PAKISTAN

CIVIL AVIATION AUTHORITY

CAAF-119-AWRG-3.0
APPLICATION FOR RENEWAL OF CERTIFICATE OF
AIRWORTHINESS
AIRWORTHINESS DIRECTORATE
THIS FORM SHALL BE FILLED ON SCREEN THEN PRINTED, SIGNED AND SUBMITTED AS INSTRUCTED

1. APPLICANT’S DETAILS ( OWNER / OPERATOR / AUTHORISED DESIGNEE): (tick appropriate)

Name: Nationality: CNIC/ Passport No.

Phone: Email:
Contact Details:
Address:

2. AIRCRAFT DETAILS:

Aircraft Registration Mark AP - __ __ __ C of A Expiry Date

Aircraft Manufacturer Country of Manufacturer

Aircraft Type & Model MSN Manufacture Year

No. of Seats (excluding crew)

Aircraft Total Hours Flight hours: Flight cycles:

MTOW (in Kg) Empty Weight (Kg) Landing Weight (in Kg)

3. POWERPLANT DETAILS:
No. of Engines Engine Type /Model Manufacturer

Engine Category Piston Turboprop Turbofan Turbo-shaft

4. PROPELLER DETAILS: (if any)

Propeller Manufacturer No. of Blades Model

Fixed Pitch Variable Pitch Constant Speed

Propeller Type
Full-feathering Ground Adjustable Pitch Other (specify)

5. MASS & BALANCE OF AIRCRAFT:

Last weighed on Valid till

6. AVAILABILITY OF AIRCRAFT FOR INSPECTION: (mention your preference)

We wish inspection of documents on 1. DD / MM / YYYY 2. DD / MM / YYYY 3. DD / MM /YYYY Venue

We wish inspection of aircraft on 1. DD / MM / YYYY 2. DD / MM / YYYY 3. DD / MM /YYYY Venue

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7. CHECKLIST FOR APPLICATION:
Attached At Inspection
Airworthiness Directive/ mandatory modification records

All maintenance records and logbooks

Weight and balance report

Flight test/ performance evaluation report of the aircraft (if applicable)

8. MANDATORY DECLARATIONS:

1. 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.
2. I hereby certify that all statements in this application are true and correct in every particular and that I have read and
understood all provisions of the Civil Aviation Rules 1994.
3. I authorize PCAA to deduct required fee from, my advance account of Category-A /OR receipt attached.

Signature: ___________________ Date: ______________ Official stamp: _____________________

9. FOR USE IN AIRWORTHINESS FIELD OFFICE: (to be filled by evaluating officer)

Reference Minute: Recommended Not-Recommended

For the duration of __________ months w.e.f _________________. I have also updated COA validity of aircraft in
Airworthiness Management System (AMS).

Signature: ___________________ Date: ______________ Official stamp: _____________________

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