Appendix IV — EASA Form 20b — Permit
to Fly (issued by approval organisations)
Regulation
(EU) No 748/2012
Appendix IV
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Member State of the Competent Authority having issued the organisation approval under which the permit to fly is issued; or ‘EASA’ when approval issued by EASA |
PERMIT TO FLY |
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Name and Address of the organisation issuing the permit to fly |
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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 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. |
1. Nationality and registration marks: |
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2. Aircraft manufacturer/type: |
3. Serial No: |
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4. The permit covers: [purpose in accordance with 21.A.701(a) |
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5. Holder: [Organisation issuing the permit to fly] |
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6. Conditions/remarks: |
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7. Validity period: |
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8. Place and date of issue: |
9. Authorised signature: Name: Approval Reference No: |
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EASA
Form 20b
[45] For use by Organisation Approval holder.
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