Data protection: Personal data included in this application is 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: dpo [at] easa.europa.eu. The Applicant shall have right of recourse at any time to the European Data Protection Supervisor. 1. Applicant Data EASA MTOA N° EASA.147.XXXX 1.1 Name and Address Applicant N° if available, please enter your EASA applicant number (e.g.3XXXXX) (registered (business) name and legal seat of (Company) Name the company) Trading Name if different Street / Nr Post Code City Country Regulation (EC) No. 2042/2003 specifies that an approval may be granted to an organisation which may be either Important Note: a natural person, a legal entity or part of a legal entity. Would you therefore please include with this application confirmation of the legal status of your organisation and enclose a copy of your Certificate of Incorporation. 1.2 Date of Certificate of Incorporation dd/mm/yyyy Title Mr Ms 1.3 Contact Person (responsible for this Name application) First name Job title Phone/Fax Email Title Mr Ms 1.4 (Proposed*) Accountable Name Manager (*The term “proposed” First name only remains applicable Job title/Position until the application has been approved.) Phone/Fax Email 1.5 Billing Data (may be left blank, if same as 1.1 Applicant Data) 1.5.1 Billing Address (Company) Name Same as in section 1.1 (other name only in exceptional cases) (For the receipt of EASA Fees and Charges Invoices. EASA invoices are issued via post-mail to the address provided here.)
Data protection: Personal data included in this application is 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: dpo [at] easa.europa.eu. The Applicant shall have right of recourse at any time to the European Data Protection Supervisor. 1. Applicant Data 1.1 Name and Address (registered (business) name and legal seat of the company) EASA MTOA N° EASA.147.XXXX Applicant N° if available, please enter your EASA applicant number (e.g.3XXXXX) (Company) Name Trading Name if different Street / Nr Post Code City Country Important Note: 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. Would you therefore please include with this application confirmation of the legal status of your organisation and enclose a copy of your Certificate of Incorporation. 1.2 Date of Certificate of Incorporation dd/mm/yyyy 1.3 Contact Person (responsible for this application) Title Mr Ms Name First name Job title Phone/Fax Email 1.4 (Proposed*) Accountable Manager (*The term “proposed” only remains applicable until the application has been approved.) Title Mr Ms Name First name Job title/Position Phone/Fax Email 1.5 Billing Data (may be left blank, if same as 1.1 Applicant Data) 1.5.1 Billing Address (For the receipt of EASA Fees and Charges Invoices. EASA invoices are issued via post-mail to the address provided here.) (Company) Name Same as in section 1.1 (other name only in exceptional cases)
FO.CAO_.00012%20EASA%20Form%2012%20-%20Application%20for%20Part%20147%20Approval.docx