Regulation (EU) 2021/700
[MEMBER STATE] A Member of the European Union (*)
AIRWORTHINESS REVIEW CERTIFICATE (ARC) ARC reference: ………..
Pursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council the following organisation, approved in accordance with Section A of Annex Vc (Part-CAMO) or Section A of Subpart G of Annex I (Part-M) or Section A of Annex Vd (Part-CAO) to Commission Regulation (EU) No 1321/2014,
[NAME OF ORGANISATION APPROVED AND ADDRESS]
[APPROVAL REFERENCE] hereby certifies that it has performed an airworthiness review in accordance with point M.A.901 of Annex I to Commission Regulation (EU) No 1321/2014 on the following aircraft:
Aircraft manufacturer: ……………………………………………………………………………………………………………………………… Manufacturer’s designation: …………………………………………………………………………………………………………………….. Aircraft registration: …………………………………………………………………………………………………………………………………. Aircraft serial number: ……………………………………………………………………………………………………………………………… and this aircraft is considered airworthy at the time of the review.
Date of issue: .................................................................. Date of expiry: …………………………………………………… Airframe Flight Hours (FH) at date of issue (**): ……………………………………………………………………………………….. Signed: ........................................................................... Authorisation No: …………………………….....................
1st extension: The aircraft has remained in a controlled environment in accordance with point M.A.901 of Annex I (Part-M) to Commission Regulation (EU) No 1321/2014 for the last year. The aircraft is considered to be airworthy at the time of the issue. Date of issue: .................................................................. Date of expiry: …………………………………………………… Airframe Flight Hours (FH) at date of issue (**): ……………………………………………………………………………………….. Signed: .............................................………………………….. Authorisation No: ……………………………..................... Company Name: ........................................................... Approval reference: ……………………………………………..
2nd extension: The aircraft has remained in a controlled environment in accordance with point M.A.901 of Annex I (Part-M) to Commission Regulation (EU) No 1321/2014 for the last year. The aircraft is considered to be airworthy at the time of the issue. Date of issue: .................................................................. Date of expiry: ……………………………………………………. Airframe Flight Hours (FH) at date of issue (**): ………………………………………………………………………………………… Signed: ............................................................................ Authorisation No: ……………………………..................... Company Name: ............................................................. Approval reference: ……………………………………………. * Delete for non-EU Member States |
EASA Form 15b Issue 6
(*) Delete for non-EU Member States.
(**) Except for airships.
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