Application for Operational Suitability Data - EASA - Europa：应用适用性数据-和-欧罗巴

1、European Aviation Safety AgencyFormApplication for Operational Suitability Data (OSD)Data protection: Personal data included in this application is processed by EASA pursuant to Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Communit

2、y institutions and bodies and on the free movement of such data. It will be processed solely for the purposes of the performance, management and followup of the Application by the Agency, without prejudice to possible transmission to internal audit services, to the Court of Auditors, to the European

3、 Anti-Fraud Office (OLAF) for the purposes of safeguarding the financial interests of the European Union. The Applicant shall have the right of access to his personal data and the right to rectify any such data that is inaccurate or incomplete. Should the Applicant have any queries concerning the pr

4、ocessing of his personal data, he shall address them to the Agency at the following address: dpo at easa.europa.eu. The Applicant shall have right of recourse at any time to the European Data Protection Supervisor.1. Applicants Reference 1.1 Your ReferencePlease provide a brief, unique identifier th

5、at we will use to refer to your application. Transition from OEB to OSD: please indicate the current ongoing OEB Project N° 2. Applicant Address and Contact Data2.1 Applicant Data 2.1.1 Name and Address (registered (business) name and address/legal seat of the company)Applicant Number3XXXXX(A)D

6、OA Referenceif applicable(Company) NameStreet / NrPost CodeCityCountry2.1.2 Contact Person (responsible for this application)Title Mr MsNameFirst nameJob titlePhone/FaxEmail2.2 Billing Data (may be left blank, if same as 2.1 Applicant Data)2.2.1 Billing Address(for the receipt of EASA Fees & Cha

7、rges invoice/s)(Company) NameSame as in section 2.1.1 (other name only in exceptional cases)Street / NrPO BoxPost CodeCityCountry2.2.2 Contact Person (Financial)Title Mr MsNameFirst nameJob titlePhone/FaxEmail2.3 Shipping Data (may be left blank, if same as 2.1 Applicant Data)2.3.1 Shipping Address

8、(for the shipping of original EASA documents)(Company) NameStreet / NrPO BoxPost CodeCityCountry2.3.2 Contact Person(Shipping)Title Mr MsNameFirst nameJob titlePhone/FaxEmail3. Identification of Activity Initial OSD ApprovalChanges to approved OSDCatch-up evaluationGrandfathering of OEB reports Flig

9、ht Crew MMEL SIM Cabin crew MCS Others: _ Flight Crew MMEL SIM Cabin crew MCS Others: _ Flight Crew MMEL SIM Cabin crew MCS Others: _ Flight Crew MMEL SIM Cabin crew MCS Others: _4. Product Identification4.1 ApplicabilityType Certificate HolderType Certificate NumberType NameModel(s)Variant(s)4.2 Pr

10、oduct Category Large Aeroplane-CS-25 Small Aeroplane-CS-23 (Powered) Sailplane Rotorcraft (Powered) Lift Aircraft Balloon/Airship5. Related certification project/certificate/OEB reports (as applicable)5.1 Is this OSD application linked to an open Type Certification application? NO YES please specify

11、 belowOn-going certification project: please specify the EASA Project N°/application date1 5.2 OEB Report References (only applicable in case of grandfathering)Grandfathering only: I hereby request assistance in the identification of the division of mandatory and non-mandatory OSD data.Flight C

12、rewOEB Report Reference, if applicableMMELOEB Report Reference, if applicableSIMOEB Report Reference, if applicableCabin CrewOEB Report Reference, if applicableMCSOEB Report Reference, if applicableOther type-related operational suitability elementsOEB Report Reference, if applicable6. Operation Sui

13、tability Data Elements6.1 Flight crew21A.15(d)1 - CS-FCD Type rating training Type rating training with credit for commonality or previous experience Differences or familiarisation training Specific certified equipment, operations requiring specific approvals Operation on more than one type or varia

14、nt (proficiency checks, recent experience, line checks, etc.) Recent experience requirements, common take-off and landing credit (CTLC) Other ( please specify details below)Remarks6.2 MMEL 21.A15(d)5 CS-MMELSubsequent revisions included in this application YES NOBase DocumentPurposeScopeRemarks6.3 S

15、IM 21A.15(d)2 CS-SIMD CS-FSTD (SET)Configuration(s)Data package for FFS FTDRemarks Note: For FSTD qualification, the FSTD operator should use FO.FSTD.00129 in case EASA is the competent authority.6.4 Cabin crew 21.A15(d)4 CS-CCD New Type and associated data Variant and associated data Revision to re

16、port ( please specify purpose, scope and related document)PurposeScopeRelated documentRemarks6.5 Maintenance Certifying Staff (MCS) 21.A15(d)32 Min. Syllabus for (specify course title and license category endorsement sought)Course titleLicense category endorsementRemarks6.6 Other type-related operat

17、ional suitability elements21.A15(d)6 Electronic Flight Bag Compliance Check List with Part Part-CAT Subpart D Instrument, Data, Equipment Other: please specifyRemarks7. Applicants declaration and acceptance of the General Conditions and Terms of PaymentI declare that I have the legal capacity to sub

18、mit this application to EASA and that all information provided in this application form is correct and complete.I have understood that I am submitting an application for which fees or charges will be levied by EASA in accordance with Commission Regulation (EC) on the fees and charges levied by the E

19、uropean Aviation Safety Agency, as last amended and available from http:/easa.europa.eu/> Legislation > Fees & Charges. I hereby request an estimation of the fees or charges related to this application (please tick box if applicable). This estimate will be amended if it appears that the ta

20、sk is simpler or can be carried out faster than initially foreseen or, on the contrary, if it is more complex and takes longer to carry out than the Agency could reasonably have foreseen. The estimation is for information purposes and has no binding effect on the Agency or applicant. I am aware that

21、 EASA is to continue the processing of this application only after the estimation has been accepted and, consequently the provision of an estimation will lead to a delayed project start. I acknowledge that I have read and understood the Agencys Terms of Payment (see http:/easa.europa.eu/> Legislation > Fees & Charges>General Conditions and Terms of Payment) and agree to abide by them. I declare to be aware that fees or charges, as well as all relevant travel costs must be paid whether or not the application is successful and that they might not be refundable. Moreover, I declare