Appendix

• Regulation (EU) 2020/357 found in: Balloon Rule Book - Part-BOP Part-BFCL Part-ML CS-31GB CS-31HB CS-31TGB (Sep 2020)

Appendix Regulation (EU) 2020/357 <table border="1" cellpadding="0" cellspacing="0" width="603"> <tr> <td colspan="5" valign="top" width="603"> <p>DECLARATION</p> <p>in accordance with Commission Regulation (EU) 2018/395</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>Operator</p> <p>Name:</p> <p>Place where the operator has its principal place of business:</p> <p>Name and contact details of the accountable manager:</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>Balloon operation</p> </td> </tr> <tr> <td colspan="5" valign="top" width="603"> <p>Starting date of commercial operation and, where relevant, date of change to existing commercial operation.</p> </td> </tr> <tr> <td colspan="5" valign="top" width="603"> <p>Information on balloon(s) used, commercial operation(s) and continuing airworthiness management:<a href="#_ftn21">[21]</a></p> </td> </tr> <tr> <td width="110"> <p>Balloon type</p> </td> <td width="110"> <p>Balloon registration</p> </td> <td width="110"> <p>Main base</p> </td> <td width="110"> <p>Type(s) of operation<a href="#_ftn22">[22]</a></p> </td> <td width="165"> <p>Continuing airworthiness management organisation<a href="#_ftn23">[23]</a></p> </td> </tr> <tr> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="165"> </td> </tr> <tr> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="165"> </td> </tr> <tr> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="165"> </td> </tr> <tr> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="110"> </td> <td valign="top" width="165"> </td> </tr> <tr> <td colspan="5" width="603"> <p>Where applicable, list of the AltMoCs with references to the associated AMC (annex to this declaration):</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>Statements</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>⎕   The operator complies, and will continue to comply, with the essential requirements set out in Annex V to Regulation (EU) 2018/1139 and with the requirements of Regulation (EU) 2018/395.</p> <p>In particular, the operator conducts its commercial operations in accordance with the following requirements of Subpart ADD of Annex II to Regulation (EU) 2018/395:</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>⎕   The management system documentation, including the operations manual, comply with the requirements of Subpart ADD and all flights will be carried out in accordance with the provisions of the operations manual as required by point <a href="#_DxCrossRefBm1924813196">BOP.ADD.005(b)</a> of Subpart ADD.</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>⎕   All balloons operated either have a certificate of airworthiness issued in accordance with Regulation (EU) No 748/2012 or meet the specific airworthiness requirements applicable to balloons that are registered in a third country and are subject to a wet lease agreement or a dry lease agreement, as required by points <a href="#_DxCrossRefBm1924813230">BOP.ADD.110</a> and <a href="#_DxCrossRefBm1924813231">BOP.ADD.115(b) and (c)</a> and (c) of Subpart ADD.</p> </td> </tr> <tr> <td colspan="5" valign="top" width="603"> <p>⎕   All flight crew members hold a licence and ratings issued or accepted in accordance with Annex III to Regulation (EU) 2018/395, as required by point <a href="#_DxCrossRefBm1924813242">BOP.ADD.300(c)</a> of Subpart ADD.</p> </td> </tr> <tr> <td colspan="5" valign="top" width="603"> <p>⎕   The operator will notify the competent authority of any changes in circumstances affecting its compliance with the essential requirements set out in Annex V to Regulation (EU) 2018/1139 and with the requirements of Regulation (EU) 2018/395 as declared to the competent authority through this declaration and any changes to the information and lists of AltMoCs included in and annexed to this declaration, as required by point <a href="#_DxCrossRefBm1924813228">BOP.ADD.105(a)</a> of Subpart ADD.</p> </td> </tr> <tr> <td colspan="5" valign="top" width="603"> <p>⎕   The operator confirms that all information included in this declaration, including its annexes, is complete and correct.</p> </td> </tr> <tr> <td colspan="5" width="603"> <p>Date, name and signature of the accountable manager</p> </td> </tr> </table> --- [[21]](#_ftnref21)    Complete the table. If there is not enough space to list the information, it shall be listed in a separate annex. The annex shall be dated and signed. [[22]](#_ftnref22)    ‘“Type(s) of operation” refers to the type(s) of commercial operation conducted with the balloon. [[23]](#_ftnref23)    Information about the organisation responsible for the continuing airworthiness management shall include the name of the organisation, the address and the approval reference.