gaca_gov_sa · regulation · processed · 1 chunks
GACA العلنيه العامه للطيران المدني General Authority of Civil Aviation [Non-Text] STATEMENT OF REGULATIONS COMPLIANCE OF (GACAR PART 138) <table><tr><td>No</td><td colspan="2">Data Description</td><td colspan="2">Information(Information to be filled with by the Applicant)</td></tr><tr><td>1.0</td><td colspan="2">DETAILS OF APPLICANT/OPERATOR/OWNER</td><td colspan="2"></td></tr><tr><td>1.1</td><td colspan="2">Full name of Applicant/Heliport Operator</td><td colspan="2"></td></tr><tr><td>1.2</td><td colspan="2">Address of Applicant/Heliport Operator</td><td colspan="2"></td></tr><tr><td>1.3</td><td colspan="2">Name and Location of the Heliport</td><td colspan="2"></td></tr><tr><td rowspan="2">1.4</td><td rowspan="2" colspan="2">Telephone and Email of Applicant/Heliport Operator/Focal Point</td><td>Tel/Mobile</td><td></td></tr><tr><td>Email</td><td></td></tr><tr><td rowspan="2">1.5</td><td rowspan="2" colspan="2">Telephone and Email of Accountable Executive</td><td>Tel/Mobile</td><td></td></tr><tr><td>Email</td><td></td></tr></table> <table><tr><td>No</td><td>GACAR Reference</td><td>GACAR Part 138 Description</td><td>Statement Of Compliance</td><td>Tick Mark (X) (1) Or (2)</td></tr><tr><td>1</td><td>GACAR 138 (Compliance)</td><td>GACAR 138 Sub Part A, B, C, D, E, F, G, H, I, J, K, L and Appendix from A to N.</td><td>We hereby certify that we have read all provisions and requirements of GACAR Part 138 and its Subparts and Appendices. This heliport complies with all the applicable regulations of GACAR Part 138. or</td><td></td></tr><tr><td>2</td><td>GACAR 138 (Non-Compliance)</td><td>GACAR 138 Sub Part A, B, C, D, E, F, G, H, I, J, K, L and Appendix from A to N.</td><td>We hereby certify that we have read all provisions and requirements of GACAR Part 138 and its Subparts and Appendices. There are some non-compliances of the regulations, and the list of all such non-compliances with mitigation measures, residual risk assessment and corrective action plan are provided in List of Non-Compliances of GACAR Part 138 (Form: ASD-138-103) as attached.</td><td></td></tr><tr><td colspan="5">We hereby certify that the forgoing information are correct in every respect and no relevant information has been withheld.</td></tr><tr><td colspan="3">Applicant/Accountable Executive Name</td><td colspan="2">Signature</td></tr><tr><td colspan="3"></td><td colspan="2"></td></tr><tr><td colspan="3">Position</td><td colspan="2">Date</td></tr><tr><td colspan="3"></td><td colspan="2"></td></tr></table> GACA-AVSES-AGA-F029 Rev: 3, Date: 24 Aug 25 Page 1 of 1