Civil Aviation Agency

under the Ministry of Transport of the Republic of Uzbekistan

Issuing a non schedule flight permit

Status check

1. Designation of aircraft operator and 3-letter marking on ICAO classification

Designation of aircraft operator:

3-letter marking on ICAO classification:

2. Information about aircraft

Marking code of aircraft (flight number):

Aircraft type on ICAO classification:

Registration mark of aircraft:

Designation of aircraft operator:

Legal address of the aircraft operator:

3. Information about crew

Captain:

Number of crew members:

The nationality of the crew members:

4. Planned flight information

Purpose of flight:

date of execution and flight schedule (UTC) with indication of points of commercial and technical landings (in ICAO codes), points of enter/ exit out of airspace of the Republic of Uzbekistan and calculation time:

1. flight schedule

Departure date:

Departure aerodrome (four-letter aerodrome code according to the ICAO system):

Landing date and time (UTC):

Landing aerodrome (four-letter aerodrome code according to the ICAO system):

Departure date:

Departure aerodrome (four-letter aerodrome code according to the ICAO system):

Landing date and time (UTC):

Landing aerodrome (four-letter aerodrome code according to the ICAO system):

Point of entry into the airspace of the Republic of Uzbekistan:

Point (point) of exit from the airspace of the Republic of Uzbekistan:

Number of passengers:

Passenger status:

Passenger list:

The nationality of the passengers:

List of freight:

The nature of the cargo:

The charterer:

The address of the charterer:

Host party in the territory of the Republic of Uzbekistan (props):

Consignor (props):

Consignee (props):

Presence aboard arms and ammunition:

Yes

5. Form of payment for air navigation services in airspace of the Republic of Uzbekistan with indication of payer’s address, bank account, telephones and fax

The address of the payer:

Payer`s bank details:

Payer`s phone number:

Payer`s fax number:

6. The data for providing feedback to the applicant

Applicant`s e-mail address:

Applicant`s phone number:

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