DECLARATION

in accordance with Commission Regulation (EU) 2018/395

Operator

Name:

Place where the operator has its principal place of business:

Name and contact details of the accountable manager:

Balloon operation

Starting date of commercial operation and, where relevant, date of change to existing commercial operation.

Information on balloon(s) used, commercial operation(s) and continuing airworthiness management:[21]

Balloon type

Balloon registration

Main base

Type(s) of operation[22]

Continuing airworthiness management organisation[23]

Where applicable, list of the AltMoCs with references to the associated AMC (annex to this declaration):

Statements

⎕   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.

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:

⎕   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 BOP.ADD.005(b) of Subpart ADD.

⎕   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 BOP.ADD.110 and BOP.ADD.115(b) and (c) and (c) of Subpart ADD.

⎕   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 BOP.ADD.300(c) of Subpart ADD.

⎕   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 BOP.ADD.105(a) of Subpart ADD.

⎕   The operator confirms that all information included in this declaration, including its annexes, is complete and correct.

Date, name and signature of the accountable manager