Form Ac-Aws007h

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NIGERIA CIVIL AVIATION AUTHORITY

CORPORATE HEADQUARTERS
ABUJA, NIGERIA

FORM: AC-AWS007H
PRE-APPLICATION STATEMENT OF INTENT (PASI)/ APPLICATION FORM
To be completed by an applicant for an Approved Maintenance Organisation (AMO) / Continuing
Airworthiness Management Organisation (CAMO)
Section 1: To be completed by applicant.
1. Name and mailing address of company (include 2. Address of the principal (main)base where
business name if different from company operations will be conducted.
name).
NNAMDI AZIKIWE INTERNATIONAL AIRPORT
BINANI GLOBAL AIR SERVICES ABUJA
No.24 MEDITERRANEAN STREET MAITAMA ABUJA
3. Proposed Start-up Date:

4. Management and Key Staff Personnel.


Name Title. Telephone (include mobile) & address (if different
(Surname/First/Middle). from company) include country code.

5. Proposed type of Approved Maintenance Organisation Scope of Approval and Rating(s).Nig.


CAR 6.2.1.12 and 6.2.1.13 (Tick as many as applicable)
Aircraft Maintenance Engine Maintenance Components Maintenance Specialised Maintenance
Large Aeroplane Turbine Indicate ATA Composite material
Small Aeroplane Reciprocating Chapter below Surface treatment
Helicopter Electrical NDT
Others Welding
Others

6. Proposed Scope of Approval and Ratings Details for: Aircraft and engines make and models, ATA chapters and
type of specialized maintenance

Scope and Limitation of Ratings applied for:


...............................................................................................................................................................
LINE AND BASE MAINTENANCE – EMB 170
...............................................................................................................................................................
LINE AND BASE MAINTENANCE – HS 125 800XP
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
...............................................................................................................................................................
Scope and Limitation of Specialised Services applied for:
NDT
...............................................................................................................................................................
WHEELS & BRAKES OVERHAUL
...............................................................................................................................................................
BATTERY CAP TEST/OVERHAUL
...............................................................................................................................................................

10th Apr., 2023 Form AC-AWS007H Page 1 of 2


7. Additional information that provides a better understanding of the proposed operation or business
(Attach additional sheets, if necessary).

8. The statement and information contained on this form denotes an intention to apply for an AMO / CAMO Approval Certificate.
Signature. Date (day/month/year). Name and Title (Block Letters).

Section 2. To be completed by the Director, Airworthiness Standards.


Received by (Name and Office): Date received (day/month/year).

Remarks:

Section 3. To be completed by the Assigned Certification, Project Manager (CPM).


Received by: Date (day/month/year):

Assigned Certification Number:

Assigned ASI(s): Date:

Remarks:

10th Apr., 2023 Form AC-AWS007H Page 2 of 2

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