Appendix III -- EASA Form 20a -- Permit to Fly

• Regulation (EU) No 748/2012 found in: Initial Airworthiness and Environmental Protection (748/2012) Part-21 Part-21L (Jul 2024)

Appendix III — EASA Form 20a — Permit to Fly Regulation (EU) No 748/2012 Appendix III <table border="1" cellpadding="0" cellspacing="0" width="603"> <tr> <td valign="top" width="217"> <p>Competent authority logo</p> </td> <td colspan="2" valign="top" width="386"> <p>         PERMIT TO FLY</p> </td> </tr> <tr> <td valign="top" width="217"> </td> <td colspan="2" valign="top" width="386"> </td> </tr> <tr> <td colspan="2" valign="top" width="302"> <p><a href="#_ftn44">[44]</a></p> </td> <td valign="top" width="302"> </td> </tr> <tr> <td colspan="2" valign="top" width="302"> <p>This permit to fly is issued pursuant to Regulation (EC) No 216/2008, Article 5(4)(a) and certifies that the aircraft is capable of safe flight for the purpose and within the conditions listed below and is valid in all Member States</p> <p>This permit is also valid for flight to and within non-Member States provided separate approval is obtained from the competent authorities of such States:</p> </td> <td valign="top" width="302"> <p>1.    Nationality and registration marks:</p> </td> </tr> <tr> <td colspan="2" valign="top" width="302"> <p>2.    Aircraft manufacturer/type:</p> </td> <td valign="top" width="302"> <p>3.    Serial No:</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>4.    The permit covers: [purpose in accordance with <a href="#_DxCrossRefBm1649097379">21.A.701(a)</a>]</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>5.    Holder: [in case of a permit to fly issued for the purpose of <a href="#_DxCrossRefBm1649097379">21.A.701(a)(15)</a> this should state: ‘the registered owner’]</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>6.    Conditions/remarks:</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>7.    Validity period:</p> </td> </tr> <tr> <td colspan="2" valign="top" width="302"> <p>8.    Place and date of issue:</p> </td> <td valign="top" width="302"> <p>9.    Signature of the competent authority representative:</p> </td> </tr> <tr height="0"> </tr> </table> EASA Form 20a --- [[44]](#_ftnref44)    For use by State of Registry.