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    Ca Form

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    Deepak Singh
    This Authorised Release Certificate certifies that an AFDC component with part number 822-0006-105 was removed from a serviceable aircraft to be installed on another aircraft. The component was inspected and found to be in condition for safe operation. The last flight of the donor aircraft revealed no faults on the component and the aircraft was not involved in any accidents, incidents, heavy landings or lightning strikes that could affect the component's serviceability. Applicable maintenance checks were performed. Unless otherwise specified, the work was accomplished according to CAR145 regulations and the items are released for service.

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    Ca Form

    Uploaded by

    Deepak Singh
    615 views1 page
    This Authorised Release Certificate certifies that an AFDC component with part number 822-0006-105 was removed from a serviceable aircraft to be installed on another aircraft. The component was inspected and found to be in condition for safe operation. The last flight of the donor aircraft revealed no faults on the component and the aircraft was not involved in any accidents, incidents, heavy landings or lightning strikes that could affect the component's serviceability. Applicable maintenance checks were performed. Unless otherwise specified, the work was accomplished according to CAR145 regulations and the items are released for service.

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    This Authorised Release Certificate certifies that an AFDC component with part number 822-0006-105 was removed from a serviceable aircraft to be installed on another aircraft. The component was inspected and found to be in condition for safe operation. The last flight of the donor aircraft revealed no faults on the component and the aircraft was not involved in any accidents, incidents, heavy landings or lightning strikes that could affect the component's serviceability. Applicable maintenance checks were performed. Unless otherwise specified, the work was accomplished according to CAR145 regulations and the items are released for service.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    615 views1 page

    Ca Form

    Uploaded by

    Deepak Singh
    This Authorised Release Certificate certifies that an AFDC component with part number 822-0006-105 was removed from a serviceable aircraft to be installed on another aircraft. The component was inspected and found to be in condition for safe operation. The last flight of the donor aircraft revealed no faults on the component and the aircraft was not involved in any accidents, incidents, heavy landings or lightning strikes that could affect the component's serviceability. Applicable maintenance checks were performed. Unless otherwise specified, the work was accomplished according to CAR145 regulations and the items are released for service.

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    Form No.:AIESL/FTM/1.

    1/B04 Issue-2, Rev-0, MAY2017

    For Component Transfer

    2. AUTHORISED RELEASE CERTIFICATE 3.Form Tracking Number-


    1. DGCA, India BM-NAG-B- - 19
    (CA FORM 1)
    4. Approved Organisation Name And Address :– 5.Work order/Contract/Invoice

    Air India Engineering Services Limited (AIESL), NAG/VT- ALU /BM/


    113, Gurudwara Rakabganj Road, New Delhi.

    6.Item 7.Description 8.Part No. 9.Qty 10.Serial/Batch No. 11.Status/Work

    AFDC 822-0006-105 01 Inspected

    12. Remarks-
    This is to certify that the component has been removed from serviceable Aircraft (ARC valid) / Engine (VT- ALU / Engine Sr. No- ) to install
    on Aircraft / Engine (VT- ALS / Engine Sr. No- ) and meets the following requirements:
    a) The last flight of the aircraft with the component fitted reveals no faults on that component/ related system and aircraft is not involved in accidents,
    incidents, heavy landing or lightning strikes that could affect the serviceability of the above component.
    b) The aircraft component inspected for condition, damage, corrosion or leakage.
    c) The maintenance task applicable to the component, if any, as per the scheduled maintenance check of the donor aircraft is performed.

    13.a.Certifies that the items Identified above were manufactured in 14.a. CAR.145.A.50 Release to service
    conformity to Other regulations specified in block 12
    □ approved design data and are in condition for safe operation Certifies that unless otherwise specified in block 12 the work identified in block 11
    □ non approved design data as specified in block 12 and described in block 12 was accomplished in accordance with CAR145 and in
    respect to that work the items are considered ready for release to service.

    13.b Authorised Signature 13.c Approval/Authorisation 14. b. Authorised Signature and No. 14.c. Certificate/ Approval Ref
    Number No.: F-APP/AIESL/2820

    13.d Name 13.e Date (dd/mmm/yyyy) 14d.Name 14.e.Date(dd/mmm/yyyy)


    B T PARAMESHWARA 16/APR/2019
    Note: This certificate does not automatically constitute authority to install. Where the user/installer performs work in accordance with regulations of an airworthiness authority different than
    the airworthiness authority specified in block 1, it is essential that user/installer ensures that his/her airworthiness authority accepts items from the airworthiness authority specified in block 1.
    Statements in blocks 13a and 14a do not constitute installation certification. In all cases aircraft maintenance records must contain an installation certification issued in accordance with the
    national regulations by the user/installer before the aircraft may be flown.

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