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New clearance form

The document is an Aircraft Flight Clearance Request Form issued by the Civil Aviation Authority of Uganda, detailing the necessary information for aircraft clearance into and out of Ugandan airspace. It includes sections for operator details, flight information, and declarations, along with warnings about fines and legal actions for non-compliance. The form must be filled out accurately and signed by the designated representative of the company.

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DENIS IVAN WANAMBWA
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4 views

New clearance form

The document is an Aircraft Flight Clearance Request Form issued by the Civil Aviation Authority of Uganda, detailing the necessary information for aircraft clearance into and out of Ugandan airspace. It includes sections for operator details, flight information, and declarations, along with warnings about fines and legal actions for non-compliance. The form must be filled out accurately and signed by the designated representative of the company.

Uploaded by

DENIS IVAN WANAMBWA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CIVIL AVIATION AUTHORITY

AIRCRAFT FLIGHT CLEARANCE REQUEST FORM


Aircraft Clearance Office, P.O. Box 5536 Kampala, Uganda
Tel: (256)0414-321173/321016, Fax: (256)0414-321452,
Ref CAA/05/ATO/32A Email: [email protected]
Aircraft Clearance reference………………………………………….…Date............................
Please note that aircraft flight clearance to fly into and out of Ugandan airspace has been granted as follows below:
1. Name of operator……………………………………………………….....................................................................
2. Address: ……………………………………………………………………………………….................................

3. Name of Registered Owner: ……………………………………………………………….......................................


4. Aircraft Registration: …………………………………………………………………………..................................
5. Flight Call sign: ………………………………………………………………………………..................................
6. Aircraft Type: ………………………………………………………………………….............................................
7. Route of Flight: ………………………………………………………………………………..................................
8. Entry Point: …………………………………Exit Point: ………………………………..........................................
9. Date of Flight of Arrival/Overhead: ………………………………………………………………………………...
10. Date of departure from Entebbe int’l: ………………………………………………………..................................
11. Type of Flight: ………………………………………………………………………………..................................
12. Purpose of Flight: ……………………………………………………………………….........................................
13. Name of Flight Commander: ....................................................................................................................................
14. Brief details of Cargo
And/or Passengers: ........................................................................................................................................
15. Name of Local Agent: ………………………………………………………………………..................................
16. Consigner: …………………………………………………………………………………………………………
17. Consignee: …………………………………………………………………………………………………………
18. I hereby declare that the information given above is true and correct to the best of my knowledge

Name…………………………………………………………...Signature……………………………………….

Designation in company……………………………………………………………………………………………

(I) Please note that all passengers must pay the Airport Service Charge.

(II) Operators are advised to adhere to the stated schedule/ information provided herein as failure to do
so will result in a fine of not less than US$10.000 per day

(III) In addition to the fine stated in (II) above, legal proceedings will be instituted after five (5) days and
aircraft maybe sold off by public auction.

Official use only

Name Signature Date

For: Director Safety, Security and Economic Regulation

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