/ EASA Form 2
Competent authorityEuropean Aviation Safety Agency (EASA)
Type of application / initial application / change
revision of initial application / Notification of surrender
Type of changes / Organisation name / Address(s) / Nominated persons
rating(s) / Contact detail(s) / Number of staff
Part-145 approval reference / EASA.145.0
Part-M/G approval reference / EASA.MG.0
Enter “Not applicable” in case of application for initial grant.
  1. Applicant Name

1. Registered name of applicant

Enter the “Registered name” of applicantas specified in the Certificate of Incorporation (C of I)

2. Trading name (if different)

  1. Applicant Postal Address

1.Postal Address

  1. Address of site(s) requiring approval

1. Principal Place of Business address

Enter the Principal Place of Business as per EC Regulation 2042/2003 article 2(m)as amended by ECRegulation 127/2010

2.Base, Engine and Component Maintenance site(s) (if different from the Principal Place of Business)

Enter “Not applicable” in the case the maintenance site is the same as the PPB or in the case of EASA Form 2 used for Part M Subpart G applications/approvals.

3. Line maintenance location(s):

Enter “Not applicable” in the case the maintenance site is the same as the PPB or in the case of EASA Form 2 used for Part M Subpart G applications/approvals.

..

EASA Form 2
Issue 1, 23/07/2013 / Foreign Part 145 and Part M Subpart G Approvals / Page 1 of 4
/ EASA Form 2
  1. Quality Manager Contact Details

Name / Position
Tel Number / Fax Number
Quality E-mail
Organisation generic E-mail
  1. Scope of Part-145/Part M Subpart G Approval relevant to this application

Enter the type of request(s) the organisation is applying to - Complete page 3 or 4 (as applicable) for details of the scope of work

  1. Staff number

Principal Place of Business / Base Maintenance site(s) / Line Maintenance site(s)
a) Employees
b) Contractors

a) The total number of staff employed by the organisation in order to comply with EASA Part-145/Part M Subpart G

b)The number of contracted staff associated with the proposed approval

c) Enter Not Applicable in Base Maintenance and Line Maintenance boxes in case of EASA Form 2 used for Part M Subpart G applications/approvals.

  1. Certificate of Incorporation

Date of Certificate of Incorporation

Regulation (EC) No. 2042/2003 specifies that an approval may be granted to an organisation which may be either a natural person, a legal entity or part of a legal entity. Please include with this application the confirmation of the legal status of your organisation and enclose a copy of your Certificate of Incorporation.

  1. Other EASA approval (s) hold by the applicant

POA / DOA / MTOA / CAMO
  1. Proposed(*)Accountable Manager Contact Details

Name / Position
Tel Number / Fax Number
E-mail Address
Place / Date

Signature of the (proposed*) Accountable Manager

* ‘Proposed’ is applicable only in the case of a new Part-145/Part M Subpart G Applicant

Note (1) where to send the application: by email or , by Fax: +49 221 89990999 or by mail to European Aviation Safety Agency, Postfach 10 12 53, DE-50452, Cologne – Germany.

Note (2) Fees Payable:In accordance with the current Fees and Charges Regulation applicants and holders of Agency approvals are required to supply a signed Form 2 application from an authorised representative of the organisation concerned regarding the elements detailed in this Form 2 in order for the Agency to be able to determine the corresponding fee category. Please provide the following information. For detailed information regarding the current Fees and Charges please refer to the EASA Fees and Charges Regulation which can be found on the EASA web site

EASA Form 2
Issue 1, 23/07/2013 / Foreign Part 145 and Part M Subpart G Approvals / Page 1 of 4
/ EASA Form 2

SCOPE OF REQUESTED PART-145 APPROVAL (*)

CLASS / RATING / LIMITATION / BASE / LINE
AIRCRAFT / A1
Aeroplanes/airships above 5700 Kg / Quote the expected aircraft type to be added and / or deleted. Refer to Appendix I to AMC to Part-66 as amended by ED decision 2010/011/R and its successive issues. / [YES/ NO]* / [YES/ NO]*
A2
Aeroplanes/airships 5700 Kg and below / Quote the expected aircraft type to be added and / or deleted. Refer to Appendix I to AMC to Part-66 as amended by ED decision 2010/011/R and its successive issues. / [YES/ NO]* / [YES/ NO]*
A3
Helicopters / Quote the expected aircraft type to be added and / or deleted. Refer to Appendix I to AMC to Part-66 as amended by ED decision 2010/011/R and its successive issues. / [YES/ NO]* / [YES/ NO]*
A4
Aircraft other than A1, A2 or A3 / Quote aircraft type or group / [YES/ NO]* / [YES/ NO]*
ENGINES / B1
Turbine / Quote the expected engine type(s) to be added and / or deleted as defined in the engine TCDS.
B2
Piston / Quote engine manufacturer or group or type ) to be added and / or deleted as defined by the OEM
B3
APU / Quote the expected APU type(s) to be added and / or deleted as defined by the OEM
COMPONENTS OTHER THAN COMPLETE ENGINES OR APUs / C1Air Cond & Press / [Shall state aircraft type or aircraft manufacturer or component manufacturer or the particular component and/or the maintenance task(s) and/or cross refer to a capability list in the exposition].
“C” ratings to be ticked where necessary
C2 Auto Flight
C3 Comms and Nav
C4 Doors – Hatches
C5 Electrical Power & Lights
C6 Equipment
C7 Engine – APU
C8 Flight Controls
C9 Fuel
C10 Helicopter – Rotors
C11 Helicopter – Trans
C12 Hydraulic Power
C13 Indicating/recording system
C14 Landing Gear
C15 Oxygen
C16 Propellers
C17 Pneumatic & Vacuum
C18 Protection ice/rain/fire
C19 Windows
C20 Structural
C21 Water ballast
C22Propulsion Augmentation
SPECIALISED
SERVICES / D1 Non Destructive Testing / Eddy Current Inspection
Liquid Penetrant Inspection
Magnetic Particle Inspection
Radiography Inspection
Shearography Inspection
Thermography Inspection
Ultrasonic Inspection
Other Method / Shall state particular NDT method(s)
SPECIALISED
ACTIVITIES / Quote specialised activities (such as NDT, painting, welding, plating, plasma spray, heat treatment, etc.) intended to be performed in the “course of maintenance” under any rating (Ax, Bx or Cx). These activities do not need to be mentioned if contracted to another EASA Part 145 AMO (as listed in MOE chapter 5.4).

(*): in case of application for change of the scope of work, only the parts of this table affected by the change shall be compiled.

EASA Form 2
Issue 1, 23/07/2013 / Foreign Part 145 and Part M Subpart G Approvals / Page 1 of 4
/ EASA Form 2

SCOPE OF REQUESTED PART-M Subpart G APPROVAL

Aircraft
Manufacturer / Aircraft type / Aircraft
Registration / Approved Maintenance Programme reference
Self explanatory / Quote the aircraft type and the engine type fitted thereon / Self explanatory / Self explanatory
Sub-contracted Organisations Working Under this Approval:

End of form

EASA Form 2
Issue 1, 23/07/2013 / Foreign Part 145 and Part M Subpart G Approvals / Page 1 of 4