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019-selection-of-inspection-program

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document_type=form entity=format:application/pdf entity=language:ar language=en taxonomy_l1=transport taxonomy_l2=aviation taxonomy_l3=gacars validity=valid validity_confidence=0.6
GACA
الطبيه العامه للطيران المدني
General Authority of Civil Aviation
[Non-Text]
SELECTION OF INSPECTION PROGRAM
TO COMPLY WITH GACAR § 91.449
<table><tr><td colspan="4">REGISTERED OWNER/OPERATOR</td></tr><tr><td>Name</td><td></td><td colspan="2">Address</td></tr><tr><td colspan="4"></td></tr><tr><td colspan="4">AIRCRAFT</td></tr><tr><td>Registration Mark</td><td></td><td colspan="2">Make/Model</td></tr><tr><td></td><td></td><td colspan="2"></td></tr><tr><td>Year Manufactured</td><td></td><td colspan="2">MTOM (Kg)</td></tr><tr><td></td><td></td><td colspan="2"></td></tr><tr><td colspan="4">AIRCRAFT NORMALLY BASED AT</td></tr><tr><td colspan="4"></td></tr><tr><td colspan="4">PERSON / COMPANY PERFORMING THE INSPECTION</td></tr><tr><td>Name</td><td></td><td colspan="2">Registration No.</td></tr><tr><td></td><td></td><td colspan="2"></td></tr><tr><td>Address</td><td></td><td colspan="2">Telephone No.</td></tr><tr><td></td><td></td><td colspan="2"></td></tr><tr><td>Email</td><td></td><td colspan="2">Fax No.</td></tr><tr><td></td><td></td><td colspan="2"></td></tr><tr><td colspan="4">INSPECTION PROGRAM SELECTED</td></tr><tr><td colspan="4">Large Airplane (More Than 12 500 Pounds (5700 Kg), Turbojet Multi-Engine Airplane, Turbo Propeller Powered Multi-Engine Airplane, And Turbine-Powered Rotorcraft.Inspection Program Selected:☐ GACAR § 91.449 (f) (1) R☐ GACAR § 91.449 (f) (2) OR☐ GACAR § 91.449 (f) (3) OR☐ GACAR § 91.449 (f) (4)NOTE: The Owner / Operator of Turbine-Powered Rotorcraft May Elect to Use the Inspection Provisions of GACAR § 91.449 (A), (B), (C) Or (D) In Lieu Of An Inspection Option of GACAR § 91.449 (F).</td></tr><tr><td colspan="4">☐ Other Airplane (Complying with Applicable GACAR § 91.449 Requirements).</td></tr><tr><td colspan="4">AIRCRAFT OWNER / OPERATOR OR AUTHORIZED REPRESENTATIVE</td></tr><tr><td>Name</td><td>Title</td><td>Signature</td><td>Date</td></tr><tr><td></td><td></td><td></td><td></td></tr></table>
GACA-AVSES-AIR-F019
Rev: 6, Date: 20 Apr 25
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