Appendix VIII — EASA Form 52— Aircraft statement of conformity

• Regulation (EU) 2022/201 found in: 313A4D_2024-07-01_21.19.12_EAR-for-Initial-Airworthiness-and-Environmental-Protection-Regulation-EU-No-748-2012

Appendix VIII — EASA Form 52 — Aircraft s tatement of c onformity Regulation (EU) 2022/201 AppendixV I II Aircraft statement of conformity — EASA Form 52 | AIRCRAFT STATEMENT OF CONFORMITY | | | | --- | --- | --- | | 1.State of manufacture | 2.[MEMBER STATE] A Member of the European Union | 3.Statement ref. no: | | 4.Organisation | | | | 5.Aircraft type | 6.Type-certificate ref. nos: | | | 7.Aircraft registration or mark | 8.Production organisation identification no: | | | 9.Engine/propeller details | | | | 10.Modifications and/or service bulletins | | | | 11.Airworthiness directives | | | | 12.Concessions | | | | 13.Exemptions, waivers or derogations | | | | 14.Remarks | | | | 15.Certificate of airworthiness | | | | 16.Additional requirements | | | | 17.Statement of conformityIt is hereby certified that the aircraft conforms fully to the typecertificated design and to the items in blocks9, 10, 11, 12 and 13.The aircraft is in a condition for safe operation.The aircraft has been satisfactorily tested in flight. | | | | 18.Signed | 19.Name | 20.Date (d/m/y) | | 21.Production organisation approval reference | | |