File ref: Page No: Total pages in pack: BGA 270 Modification & Repair Statement This form is used for glider modification and major repair declaration BGA Number Registration Type G- Mod number or reference Details of Major Modifications and Repairs Date embodied BGA Mod No, TN, TM, SB. Minor mod number (if Details of Minor Modifications allocated) Please use additional sheets if necessary I certify that all modifications and major repairs embodied on the above aircraft have been declared to the best of my knowledge: Name: Signed: BGA Insp No: Date:
BGA 270 Modification & Repair Statement File ref: Page No: Total pages in pack: This form is used for glider modification and major repair declaration BGA Number Registration G- Type Details of Major Modifications and Repairs Mod number or reference BGA Mod No, TN, TM, SB. Date embodied Details of Minor Modifications Minor mod number (if allocated) Please use additional sheets if necessary I certify that all modifications and major repairs embodied on the above aircraft have been declared to the best of my knowledge: Name: Signed: BGA Insp No: Date:
1430312100_1-3a20.docx