Federal Public Service Mobility and Transport
Belgian Civil Aviation Authority
Company Approvals Directorate –Operations Department
APPLICATION FORM – VARIATION AIR OPERATOR CERTIFICATE (AOC)
(ADDITIONAL AEROPLANE OF AN ALREADY OPERATED AEROPLANE TYPE)
This application form must be in possession of the Belgian CAA at least 10 days before the intended date of
beginning of the commercial operations.
A1
Operator official name
________________________________________________________
Address (registered office) ________________________________________________________
Post code and town
________________________________________________________
Telephone number
________________________________________________________
Telefax number
________________________________________________________
A2
Inscription of the aeroplane in the fleet list of Operations Manual Part A **
A3
Determination of the dry operating weight and centre of gravity : YES / NO /
identical to others *
A4
Cabin layout with type and location of safety equipment on board : YES / NO / identical to others *
A5
Differences in aeroplane equipment covered by differences and familiarisation training for crews :
YES / NO /
identical to others *
A6
Minimum Equipment List adapted if affected by new aeroplane : YES / NO /
Not applicable *
A7
A sufficient amount of flight and cabin crews exists to operate the aeroplane : YES / NO *
B1
Changes in Operator's Maintenance Management Exposition : YES / NO /
Not applicable *
B2
Aeroplane included in the operator aeroplane maintenance programme : YES / NO *
OPS Procedures
Form 1120 issued 20/01/2006
Page 1/2
B3
Copy of the Belgian certificate of registration
B4
Copy of the Belgian certificate of airworthiness
C1
-
MTOW (in kg) of aircraft(see annex Certificate of airworthiness) :
-
Proof of payement of the operation's fee (Royal Decree 14/02/2001 Art.10 & 18.).
Date of signature :
Signature of Accountable Manager :
Number of attached annexes :
*
**
= Delete accordingly
= The documents expositions and manuals to be annexed must be conform to IL/OPS, all
CIR/OPS, all CIR/AIRW, all CIR/LIC, all CIR/TRNG, all CIR/EQUIP.
OPS Procedures
Form 1120 issued 20/01/2006
Page 2/2