Form Aw-200 - Application For The Issue Of A Certificate Of Airworthiness
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1
2
3Form AW-200
Issue 3
12/2015
APPLICATION FOR THE ISSUE OF A
CERTIFICATE OF AIRWORTHINESS
IMPORTANT:
To assist the applicant and to ensure correct completion please refer to the Guidance Notes. Please complete
ALL applicable boxed areas. If None or not applicable, state None or N/A.
The completed application form should be E-mailed to dcaaw@gov.bm.
The forms for the application of a Class Six Radio License may be obtained from the Regulatory Authority
bm
(Tel: +1 441 405 6000)
1
AIRCRAFT DETAILS
Current or Allocated
All Previous (where known)
Registration Marks
Last State of Registry
Manufacturer of Aircraft
Type Designation and Series
Serial No.
Country of Manufacture
Year of Manufacture
New or Used
Engine(s) (See Note 1)
Auxiliary Power Unit
Propeller(s)(Hub and Blade)
(See Note 2)
Maximum Take-off Weight
(kg)
Maximum Number of Seats
Installed (inc. crew)
2
TYPE OF OPERATION C OF
Commercial Air Transport
Private
A REQUIRED FOR:
The Bermuda Approved OTAR 39 CAMO that manages the continued airworthiness
3
RECOMMENDATION FOR C
of the aircraft must submit a Recommendation for a Certificate of Airworthiness using
OF A (FORM AW-201(I))
BDCA Form AW-201(I).
CAMO Name:
BDCA Approval Reference:
Date Approval Expires:
*Copy of the agreement between the CAMO and Operator should be attached with
this application
4
MAINTENANCE
PROGRAMME DETAILS
(See Note 3)
ICAO Noise Certification Standard:
5
NOISE CERTIFICATION
(See Note 4)
*Form AW-268 shall be completed and submitted along with this application
Airframe:
6
TYPE CERTIFICATE AND
TYPE CERTIFICATE DATA
Engine:
SHEET (See Note 5)
Propeller:
Page 1 of 3
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