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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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