| (All form fields are mandatory) |
| E-mail Id: |
|
| 1. Purpose of the flight (VIP/ Tourist/ Cargo/ Ambulance/ Relief/ Private etc.): |
|
| 2. Whether over-flying/technical landing or landing in India for traffic purposes: |
|
| 3. ATS Route(s) to be flown (including entry and exit in Indian airspace) |
|
| 4. Complete route itinerary of the proposed flight with dates and timings (including entry and exit in Indian airspace) |
|
| 5. Arrival and departure timings at airports in India, if any: |
|
6. Airport of last departure before entering Indian airspace and airport of first landing after leaving Indian airspace: |
|
| 7. Aircraft Details: |
| a) Type: |
|
| b) State of registry/Nationality: |
|
| c) Registration: |
|
| d) Telephony designator (Flight No./ Call Sign): |
|
| e) Is the aircraft capable of airdropping?: |
|
| f) Whether the maximum certified passenger capacity of aircraft is more than 30 seats: |
|
| g) Whether the maximum payload capacity of the aircraft is more then 3 tons: |
|
| h) Whether the aircraft is fitted with ACAS/TCAS-II : |
|
| i) Whether the maximum certified Passenger seating configuration: |
I. 20 TO 30
|
|
No
|
II. 10 to 19
|
Yes
|
No
|
III. Less than 10 (Twin Engine Jet Aircraft)
|
Yes
|
No
|
| 8. Pilot in Command: |
| a) Name: |
|
| b) Nationality: |
|
| 9. On Board Details: |
| a) Name: |
|
| b) Nationality: |
|
| c) Address (with telephone/ fax no.): |
|
| d) Aircraft opertaors certificate/ permit no., if any: |
|
| 10. On Board Details: |
| a) Number of crew: |
|
| b) Number of passengers, if any: |
|
| c) General description of goods carried, if any: |
|
| d) Any Arms, ammunation, radio active material or dangerous goods? If so, attach a copy of DGCA permit: |
|
11. Any special equipment like aerial photography, remote
sensing cameras, night vision cameras onbord? If so,
attach a copy of DGCA permit: |
|
| 12. Number of passengers or tonnage of cargo to be uplifted from and set down in India |
|
| 13. Charterer: |
| a) Name: |
|
| b) Address (with telephone/ fax no.): |
|
| 14) Travel / Cargo Agent in India: |
| a) Name: |
|
| b) Address (with telephone/ fax no.): |
|
| Security Image: |
 |
| Enter Security Code: |
|
| |
|
|
|
| |