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Appendix III — EASA Form 20a — Permit to Fly

Regulation (EU) No 748/2012

Appendix III

 

 

Competent authority logo

 

         PERMIT TO FLY

 

 

[44]

 

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:

2.    Aircraft manufacturer/type:

3.    Serial No:

4.    The permit covers: [purpose in accordance with 21.A.701(a)]

5.    Holder: [in case of a permit to fly issued for the purpose of 21.A.701(a)(15) this should state: ‘the registered owner’]

6.    Conditions/remarks:

7.    Validity period:

8.    Place and date of issue:

9.    Signature of the competent authority representative:

EASA Form 20a


[44]    For use by State of Registry.