020-statement-of-conformity

gaca_gov_sa · form · processed · 1 chunks

document_type=form entity=language:ar entity=format:application/pdf 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]
STATEMENT OF CONFORMITY
<table><tr><td colspan="3">AIRCRAFT</td></tr><tr><td>Make</td><td></td><td>Model</td></tr><tr><td></td><td></td><td></td></tr><tr><td>Serial No.</td><td></td><td>Registration Mark</td></tr><tr><td></td><td></td><td></td></tr><tr><td colspan="3">ENGINE</td></tr><tr><td>Make</td><td></td><td>Model</td></tr><tr><td></td><td></td><td></td></tr><tr><td colspan="3">Serial No.</td></tr><tr><td colspan="3"></td></tr><tr><td colspan="3">PROPELLER</td></tr><tr><td>Make</td><td></td><td>Hub Model</td></tr><tr><td></td><td></td><td></td></tr><tr><td>Blade Model</td><td></td><td>Hub Serial No.</td></tr><tr><td></td><td></td><td></td></tr><tr><td colspan="3">Blade Serial No.</td></tr><tr><td colspan="3"></td></tr><tr><td colspan="3">CERTIFICATION</td></tr><tr><td colspan="3">☐ I Hereby Certify That: I Have Complied with GACAR § 21.89(a)</td></tr><tr><td colspan="3">Deviations</td></tr><tr><td colspan="3"></td></tr><tr><td>Certifier&#x27;s Name</td><td></td><td>Title</td></tr><tr><td></td><td></td><td></td></tr><tr><td>Organization</td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr></table>
GACA-AVSES-AIR-F020
Rev: 6, Date: 20 Apr 25
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