017-major-repairs-and-alterations-record

gaca_gov_sa · form · processed · 1 chunks

document_type=form entity=format:application/pdf entity=language:ar language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=aircraft_certification validity=valid validity_confidence=0.6

GACA
الهييه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
MAJOR REPAIRS / ALTERATIONS RECORD
<table><tr><td colspan="9">AIRCRAFT INFORMATION</td></tr><tr><td>□ Major Repairs</td><td rowspan="2" colspan="2"></td><td rowspan="2">□ Aircraft</td><td colspan="2">□ Engine</td><td>□ Propeller</td><td rowspan="2">□ Appliance</td><td rowspan="2">□ APU</td></tr><tr><td>□ Major Alterations</td><td colspan="2">No.</td><td>No.</td></tr><tr><td>Registration Mark</td><td></td><td>Make</td><td colspan="2"></td><td colspan="2"></td><td></td><td></td></tr><tr><td>Total Hours</td><td></td><td>Model</td><td colspan="2"></td><td colspan="2"></td><td></td><td></td></tr><tr><td>Total cycles</td><td></td><td>Serial No.</td><td colspan="2"></td><td colspan="2"></td><td></td><td></td></tr></table>
AIRWORTHINESS DIRECTIVE COMPLIANCE LIST
<table><tr><td rowspan="2">Description</td><td rowspan="2">Completion Date</td><td rowspan="2">Approved Date</td><td colspan="2">Performed By</td><td rowspan="2">Remarks</td></tr><tr><td>Manufacturer</td><td>AMO</td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>-</td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td>-</td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>-</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td>-</td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>
<table><tr><td colspan="5">AUTHORIZED PERSON</td></tr><tr><td>Name</td><td></td><td>Title</td><td>Date</td><td>Signature</td></tr><tr><td></td><td></td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AIR-F017
Rev: 6, Date: 13 Apr 25
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