APPLICATION FORM


To be completed by chief pilot or director of flight operations.
If "managed" aircraft, provide copy of contract/agreement between owner and operator.
Provide copy of FAA Part 135 Certificate number
Part 91 Cerficate number
 
Name of Applicant
Applicant Address
Applicant City
Applicant State
Applicant Zip Code
 
Name of Operator (if other than Applicant)
Operator Address
Operator City
Operator State
Operator Zip Code
 
Years in business
Telephone number
Alt. telephone
Email
 
Name of person who arranges charter
Telephone
Email
 
Flight Safety Foundation member?Yes No
NBAA member?Yes No
Does flight operations manual of Applicant/Operator conform with NBAA guidelines?Yes No
 
ARG/US RATING
WYVERN RATING
 
Aircraft Information
 
Year, Make, Model FAA No. No. of Seats
Pass./Crew		 Insured Value Estimated Annual
Flight Hours		 Hangered?
Pass.Crew part 91part 135
1.
2.
3.
4.
5.
 
Home Airport
Runway length
Explain
Published Precision Instrument Approach?  Yes No
Are jet aircraft equipped with thrust reversers?  Yes No
Are aircraft flown for hire?  Yes No
Has any aircraft been modified?  Yes No
Average load factors:    Aircraft #1   #2   #3   #4   #5
 
Geographic areas aircraft usually operated within
International operations?Yes No
Any use of non-owned aircraft?Yes No
Explain
Has Applicant or Operator had any accidents or incidents?Yes No
Explain
 
Chief pilot
Director of Flight Operations
Director of Flight Maintenance
 
Service Start Date
 
Application Date
Name
Title
Company website
Contact email
Verify email
 


THANK YOU FOR COMPLETING THE APPLICATION

** a company representative will contact you as soon as possible