Form No: CAA/AS/019

Civil Aviation Authority of Sri Lanka

Pilotless Aircraft Registration Form

(Unmanned Aerial Vehicle / Remotely Piloted Aircraft/ Drone / Quadcopter etc.)
(To be submitted to the Director General of Civil Aviation via Postal address; Civil Aviation Authority of Sri Lanka
No 152/1, Minuwangoda Road, Katunayaka (Fax +94 11 2257154 or email [email protected], [email protected])
< Add Pages if space inadequate>
Application form shall be filled using English Block Capitals.

LO
CAASL/DR/ FO
For Office use only

Registration Type
Choose leisure/educational or business registration based on how you will be operating your drone.
Operating for leisure or educational purposes Yes No
Operating for Commercial, government or non-leisure or non-educational purposes Yes No

A. Registration Information
a) Name of the Owner

G . G . S . D E S I L V A

Name with Initials

G O D A W A T H T H A G E G I H A N S H A N A K A
D E S I L V A

Name in Full

M R . G I H A N 2 8 0 2 1 9 9 5
Title (Mr. /Ms. etc.) Date of Birth (DD/MM/YYYY)
1 9 9 5 0 5 9 0 1 8 9 7
National Identity Card No (Example: 820991171V/1982 945 0 1212) Passport No (If not a Sri Lankan Citizen)

Company Name
N / A

Required only when you are registering a pilotless aircraft/drone for business purposes.
Use N/A when registering for personal use.

G O D A W A T H T H A G E G I H A N S H A N A K A
D E S I L V A
Accountable Manager/Person (Name in Full)

b) Email address
G S H A N A K A 2 @ L I V E . C O M
c) Phone number
0 9 1 2 2 4 2 0 6 0 0 7 8 9 3 1 8 7 3 8
Land line Mobile no

Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 1 of 4

 d) Permanent address
N O . 1 5 , S R I R E W A T H A M A W A T H A ,
W E K U N A G O D A R O A D , G A L L E .

G A L L E
City

S O U T H E R N P R O V I N C E
Province / State

8 0 0 0 0 S R I L A N K A
Zip/Postal Code Country

e) Postal address (If Different From Above)

N O . 1 5 , S R I R E W A T H A M A W A T H A ,
W E K U N A G O D A R O A D , G A L L E .

G A L L E
City

S O U T H E R N P R O V I N C E
Province / State

8 0 0 0 0 S R I L A N K A
Zip/Postal Code Country

B. Pilotless Aircraft/Drone Information

a) Pilotless Aircraft/Drone Manufacturer
D J I
Example. DJI, Parrot, etc.

b) Pilotless Aircraft/Drone Model

M A V I C A I R
Example. Phantom 4 Pro, Phantom 3, Mavic Pro etc.

c) Pilotless Aircraft/Drone Craft Serial Number

0 K 1 C F 8 P 3 A H 5 6 M 6
Example. P5AUDJ430101CF, 07DJD7A0C10889 Serial Number (S/N) can usually be found on or inside battery compartment or drone box.

d) Pilotless Aircraft/Drone Weight

4 3 0 G 2 9 0 G
Weight (Including battery & Propellers) Weight (excluding battery)

e) Diagonal Size (excluding propellers)

2 1 3 M M
f) (i) Max Ascent speed (ii) Max Descent speed
4 M / S 3 M / S

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 g) (i) Hover Accuracy – Vertical (ii) Hover Accuracy – Horizontal
+ / - 0 . 1 M + / - 0 . 1 M
h) Max speed i) Max service ceiling above sea level
6 8 . 4 K P H 5 0 0 0 M

j) Max flight time k) GPS mode

2 1 M I N G P S + G L O N A S S

l) Battery

i. Capacity 2 3 7 5 M A H
ii. Voltage 1 1 . 5 5 V
iii. Battery type L I P O 3 S
iv. Energy 2 7 . 4 3 W H
v. Net weight 1 4 0 G
vi. Operating temperature 0 - 4 0 C E L C I U S
vii. Max charging power 6 0 W

m) Remote controller

i. Operating frequency 2 . 4 0 0 - 2 . 4 8 3 5 G H Z
ii. Max transmission distance 4 0 0 0 M
iii. Operating temperature 0 - 4 0 C E L C I U S
iv. Battery 2 9 7 0 M A H
v. Transmitter power (EIRP) < _ 2 6 D B M
vi. Operating voltage 3 . 7 V

n) Camera
1. Not available 2. Available Built-in 3. Available Detachable
Complete below except when above 1 is ticked off
i. Sensor 1 / 2 . 3 " C M O S
ii. Lens (FOV) 8 5 D E R E E S
iii. Gimbal (Controllable Range) - 9 0 T O + 1 7
iv. Operating Temperature 0 - 4 0 C E L C I U S
v. SD Card M I C R O S D C L A S S 1 0
vi. Wi-Fi FPV N O
vii. Night Vision
N O
Y E S
viii. Body Sensing

C. Pilotless Aircraft/Drone Purchase Information

Retailer Name C A M E R A L K N U G E G O D A

Date of Purchase 0 8 0 1 2 0 1 9

Details of the Import/Purchase

i. Merchant/Shipper C A M E R A L K
ii. Purchaser/Consignee C A M E R A L K
iii. Purchased Date 0 8 0 1 2 0 1 9
iv. Imported/Cleared Date

Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 3 of 4

 Photograph of your Drone (Front view) Photograph of your Drone Craft Serial No

D. Personal & Proficiency information of the pilotless aircraft operator

Personal Information
i. Name in Full i G O D A W A T H T H A G E
G I H A N S H A N A K A
D E S I L V A
ii. Nationality ii S R I L A N K A N
iii. Date of Birth iii 2 8 / 0 2 / 1 9 9 5
iv. NIC Number/Passport No iv 1 9 9 5 0 5 9 0 1 8 9 7
v. Gender v M A L E
vi. Postal address
vi 1 5 , W E K U N A G O D A
R O A D , G A L L E
vii. Telephone/ Fax
vii 0 7 8 9 3 1 8 7 3 8
viii. e-mail
viii [email protected]

Proficiency/Qualifications/Experience
F L Y I N G E X P E R I E N C E O F 2 Y E A R S
F O O T A G E P R O V I D E R F O R T O U R I S M
B E A U R E U
O F F I C I A L D R O N E F L Y E R F O R T H E
M I N I S T E R R A M E S H P A T H I R A N A
C O N T E N T C R E A T O R A N D S O C I A L
M E D I A I N F L U E N C E R
P A R T I C I P A T I O N I N I N T E R N A T I O N
A L C O M P E T I T I O N F O R A E R I A L P H
O T O G R A P H Y
G R A D U A T E A R C H I T E C T F R O M U N I V
E R S I T Y O F M O R A T U W A

0 8 0 1 2 0 2 1
Date
Signature of the Applicant

Published by Civil Aviation Authority of Sri Lanka Rev 04 Page 4 of 4