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REPUBLIC OF SAN MARINO
CIVIL AVIATION AUTHORITY
TEL: +378 (0549) 941539| FAX: +378 (0549) 970525| EMAIL: registration@smar.aero
FORMAL APPLICATION FOR AIR OPERATOR CERTIFICATE
FORM SM 55 Issue N° 01 01 March 2013
Please complete this form electronically or in block capitals using black ink.
1. APPLICANT DETAILS (Operator)
Name/Trading Name:
Principal Place of Business:
Telephone No.: Email:
2. AIRCRAFT
Manufacturer Type Designation Registration Mark Leased (Yes/No)
T7-‐
T7-‐
T7-‐
3. PROPOSED OPERATION
Geographical areas:
Type of operation: Passenger & Cargo Cargo only Scheduled Charter Specific approvals: RVSM ETOPS MNPS EFB CPDLC 4. KEY MANAGEMENT
Name Title Contact Details
Accountable Manager
Flight Operations Postholder
Maintenance Postholder
Crew Training Postholder
Ground Operations Postholder
Quality Manager
5. APPLICANTS DECLARATION I hereby apply for the grant of an Air Operator Certificate and declare that, to the best of my knowledge and belief, the statements given in this application are true. Position in Company: Date:
Name of Applicant:
Signature of Applicant:
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