Application to Receive French Consignes

APPLICATION TO RECEIVE EMERGENCY AIRWORTHINESS DIRECTIVES DISSEMINATED by OSAC ( Reference = Rule R-00-00) To be returned to: OSAC - Département Navigabilité - Certification 14 Bld des Frères Voisin – 92137 Issy les Moulineaux Cedex Fax: 33 (0) 1 46 42 65 39 E-mail : [email protected]

First application Application up dating

COMPANY NAME: Person to contact: Telephone:

ADDRESS: COUNTRY: AD’s subscription reference: ...... (for lack of such reference, attach a copy of the order)

We want to be put on the addressees list of Emergency Airworthiness Directives issued by the French Authority: - through the following transmission means (e-mail is preferencial, fax number is kept as stby): o e-mail to the following address: ...... o fax to the following fax number: ...... For non European operators (only those which operate aircraft registered in France may apply to receive CNU/EAD’s only by fax): We certify we operate out of France, French registered aircraft the marks of which are: F-...... - for the following products (circle the letters corresponding to the choices): List of the distribution classes of DGAC Emergency AD's (CNU's) and Foreign EAD notices (AEAD) A All small airplanes, engines and propellers: (A) and (AB) diffusion categories B All large airplanes (except I through T), engines (except U and V), and propellers: (B) diffusion category and (AB) diffusion categories C All helicopters (except F, G and H) and helicopter engines (except V) D All gliders, powered gliders and corresponding engines and propellers E All balloons F AIRBUS HELICOPTERS (F): all helicopters G AIRBUS HELICOPTERS DEUTSCHLAND: all helicopters H BELL & AGUSTA: all helicopters I AIRBUS: A300 and A310 airplanes J AIRBUS: A318, A319, A320 and A321 airplanes K AIRBUS: A330 and A340 airplanes L AIRBUS: A380 airplanes M ATR: all airplanes N DASSAULT: all airplanes O BOEING: all airplanes P BOMBARDIER: all airplanes Q DOUGLAS: all airplanes R EMBRAER: all airplanes S FOKKER: all airplanes T SAAB: all airplanes U CFM: all engines V TURBOMECA: all engines W Appliances all aircraft X Class reserved to foreign aeronautical authorities : any CNU issued by DGAC-F either for aircraft listed on annex 2 of EC 216/2008 EASA basic regulation or in accordance with article 14.1 waiver of this regulation or generated by an unsafe condition not related to design approval and with an immediate compliance time. (Note to the operators: such CNUs are also disseminated with the classes here above).

Note: Components will be systematically linked up with one or several aircraft categories according to their nature. We commit ourselves to indicate every modification to our qualifications, details and choices. Date: Signature:

AC 150n Ce document est la propriété de la DGAC. Il ne peut être utilisé, reproduit ou communiqué sans autorisation préalable. 1/1