/ European Aviation Safety Agency / EASA Form 29

Application for Export Certificate of Airworthiness for Newly Manufactured Aircraft

Data protection: Personal data included in this applicationis 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 Community 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 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 processing of his personal data, he shall address them to the Agency at the following address: . The Applicant shall have right of recourse at any time to the European Data Protection Supervisor.
1. Applicant Data
1.1 Your Reference /

Please provide a brief, unique identifier that we will use to refer to your application

1.1.11.2Applicant

/ Applicant Number / 3XXXXX / POA Reference / EASA.21G.XXXXX
(Company) Name

1.3 Contact Person (responsible for this application)

/ Title / Mr Ms
Name
First name
Job title
Phone/Fax
Email
2. Application Details
2.1 Aircraft / Scope / Large Aircraft / Other Aircraft
Manufacturer
Type
Model
Serial Number
2.2 Form 52 / Attached as / Draft version / Signed version
Reference number / enter [draft] Form 52 reference number
2.3 Importing State / enter State where aircraft is imported
2.4 Place E-CofA to be issued / enter location where aircraft will be transferred to customer
2.5 Application related to ongoing certification task / Not applicable
Project/task number: / enter EASA project/task number
3. Export Certificate of Airworthiness (E-CofA)
3.1 Expected date of delivery / dd/mm/yyyy
3.2 Description of the non-compliance with the applicable airworthiness requirements of the importing State / Enter reference to list on associated EASA Form 52, where applicable
3.3 Special import requirements / enter reference to import requirements
4. To be filled in only by the Agency/NAA:
Statement of technical satisfaction
Based on the information provided by the POA holder in the EASA Form 52 identified in paragraph 2 above and associated documentation, the E-CofA Inspector is satisfied that the applicant has shown that the product identified in paragraph 3 above, is considered to be in compliance with the type certification basis established by EASA, and with those special requirements of the importing State when filed with EASA, except as noted below:
Notes/Remarks/Restrictions:
Date / Name of E-CofA Inspector / Signature of E-CofA Inspector

5. Applicant’s declaration and acceptance of the General Conditions and Terms of Payment

I declare that I have the legal capacity to submit 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 (EU) on the fees and charges levied by the European Aviation Safety Agency, as last amended and available from > Regulations > Fees and Charges.

I acknowledge that I have read and understood the Agency’s Terms of Payment (see the Agency > FAQs > Fees & Charges > 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 that I am aware of the consequences of non-payment.

I have understood that this is my obligation to produce and attach a certified true copy of signed EASA Form 52 to the Export Certificate of Airworthiness(E-CofA). This is to identify that E-CofA is based on the privilege of the Production Organisation Approval holder according to the requirements of 21.A.163(b). The certified true copy shall be prepared as per requirements of the Completion Instructions of this application form.

Date / Name / Signature
Important Note: EASA cannot accept applications without signature. Please make sure that you sign the application.
This Application should be sent by fax, e-mail or regular mail to:
European Aviation Safety Agency
Applications Handling Department
Postfach 10 12 53
D-50452 Köln
Germany
Fax: +49 (0)221 89990 ext. 4461

E-mail:

/ Completion Instructions

Please double-click on the icon to access the completion instructions.