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               Aero Club of South Africa
     NATIONAL COORDINATING BODY FOR SPORT AVIATION
                                 Incorporated Association Not For Gain. Reg No. 1936/07537/08

                    “ILPIACERE”-49NEWROAD, GRAND CENTRAL AIRPORT,MIDRAND
                           POSTALADDRESS:POBOX1993 HALFWAY HOUSE1685
                                TEL:(011)805-0366/8/9 .FAX :(011)805-2765
                   EMAIL : AeroClub@zanet.co.za . INTERNET : http://www.aeroclub.org.za/


                                AIRSHOW NOTIFICATION CHECK LIST
PAGE 1 of 2


EVENT NAME:

Application Date:


1.    Date(s) of requirement:

2. Duration and time of day (local time):
Daily. Start time


3.    Venue:


4.    Type of Display / operation:      Airshow      Model Fly – In Special Event
                                               Competition Other
                                                 Aero


5. Name and contact details of organizer:

6. Name of requesting authority         SAMAA – Mr. Bob Skinner                       Tel: 083-283-1681

7. Lateral limits of the proposed area with co-ordinates: Within the boundaries of airfield at
Lat ……………. ; Long…………………….


8. Vertical limits of the proposed area: As per usual CAA limits for model aircraft



9.    Name of safety officer:

Emergency plan/procedures in place: Standard SAMAA safety procedures. Hand-held radio to be
manned at all time. Models to be grounded when full size in circuit.



10.    ATC required:                      No ATC required but see 9 above.
                                         Yes


11. Name of ATC officer:

12. Call signature to controlled event:




PAGE 2 OF 2
13. Airspace     controlled       ATA / CTA
                 uncontrolled      ATZ
  14. Transponder codes and frequencies: ……………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………


15. Amount of public liability insurance cover: R10 million per pilot

Insurance company/ agent name: Cliffview Insurance Brokers, with Admiral, via SAMAA
.Tel: 083-283-1681



16. Public address:       None                                          Tel:



AERO CLUB USE ONLY


       Airshow Director approved
       Safety officer & procedure approved
       Airshow manual used
       Notam Effected

				
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posted:11/26/2011
language:English
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