Application Form For Permission To Operate Non-Scheduled Services For Hire Or Reward - Unmanned Aircraft Systems - The Government Of The Hong Kong Special Administrative Region

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香港特別行政區政府
民航處
Civil Aviation Department
The Government of the Hong Kong Special Administrative Region
出租或受酬的不定期航班服務許可證的申請 – 無人駕駛飛機系統(無人機系統)
Application for Permission to Operate Non-Scheduled Services for Hire or Reward
Unmanned Aircraft Systems (UAS)
致:
香港大嶼山香港國際機場東輝路 1 號
電話號碼:
(852) 2910 6648
民航處總部
傳真號碼:
(852) 2877 8542
民航處處長
電子郵箱:
asdoo@cad.gov.hk
To:
Director-General of Civil Aviation
Telephone No:
(852) 2910 6648
Civil Aviation Department Headquarters
Fax No:
(852) 2877 8542
1 Tung Fai Road, Hong Kong International Airport, Lantau, Hong Kong
Email:
asdoo@cad.gov.hk
(1) 操作無人機系統的公司名稱
Name of company operating the UAS
(2) 無人駕駛飛機(無人機)種類
Type of Unmanned Aircraft (UA)
飛船
飛機
直升機
其他,請註明:
Airship
Aeroplane
Helicopter
Other type, please specify:
(3) 租機人姓名及地址(如適用)
Name and Address of Charterer (if applicable)
(4) 飛行日期及時間
Date(s) and Time(s) of Flight(s)
(5) 操作範圍
Area(s) of Operation
(6) 飛行目的
Purpose of Flight(s)
(7) 申請人
職位
簽名
Applicant
Title
Signature
電話號碼
傳真號碼
日期
Telephone No.
Fax No.
Date
電郵地址
Email Address
致:上述操作無人機系統的公司
To: Company operating the UAS stated above
按經修訂後的空運(航空服務牌照)規例
許可證編號
批予人員
的條款及受此許可證所附帶的條件的規
Permit No.
Authorizing Officer
限下,特此批准使用無人機提供上述在
香港內的不定期航班服務。
Permission is hereby granted for the
operation of non-scheduled service(s) in
Hong Kong as shown above, subject to the
provisions of the Air Transport (Licensing
簽發日期
of Air Services) Regulations, as amended,
For Director-General of Civil Aviation
Issued on
and the Conditions attached.
DCA 122A (Rev. Aug 16)

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