Fillable Form 9000: APPLICATION FOR AN AIR OPERATOR'S PRELIMINARY (Bermuda Civil Aviation Authority)

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Form 9000: APPLICATION FOR AN AIR OPERATOR'S PRELIMINARY (Bermuda Civil Aviation Authority)

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The Form 9000: APPLICATION FOR AN AIR OPERATOR'S PRELIMINARY (Bermuda Civil Aviation Authority) form is 2 pages long and contains:

  • 1 signature
  • 19 check-boxes
  • 40 other fields

Country of origin: UK
File type: PDF

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bcaa.bm
1
Form
No.:
9000
Last
Updated:
11 Feb 2019
PRELIMINARY INFORMATION RELATED TO AN
APPLICATION FOR AN AIR OPERATOR'S
CERTIFICATE ISSUED IN ACCORDANCE WITH
OTAR PART 119 & 121
Prospective Operator’s Pre-assessment Statement (POPS)
(To be completed by Air Operators or Approved Maintenance Organisation)
Section 1A. To be completed by all applicants
1. Name and mailing address of company
(include business name if different from
company name)
2. Address of the principal (main) base where
operations will be conducted, include address of
secondary base of operation, if appropriate (do
not use a post office box)
3. Proposed Start-up Date:
4. Requested company identifier in order of preference
1. 2. 3.
5. Management and Key Staff Personnel
Name (Surname)
(First Name/s)
Title
Section 1B. To be completed by Air Operator and/or Approved Maintenance Organisation
6.
Air Operator intends to perform its maintenance as a AMO (Complete Block 7 & 8)
Air Operator intends to seek approval as a Continued Airworthiness Maintenance Organisation (CAMO)
Air Operator intends to arrange for maintenance and inspections of aircraft and associated equipment to
be performed by others (Complete Blocks 7 & 11)
Air Operator intends to perform maintenance under an equivalent system (Complete Blocks 7 & 11)
Approved Maintenance Organisation (Complete Block 8)
7. Proposed type of operation
(Check as many as applicable)
8. Proposed type of Approved Maintenance Organisation
Rating(s)
Air Operator Certificate – Part 8/9
Passengers and Cargo
Cargo Only
Scheduled Operations
Charter Flight Operations
Approved Maintenance Organisation
Airframe Computers
Powerplant Instrument
Propeller Accessory
Avionics Specialised Service
bcaa.bm
2
Form
No.:
9000
Last
Updated:
11 Feb 2019
Section 1C. Blocks 9 and 10 to be completed by Air Operator
9. Aircraft Data (For foreign registered
aircraft, please provide a copy of the lease
agreement)
10. Geographic areas of intended operations and
proposed route structure
Numbers and types of aircraft
(by make, model, and series)
Number of
passengers’ seats
or cargo payload
capacity
Section 1D. To be completed by all applicants
11. Additional information that provides a better understanding of the proposed operation or
business (Attach additional sheets, if necessary)
12. Proposed Training (Aircraft and/or Simulator, Ground Training)
13. The statement and information contained on this form denotes an intent to apply for a
Bermuda Civil Aviation Authority (BCAA) certificate.
Type of Organisation:
Signature
Date (day/month/year)
Name and Title
Section 2. To be completed by the BCAA Official
Received by (Name and Office):
Date forwarded to BCAA (day/month/year)
Action
Remarks:
Section 3. To be completed by the Office of the Director of BCAA
Received by:
Pre-application Number:
Date (day/month/year):
Assigned Certification Number:
Local office assigned responsibility:
Date forwarded to local office:
(day/month/year)
Remarks:
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Form 9000: APPLICATION FOR AN AIR OPERATOR'S PRELIMINARY (Bermuda Civil Aviation Authority)

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Completed 22 July 2021

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