1st Extension: The Aircraft has remained in a controlled environment in accordance with point M.A 901 of CAR-M for the last
year. The aircraft is considered to be airworthy at the time of the issue.
Date of issue: …………………………………………………… Date of Expiry ……………………………………….
Signed: ………………………………………………………… Authorisation No ………………………………………
Company Name ……………………………………………… Approval Reference ……………………………………….
2nd Extension: The Aircraft has remained in a controlled environment in accordance with point M.A 901 of CAR-M for the last
year. The aircraft is considered to be airworthy at the time of the issue.
Date of issue: …………………………………………………… Date of Expiry ……………………………………….
Signed: ………………………………………………………… Authorisation No ………………………………………
Company Name ……………………………………………… Approval Reference ……………………………………….
CA Form 15a Rev 0, dated 2nd March, 2010
Section 2 CAR M Appendix III Airworthiness Review certificate
DGCA INDIA
AIRWORTHINESS REVIEW CERTIFICATE ARC reference: ……………………………………….
Pursuant to DGCA Regulations for the time being into force, the following continuing airworthiness management organization, approved in accordance with Section A, Subpart G of CAR M.
[NAME OF THE ORGANISATION APPROVED AND ADDRESS]
Approval Reference: has performed an airworthiness review in accordance with point M.A 710 of CAR-M on the following aircraft. Aircraft Manufacturer:……………………………………………….. Manufacturer’s designation: ………………………………………… Aircraft registration: …………………………………………………. Aircraft Serial number : ……………………………………………….
and this aircraft is considered airworthy at the time of this review.
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