td width="317">
              a)           General:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
              b)          Scope of approval:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
              c)           Nature of privileges:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
5.          Description
 of organisation:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
6.          Links/arrangements
 with design approval holder(s)/design organisation(s) where different from
 1.:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
7.          Approximate
 number of staff engaged or intended to be engaged in the activities:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
8.          Position
 and name of the accountable manager:
</td>
<td valign="top" width="286">
</td>
</tr>
<tr>
<td width="317">
_____________________________________
Date
</td>
<td width="286">
___________________________________
Signature of the accountable manager
</td>
</tr>
</table>

***EASA Form 50***

Block 1:       The name
of the organisation should be entered as stated in the register of the
National Companies Registration Office. For the initial application, a copy of
the entry in the register of the National Companies Registration Office should
be provided to the competent authority.

Block 2:       State the
trade name by which the organisation is known to the public if it is different
from the information given in Block 1. The logo of the organisation may be used
in this block.

Block 3:       State all
the locations for which the approval is applied for. Only those locations
should be stated that are directly under the control of the legal entity
stated in Block 1.

Block 4:       This block
should include further details of the activities under the approval for the
addresses indicated in Block 3 The ‘General’ block must include overall
information, while the ‘Scope of approval’ block should address the scope of
work and the products/categories following the principles laid down in [GM 21.A.151](#_DxCrossRefBm1649097192). The ‘Nature of
privileges’ block should indicate the requested privileges as defined in
points [21.A.163](#_DxCrossRefBm1649096916)(b)-(e). For an
application for renewal, state ‘not applicable’.

Block 5:       This block
should provide a summary of the organisation with reference to the outline of
the production organisation exposition, including the organisational
structure, functions and responsibilities. The nomination of the responsible
managers in accordance with point [21.A.145](#_DxCrossRefBm1649096920)(c)(2)
should be included as far as possible. For an application for renewal, state
‘not applicable’.

Block 6:       The
information entered here is essential for the evaluation of the eligibility of
the application. Therefore, special attention should be given concerning the
completion of this block, either directly or by reference to supporting
documentation, in relation to the requirements of points [21.A.133](#_DxCrossRefBm1649096911)(b) and (c) and the AMC to [21.A.133](#_DxCrossRefBm1649096911)(b) and (c).

Block 7:       The
information to be entered here should reflect the number of staff, or in the
case of an initial approval, the intended number of staff for the complete set
of activities that are to be covered by the approval, and it should also
therefore include any associated administrative staff.

Block 8:       State the position and name of the accountable manager.

##### AMC1 21.A.134 Application

*ED Decision 2023/014/R*

**APPLICATION FORM**

An applicant for a POA should complete and submit to the competent
authority an EASA Form 50 (see below).

The completed form, an outline of the production organisation
exposition, and details of the proposed terms of approval should be
forwarded to the competent authority.

<table cellpadding="7" cellspacing="0">
<col/>
<col/>
<tbody>
<tr>
<td colspan="2">
EASA Form 50
Application
				for a Part 21 production organisation approval
</td>
</tr>
</tbody>
<tbody>
<tr>
<td colspan="2">
Competent
				authority

of
				an EU Member State or
EASA
</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
1.	Registered
				name and address of the organisation:

 

 

</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
2.	Trade
				name (if different)
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
3.	Location(s)
				for which the approval is applied for:
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td colspan="2">
4.	Brief
				summary of the proposed activities at the addresses listed in
				Block 3:
</td>
</tr>
<tr>
<td>
	a)	General:
</td>
<td valign="top">
 

</td>
</tr>
<tr>
<td>
	b)	Scope
				of approval:
</td>
<td valign="top">
 

</td>
</tr>
<tr>
<td>
	c)	Nature
				of privileges:
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
5.	Description
				of organisation:
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
6.	Links/arrangements
				with design approval holder(s)/design organisation(s) where
				different from 1.:
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
7.	Approximate
				number of staff engaged or intended to be engaged in the
				activities:
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
8.
					Position and name of the accountable manager:
</td>
<td valign="top">
 

</td>
</tr>
</tbody>
<tbody>
<tr>
<td>
 


 


 


 


_____________________________________
Date
</td>
<td>
 


 


 


 


___________________________________
Signature
				of the accountable manager
</td>
</tr>
</tbody>
</table>

***EASA Form 50***

Block 1: The name of the organisation should be entered as
stated in the register of the National Companies Registration Office.
For the initial application, a copy of the entry in the register of
the National Companies Registration Office should be provided to the
competent authority.

Block 2: State the trade name by which the organisation is known
to the public if it is different from the information given in Block
1. The logo of the organisation may be used in this block.

Block 3: State all the locations for which the approval is
applied for. Only those locations should be stated that are directly
under the control of the legal entity stated in Block 1.

Block 4: This block should include further details of the
activities under the approval for the addresses indicated in Block 3
The ‘General’ block must include overall information, while the
‘Scope of approval’ block should address the scope of work and
the products/categories following the principles laid down in
[GM 21.A.151](#_DxCrossRefBm485230683).
The ‘Nature of privileges’ block should indicate the requested
privileges as defined in points [21.A.163](#_DxCrossRefBm485230407)(b)-(e).
For an application for renewal, state ‘not applicable’.

Block 5: This block should provide a summary of the organisation
with reference to the outline of the production organisation
exposition, including the organisational structure, functions and
responsibilities. The nomination of the responsible managers in
accordance with point [21.A.145](#_DxCrossRefBm485230411)(c)(2)
should be included as far as possible. For an application for
renewal, state ‘not applicable’.

Block 6: The information entered here is essential for the
evaluation of the eligibility of the application. Therefore, special
attention should be given concerning the completion of this block,
either directly or by reference to supporting documentation, in
relation to the requirements of points [21.A.133](#_DxCrossRefBm485230402)(b)
and (c) and the AMC to [21.A.133](#_DxCrossRefBm485230402)(b)
and (c).

Block 7: The information to be entered here should reflect the
number of staff, or in the case of an initial approval, the intended
number of staff for the complete set of activities that are to be
covered by the approval, and it should also therefore include any
associated administrative staff.

Block 8: State the position and name of the accountable manager.

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AMC1 21.A.134 Application

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