EASA Form 2 PART 145 Approvals



Competent authority: Application for initial grant

European Aviation Safety Agency (EASA) Application for change

Double-click, then check as appropriate

1. Registered name of applicant:

To complete a text box, right click the box, choose ‘TextBox Object>Edit’ then type your response.

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2. Trading name (if different):

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3. Addresses requiring approval:

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4. Tel. [pic] Fax [pic] E-mail(s) [pic]

5. Scope of approval relevant to this application:

Complete page 3 for details. Use Shift+return to start a new line in the text box.

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6. Staff number:

(a). The total number of staff employed by the organisation in order to comply with EASA Part M Subpart F.

(b). The number of contracted staff associated with the proposed approval.

Main Site: Additional site(s):

Please detail all additional sites

a) Employees [pic] a) Employees [pic]

b) Contractors [pic] b) Contractors [pic]

7. Regulation (EC) No. 2042/2003 specifies that an approval may be granted to an organisation which may be either a natural person, a legal entity or part of a legal entity. Would you therefore please include with this application confirmation of the legal status of your organisation and enclose a copy of your Certificate of Incorporation.

Date of Certificate of Incorporation [pic]

8 . Position and name of the (proposed*) Accountable Manager:

* ‘Proposed’ is applicable only in the case of a new Part-M Subpart F Applicant.

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9. Signature of the (proposed*) Accountable Manager:

* ‘Proposed’ is applicable only in the case of a new Part-M Subpart F Applicant

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10. Place [pic] 11. Date [pic]

Note (1) Address to send the application

European Aviation Safety Agency

Postfach 10 12 53

Cologne – Germany

DE-50452

Email: foreignmf@easa.europa.eu

Fax : +49 221 8999 0999

Note (2) on Fees Payable

For detailed information regarding the current fees and charges please refer to the EASA fees and charges Regulation which can be found on the EASA web site easa.europa.eu

In accordance with the current Fees & Charges Regulation applicants and holders of Agency approvals are required to supply a signed certificate from an authorised representative of the organisation concerned regarding the elements detailed below in order for the Agency to be able to determine the corresponding fee category. Please provide the following information

SCOPE OF REQUESTED PART-M Subpart F APPROVAL

|CLASS |RATING |LIMITATION |

|AIRCRAFT |A2 |State aeroplane manufacturer or group or series or type and/or the maintenance task(s) |

| |Aeroplanes | |

| |5700 Kg and below | |

| |A3 Helicopters |State Single engine helicopter manufacturer or group or series or type and/or the |

| | |maintenance task(s) |

| |A4 Aircraft other than A1, A2 |State aircraft series or type and/or the maintenance task(s) |

| |or A3 | |

|ENGINES |B1 Turbine |State engine series or type and/or the maintenance task(s) |

| |B2 Piston |State engine manufacturer or group or series or type and/or the maintenance task(s) |

| |B3 APU |State engine manufacturer or group or series or type and/or the maintenance task(s) |

|COMPONENTS OTHER THAN |C1 Air Cond & Press |State aircraft type or aircraft manufacturer or component manufacturer or the |

|COMPLETE ENGINES OR APUs | |particular component and/or cross refer to a capability list in the maintenance |

| | |organisation manual and/or the maintenance task(s) |

| |C2 Auto Flight | |

| |C3 Comms and Nav | |

| |C4 Doors – Hatches | |

| |C5 Electrical Power & Lights | |

| |C6 Equipment | |

| |C7 Engine – APU | |

| |C8 Flight Controls | |

| |C9 Fuel | |

| |C10 Helicopter –Rotors | |

| |C11 Helicopter –Trans | |

| |C12 Hydraulic Power | |

| |C13 Instruments | |

| |C14 Landing Gear | |

| |C15 Oxygen | |

| |C16 Propellers | |

| |C17 Pneumatic & Vacuum | |

| |C18 Protection ice/rain/fire | |

| |C19 Windows | |

| |C20 Structures | |

| |C21 Water ballast | |

| |C22 Propulsion Augmentation | |

|SPECIALISED |D1 Non Destructive Testing |State particular NDT method(s) |

|SERVICES | | |

End of form

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