Fillable Application for Exemption from AN(OT)O or Deviation from (Bermuda Civil Aviation Authority)

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Application for Exemption from AN(OT)O or Deviation from (Bermuda Civil Aviation Authority)

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Country of origin: UK
File type: PDF

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bcaa.bm1
Application for Exemption from AN(OT)O or
Deviation from OTAR
Applicant Name: ____________________________________________________________________
E-mail: ___________________________________ Telephone: _____________________________
Entity Type: Operator and Name: _______________________________________________________
Aircraft Reg Mark (If applicable): ___________________ Aircraft Serial No (If applicable):_________________
Aircraft Type and Model (If Applicable): _____________________________________________________
Repeat Request: ___Yes ___No
Date:______________________
Nature of requested Exemption or Deviation:
Enter brief details here
AN(OT)O or OTAR Regulation requiring exemption/deviation reference:
Enter reference here
Details of mitigation/controls established to maintain an equivalent level of safety:
Enter brief details here
Form:
BCAA/SO/003
Revision Date:
13-MAR-2021
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Application for Exemption from AN(OT)O or Deviation from (Bermuda Civil Aviation Authority)

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Completed 22 July 2021

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