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1 Registered name of applicant Organisation or individual

2 Trading name if different from above

3 Company Registration number

4 OTAR Part 145 approval reference No.

5 Approval No/s of foreign approval/s held i.e. EASA, FAA, TCCA, (If applicable)

Validity

Scope of Approval (aircraft types)

6 Changes relevant to existing approval (if any)

(Accountable manager, senior persons, scope of maintenance ratings, locations for conducting maintenance, procedures for authorising persons to certify maintenance etc)

7 Address of site approved

8 Other sites

Air Safety Support International

Application for the renewal of an OTAR Part 145 Maintenance Organisation Approval

Organisation details

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Personnel details

9 Name and contact details of person responsible for administering this application (Principle point of contact)

Telephone: Fax: E-mail:

10 Name of Accountable Manager

11 Names and position/s of all management and senior staff

Name: Date:

OTAA use only