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ANNEX IU.K.

Appendix V

List of specific approvals

Non-commercial operations

(subject to the conditions specified in the approval and contained in the operations manual or pilot’s operating handbook)

a

Insertion of name and contact details.

b

Insertion of the associated number.

c

Issue date of the specific approvals (dd-mm-yyyy) and signature of the competent authority representative.

d

Insertion of the Commercial Aviation Safety Team (CAST)/ICAO designation of the aircraft make, model and series, or master series, if a series has been designated (e.g. Boeing-737-3K2 or Boeing-777-232). The CAST/ICAO taxonomy is available at: http://www.intlaviationstandards.org/

The registration marks should be either listed in the List of Specific Approvals or in the operations manual. In the latter case the List of Specific Approvals shall refer to the related page in the operation manual.

e

Specify the type of operation, e.g., agriculture, construction, photography, surveying, observation and patrol, aerial advertisement.

f

List in this column any approved operations, e.g., Dangerous goods, LVO, RVSM, RNP, MNPS.

g

List in this column the most permissive criteria for each approval, e.g. the decision height and RVR minima for CAT II.

Issuing Authoritya:

List of Specific Approvals #b:

Name of Operator:

Datec:

Signature:

Aircraft Model and Registration Marksd:

Types of specialised operation (SPO), if applicable:

e

Specific Approvalsf:SpecificationgRemarks

EASA FORM 140 Issue 1.