Appendix V
Maintenance Organisation Approval referred to in Annex I (Part-M) Subpart F
Page 1 of 2 [MEMBER STATE] (*) A Member of the European Union (**)
MAINTENANCE ORGANISATION APPROVAL CERTIFICATE
Reference: [MEMBER STATE CODE] (*).MF.[XXXX]
Pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council and to Commission Regulation (EC) No 2042/2003 for the time being in force and subject to the condition specified below, the [COMPETENT AUTHORITY OF THE MEMBER STATE (*)] hereby certifies:
[COMPANY NAME AND ADDRESS]
as a maintenance organisation in compliance with Section A, Subpart F of Annex I (Part-M) of Regulation (EC) No 2042/2003, approved to maintain the products, parts and appliances listed in the attached approval schedule and issue related certificates of release to service using the above references.
CONDITIONS:
1.
This approval is limited to that specified in the scope of work section of the approved maintenance organisation manual as referred to in Section A of Subpart F of Annex I (Part-M ), and
2.
This approval requires compliance with the procedures specified in the approved main-tenance organisation manual, and
3.
This approval is valid whilst the approved maintenance organisation remains in com-pliance with Annex I (Part-M) of Regulation (EC) No 2042/2003.
4.
Subject to compliance with the foregoing conditions, this approval shall remain valid for an unlimited duration unless the approval has previously been surrendered, super-seded, suspended or revoked.
Date of original issue: .....................................
Date of this revision: .......................................
Revision No: .....................................................
Signed: ..............................................................
For the competent authority: [COMPETENT AUTHORITY OF THE MEMBER STATE (*)]
EASA Form 3-MF Issue 2
* or EASA if EASA is the competent authority ** Delete for non-EU Member States or EASA
EU 127/2010
PART-M Appendices
EU 127/2010
Page 2 of 2
MAINTENANCE ORGANISATION APPROVAL SCHEDULE Reference: [MEMBER STATE CODE (*)].MF.XXXX Organisation: [COMPANY NAME AND ADDRESS]
CLASS RATING LIMITATION
AIRCRAFT (**) (***) (***)
(***) (***)
ENGINES (**) (***) (***)
(***) (***)
COMPONENTS OTHER (***) (***)
THAN COMPLETE ENGINES OR APUs (**) (***) (***)
(***) (***)
(***) (***)
(***) (***)
(***) (***)
SPECIALISED (***) (***)
SERVICES (**) (***) (***)
This approval is limited to the products, parts and appliances and to the activities specified in the scope of work section of the approved maintenance organisation manual,
Maintenance Organisation Manual reference: .............................................
Date of original issue: ......................................................................................
Date of last revision approved: ..................... Revision No: ...........................
Signed: ...............................................................................................................
For the competent authority:[COMPETENT AUTHORITY OF THE MEMBER STATE (*)]
EASA Form 3-MF Issue 2
* or EASA if EASA is the competent authority ** Delete as appropriate if the organisation is not approved. *** Complete with the appropriate rating and limitation
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