Form No: Civil Aviation Authority of Sri Lanka Pilotless ... · only when you are registering a...

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Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 1 of 4 (To be submitted to the Director General of Civil Aviation via Postal address; Civil Aviation Authority of Sri Lanka No 152/1, Minuwangoda Road, Katunayaka (Fax +94 11 2257154 or email [email protected], [email protected]) < Add Pages if space inadequate> Registration Type Choose leisure/educational or business registration based on how you will be operating your drone. A. Registration Information a) Name of the Owner Name with Initials Name in Full Company Name b) Email address c) Phone number Operating for leisure or educational purposes Yes No Operating for Commercial, government or non-leisure or non-educational purposes Yes No Pilotless Aircraft Registration Form (Unmanned Aerial Vehicle / Remotely Piloted Aircraft/ Drone / Quadcopter etc.) Form No: CAA/AS/019 Civil Aviation Authority of Sri Lanka CAASL/DR/ For Office use only LO FO Application form shall be filled using English Block Capitals. National Identity Card No (Example: 820991171V/1982 945 0 1212) Passport No (If not a Sri Lankan Citizen) Required only when you are registering a pilotless aircraft/drone for business purposes. Use N/A when registering for personal use. Accountable Manager/Person (Name in Full) Mobile no Land line Title (Mr. /Ms. etc.) Date of Birth (DD/MM/YYYY)

Transcript of Form No: Civil Aviation Authority of Sri Lanka Pilotless ... · only when you are registering a...

Page 1: Form No: Civil Aviation Authority of Sri Lanka Pilotless ... · only when you are registering a pilotless aircraft/drone for businesspurposes. Use N/A when registering for personal

Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 1 of 4

(To be submitted to the Director General of Civil Aviation via Postal address; Civil Aviation Authority of Sri Lanka

No 152/1, Minuwangoda Road, Katunayaka (Fax +94 11 2257154 or email [email protected], [email protected]) < Add Pages if space inadequate>

Registration Type

Choose leisure/educational or business registration based on how you will be operating your drone.

A. Registration Information a) Name of the Owner

Name with Initials

Name in Full

Company Name

b) Email address

c) Phone number

Operating for leisure or educational purposes Yes No

Operating for Commercial, government or non-leisure or non-educational purposes Yes No

Pilotless Aircraft Registration Form (Unmanned Aerial Vehicle / Remotely Piloted Aircraft/ Drone / Quadcopter etc.)

Form No: CAA/AS/019 Civil Aviation Authority of Sri Lanka

CAASL/DR/

For Office use only

LO FO

Application form shall be filled using English Block Capitals.

National Identity Card No (Example: 820991171V/1982 945 0 1212) Passport No (If not a Sri Lankan Citizen)

Required only when you are registering a pilotless aircraft/drone for business purposes. Use N/A when registering for personal use.

Accountable Manager/Person (Name in Full)

Mobile no Land line

Title (Mr. /Ms. etc.) Date of Birth (DD/MM/YYYY)

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Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 2 of 4

d) Permanent address

e) Postal address (If Different From Above)

B. Pilotless Aircraft/Drone Information

a) Pilotless Aircraft/Drone Manufacturer

b) Pilotless Aircraft/Drone Model

c) Pilotless Aircraft/Drone Craft Serial Number

d) Pilotless Aircraft/Drone Weight

e) Diagonal Size (excluding propellers)

f) (i) Max Ascent speed (ii) Max Descent speed

City

Province / State

Zip/Postal Code Country

City

Province / State

Zip/Postal Code Country

Example. DJI, Parrot, etc.

Example. Phantom 4 Pro, Phantom 3, Mavic Pro etc.

Example. P5AUDJ430101CF, 07DJD7A0C10889 Serial Number (S/N) can usually be found on or inside battery compartment or drone box.

Weight (Including battery & Propellers) Weight (excluding battery)

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Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 3 of 4

g) (i) Hover Accuracy – Vertical (ii) Hover Accuracy – Horizontal

h) Max speed i) Max service ceiling above sea level

j) Max flight time k) GPS mode

l) Battery

i. Capacity

ii. Voltage

iii. Battery type

iv. Energy

v. Net weight

vi. Operating temperature

vii. Max charging power

m) Remote controller

i. Operating frequency

ii. Max transmission distance

iii. Operating temperature

iv. Battery

v. Transmitter power (EIRP)

vi. Operating voltage

n) Camera

1. Not available 2. Available Built-in 3. Available Detachable

Complete below except when above 1 is ticked off

i. Sensor

ii. Lens (FOV)

iii. Gimbal (Controllable Range)

iv. Operating Temperature

v. SD Card

vi. Wi-Fi FPV

vii. Night Vision

viii. Body Sensing

C. Pilotless Aircraft/Drone Purchase Information

Retailer Name

Date of Purchase

Details of the Import/Purchase i. Merchant/Shipper ii. Purchaser/Consignee iii. Purchased Date

iv. Imported/Cleared Date

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Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 4 of 4

D. Personal & Proficiency information of the pilotless aircraft operator

Personal Information i. Name in Full

ii. Nationality iii. Date of Birth iv. NIC Number/Passport No v. Gender vi. Postal address vii. Telephone/ Fax viii. e-mail

Proficiency/Qualifications/Experience

i ii iii iv v vi vii viii

Date Signature of the Applicant

Photograph of your Drone (Front view) Photograph of your Drone Craft Serial No