Cofa

GOVERNMENT OF INDIA
CIVIL AVIATION DEPARTMENT

Application for Renewal of Certificate of Airworthiness
Renewal of Certificate of Airworthiness in respect of VT-
Certificate of
Certificate of Airworthiness expiry date
Airworthiness No.
Section 1: Particulars of Applicant
Name of applicant (in full)
Address
Name of approved organization/licensed

aircraft maintenance personnel with whom
aircraft is available for inspection
Address
Section 2: Aircraft Specifications
Type Serial No. Total Hours

Flight Hours Landings
Aircraft
Components Type Serial No. Flight Hours since O/H Date of last O/H
Engines 1.
2.
3.
4.
Propeller 1.
2.
3.
4.
APU
Section 3: Availability of Aircraft for Inspection
We wish inspection of aircraft on one of the following dates: 1. 2. 3.
Section 4: Fees
Particulars of the fee paid
1
Section 5: Supporting Documentation
(Indicate by a √ whether the documents will be available at the time of the inspection of the aircraft or are attached)
At inspection Attached
a. Airworthiness Directive/ mandatory modification records
b. Flight Manual
c. All maintenance records and logbooks
d. Weight and balance report
e. Flight test report for avionics systems
f. Flight test/ performance evaluation report of the aircraft
g. C of A renewal schedule compliance report
Section 6: Certificates attached

(Indicate by a √ whether the documents have been attached)
Yes No
a. Certificate signed by Manager Quality/ Quality Control Manager
b. Certificate that all applicable CARs have been complied with.
c. Certificate that Flight manual is current.
Certificate that the Radio, Communication, Navigation and Radar

equipment on board have been checked for performance by a
d.
representative of the Director General of Civil Aviation and that a
valid Aeromobile Station licence is available.
Section 7: Declaration
I hereby declare that the particulars entered on this application is accurate in every respect and that all the
requirements of the approved maintenance schedule, appropriate mandatory modifications/ Airworthiness
Directives (or equivalent notices) and special inspections have been complied with.
Date of application Signature of applicant(s)
2
Certificate to be signed by the Manager Quality/ Quality Control Manager of the AMO/
Operator confirming compliance and adherence in respect of the following items.
1. Certification by Manager Quality / Quality Control Manager of the AMO/ Operator.
2. All Airworthiness Directives and Alert bulletins have been complied.
3. All mandatory modifications/inspections due have been complied with.
4. All Mandatory Service Bulletins have been complied with when due.
5. All maintenance requirements specified by the manufacturers of Aircraft, Engine,

propeller and its system components/ equipment have been complied.
6. All major repairs and overhauls (of aircraft components) if any, have been
properly carried out and certified by appropriately licenced/ approved persons.
7. All inspection/modifications/repairs enumerated in Supplemental Structural

Inspection Document (SSID) have been complied with, when due. (if applicable).
8. All inspection/modifications/repairs enumerated in the Corrosion Prevention and

Control Programme (CPCP) has been complied with, when due. (if applicable)
9. Defects experienced during the preceding year have been recorded and
appropriate rectification action has been taken.
10. Work sheets and Log book entries relating to inspections carried out, list of
components with remaining life, Mandatory modification/Inspection list etc have
been completed and signed by appropriately licenced or approved persons.
11. All materials/ parts/ components used are from approved sources.
12. All components installed on aircraft are within the stipulated life.
13. It is confirmed that the aircraft flight manual is up to date.
14. The Operation’s Department have reported after a test flight / assessment of
flight performance monitoring records that the aircraft's actual performance,
evaluated in relation to the required performance is satisfactory and the radio
navigation, communication equipment and weather radar are satisfactorily
functioning throughout their operational range satisfactorily
15. The aircraft is airworthy in all respect and is in a condition for safe operation.
16. All other requirements of applicable CARs have been complied with.
***

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GOVERNMENT OF INDIA

CIVIL AVIATION DEPARTMENT

Section 1: Particulars of Applicant

Name of applicant (in full)

Name of approved organization/licensed

Section 2: Aircraft Specifications

Type Serial No. Total Hours

Section 3: Availability of Aircraft for Inspection

We wish inspection of aircraft on one of the following dates: 1. 2. 3.

Particulars of the fee paid

a. Airworthiness Directive/ mandatory modification records

c. All maintenance records and logbooks

d. Weight and balance report

e. Flight test report for avionics systems

f. Flight test/ performance evaluation report of the aircraft

g. C of A renewal schedule compliance report

Section 6: Certificates attached

a. Certificate signed by Manager Quality/ Quality Control Manager

b. Certificate that all applicable CARs have been complied with.

c. Certificate that Flight manual is current.

Certificate that the Radio, Communication, Navigation and Radar

Date of application Signature of applicant(s)

1. Certification by Manager Quality / Quality Control Manager of the AMO/ Operator.

2. All Airworthiness Directives and Alert bulletins have been complied.

3. All mandatory modifications/inspections due have been complied with.

5. All maintenance requirements specified by the manufacturers of Aircraft, Engine,

7. All inspection/modifications/repairs enumerated in Supplemental Structural

8. All inspection/modifications/repairs enumerated in the Corrosion Prevention and

13. It is confirmed that the aircraft flight manual is up to date.

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