Company:
Contact Name:
Address:
 
City:
State/Province: Zip/Postal Code:
Country:
Telephone:
Fax (required):
E-mail (required):

Aircraft Make and Model:
Aircraft Serial Number:
Aircraft Registration:
Aircraft Color:

Navigation Systems -

Qty/Manufacturer

Model Number

Type of Equipment


Communication Systems -

Qty/Manufacturer

Model Number

Type of Equipment


Other Communications Information:

8.33 Radios  TCAS Change 7  HF


Requested Areas of Operation (check all that apply):

North Atlantic MNPS  Reduced Vertical Separation Minimum (RVSM) Required Navigation Performance 10 (RNP-10) for Oceanic/Remote Areas

 


NOTE: Copies of the following documentation are required for all approvals:
Standard Airworthiness Certificate
Valid US Registration  
Logbook Entry for RVSM Eligibility (if applicable)
Excerpt from approved flight manual/flight manual supplement indicating RVSM eligibility
Pilot(s) RVSM Training Certificate(s)

Fax copies to (316)755-0137 or email to MTDahlquist@pilot-international.com

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