Aircraft Request form
Operator Name
|
Contact Name
|
Telephone Number
|
Email Address
|
Best way of contact
|
Basic Aircraft Data
Fuel
Registration (Tail no.)
|
|
lbs/kg
Max Fuel Capacity
Engine Type
|
|
lbs/kg
Taxi Fuel
Aircraft Type
|
|
lbs/kg
APU Burn/Hr (ETOPS ONLY)
Reserve Policies
Series
|
Serial no.
Final Reserve Fuel (Holding)
30min
45min
|
|
Units
LBS
KGS
Or fixed amount to be used _______________________lbs/kg
Flight plan according to EASA
|
YES
NO
|
% minimum
lbs/kg
Contingency Fuel
|
Airplane ETOPS certified
YES
NO
Minimum alternate fuel
|
lbs/kg
Minimum RWY length
Dest. approach fuel
|
ft
|
lbs/kg
Maximum operating altitude
|
FL: _________
Alt. approach fuel
|
lbs/kg
Maximum PAX seating
|
PAX
Company extra fuel
|
lbs/kg
Aircraft Weights
Speed schedules
PAX weights
Climb profile
|
|Male:
Female:
Child:
(If empty we use standard
Cruise profile 1 (Default)
|
|Infant:
Adult:
Std. Lugg:
EASA-OPS weights)
Cruise profile 2
|
Max Ramp (MRM)
|
lbs/kg
Cruise profile 3
|
Max Take-Off (MTOM)
|
lbs/kg
Descend profile
Max Landing (MLM)
|
|
lbs/kg
Holding profile
|
Max Zero Fuel (MZFM) |
lbs/kg
DOM - Config 1 - Name: __________ |
lbs/kg
ETOPS data
DOM - Config 2 - Name: __________ |
lbs/kg
(Only if you want ETOPS)
|
min
DOM - Config 3 - Name: __________ |
lbs/kg
Single engine Min
Single engine NM
|
NM
Shall PPS make CG and loadsheet calculations?
YES
NO
APU required when flying SE? |
YES
NO
If YES then be sure to attach following documents:
The current weighing report.
Certified decompression altitude? (Maximum) | FL
Flight envelope with fwd and aft limits.
Oxygen available if there was only 1 PAX in the cabin ____min
Load sheet for each configuration you want.
(This number will be divided with the actual number of PAX flying).
FUEL tanks arms and moments.
Is the aircraft certified to operate above FL 450?
YES
NO
ATC information
Please circle, delete or note as required
3-letter Ident or call sign
|
Emergency radio
|
U
V
E
Rules
|
I V Y Z
Survival equipment
|
P D M J
Type of flight
|
S N G M X
Jackets
|
J L F U V
4-letter ICAO a/c type
|
Number of dinghies |
Dinghy cover| Y N
Wake turbolence cat.
|
L
M
H
Dinghy capacity
|
Dinghy color |
Equipment (Item 10a)
|N S A B C D E1 E2 E3 F G H I J1 J2 J3 J4 J5 J6 J7 K L M1 M2 M3 O R T U V W X Y Z
Transponder (Item 10b)
|N A C E H I L P S X B1 B2 U1 U1 V1 V2 D1 G1
Aircraft color
|
Ohter info (Item 18)
| REG /
|RMK /
| SEL /
|
/
PBN
| OPR/
|
/
Additional Comments: