Application For Initial Approval, Change To Approval or Remote Site Approval Under EC Regulation 2042/2003 Annex IV Part-147

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Application for Initial Approval, Change to Approval or Remote Site

Approval Under EC Regulation 2042/2003 Annex IV Part-147


Please complete this form online (preferred method) then print, sign and submit as instructed.
Alternatively, print, then complete in BLOCK CAPITALS using black or dark blue ink.

Unique Corporate No. (to be completed by CAA)

Please read attached Guidance Note on page 5 before completing this form.
1. APPLICANT TYPE
Limited Liability Partnership Complete Section 2. a) Public Educational Complete Section 2. b)
Establishment University/College
Limited Company Complete Section 2. a)
Individual (Sole Traders) Complete Section 2. c)
Partnership Complete Section 2. c)
Charity Complete Section 2. b)
Ministry of Defence Complete Section 2. b) Private Clubs Nominated Representative to
Complete Section 2. c)
Trust Complete Section 2. b)

2. APPLICANT DETAILS (The Applicant is the person responsible for payment of CAA charges)
a) A Company

Civil Aviation Technical Training Solutions Ltd


Registered Company Name (in full): ..................................................................................................................................

05846366
Registered Company Number: ..........................................................................................................................................

UK
Country of Company Registration: ................................................

Unit 7-8 Brickfields Business Park, Manchester Road, Northwich, Cheshire


Registered Office Address: ...............................................................................................................................................
........................................................................................ CW97LS
Postcode: ...............................

01565 653745
Telephone: ...................................................................... Fax: .....................................................................................
james@catts.org.uk
E-mail: ...............................................................................................................................................................................
Trading Name: (if applicable) .............................................................................................................................................

Unit 7-8 Brickfields Business Park, Manchester Road, Northwich, Cheshire


Trading Address (primary site): ..........................................................................................................................................
........................................................................................ CW97LS
Postcode: ...............................
www.catts.org.uk
Website address: ..............................................................................................................................................................

Authorised Representative of Company


This application is to be signed by either a Director or Company Secretary or a person authorised by the Board to act on
behalf of the Company, and who is deemed to be the Accountable Manager in respect of applications under
EC Regulation 2042/2003 Annex IV Part-147.
Mr
Title: ................ David
Forename: ...................................................... Owen
Surname: .............................................................
Accountable Manager
Position in Company: .........................................................................................................................................................
01565653745
Telephone No: ...................................... david@catts.org.uk
E-mail: .............................................................................................................
If you are a not a Director or Company Secretary and have been authorised to sign the application form on behalf of the
Company, proof of that authority must be provided with the completed application form.
This application will be considered in respect of and, if appropriate, granted to, the Company Name as registered
under the Company Number provided on this form.

Form SRG 1019 Issue 07 Page 1 of 7


or b) An Unincorporated Association or other body
Name of Unincorporated Association or other body: ........................................................................................................
Address: ............................................................................................................................................................................
........................................................................................ Postcode: ..............................
Telephone: ...................................................................... Fax: ......................................................................................
E-mail: ............................................................................. Mobile Telephone: ...............................................................
Website address: ...............................................................................................................................................................
Authorised Representative
This application is to be signed by a person authorised by the body named above to act on behalf of it, and who is
deemed to be the Accountable Manager in respect of applications under EC Regulation 2042/2003 Annex IV Part-147.
Title: ................. Forename: ....................................................... Surname: .............................................................
Position: .............................................................................................................................................................................
Charity Number (if applicable): .............................................................

or c) Individual (including sole traders and partnerships)


Title: ................ Forename: ...................................................... Surname: .............................................................
Address: ............................................................................................................................................................................
......................................................................................... Postcode: .............................
Telephone: ...................................................................... Fax: ......................................................................................
E-mail: ............................................................................. Mobile Telephone: ...............................................................
Trading Name: (if applicable) ..............................................................................................................................................
Website address: ...............................................................................................................................................................
A photocopy of your valid Passport or valid photocard Driving Licence must accompany your application as proof of
identification. Failure to supply proof of identification may result in a delay to the application processing time.
In the case of a partnership, please complete details of all partners. Continued on a separate sheet

3. TRAINING ORGANISATION CAA REFERENCE NUMBER

UK/147-..............................................................................................................................................................................
• Applications must be made a minimum of 30 working days in advance of proposed training for Remote Site
applications.
• For initial 147 applications or other changes to 147 approvals, excepting remote site applications, applications must be
received 12 weeks in advance of proposed training date.

4. APPLICATION
Application for: Initial 147 Approval Change to Current 147 Approval Remote Site ✔
• Initial Approval: this should be ticked where an application is for Initial approval by a new applicant organisation.
• Change to Approval: this should be ticked where the application is for one or more courses/sites to be added to the
current approval held by the organisation.
• Remote Site: this should be ticked where the application is to add a site temporarily to the current approval.
1a) Basic Training 2a) Type Training 3) New Site (not Remote site)

1b) Basic Exam 2b) Type Practical Training

Please tick all that apply in respect of this application at the current approved sites, or for a new site application.

Does the organisation also hold approval under any of the following? Part 21 Part 145 ✔ Part M
Proposed Date Training to commence: Proposed Date Training to be Completed:
(new courses, including Remote site) (Remote Site Applications only)

Form SRG 1019 Issue 07 Page 2 of 7


5. ACCOMMODATION (please tick which applies and complete the address in respect of the site ticked)

Main Training Site Address (Site Number 1) ................................................................................................


(if not the address detailed in Part 2)
................................................................................................

or: Training Site Address (where a change to the Postcode: ................................................................................


Organisation approval or Remote Site ✔ Country: ..................................................................................
application).
Telephone Number: ................................................................
All training sites, including Remote Sites, should be audited for suitability in advance of any training by the applicant
organisation, and the audit reports are to be made available at the time of any CAA audit or forwarded for review when
requested by the nominated surveyor.

6. APPLICATION FOR TRAINING AND/OR EXAMINATIONS (please tick relevant courses and complete all
appropriate details)
Proposed
Class Rating Limitations (tick Course required) No. of
students
Basic B1 TB1.1 Aeroplanes Turbine
TB1.2 Aeroplanes Piston
TB1.3 Helicopters Turbine
TB1.4 Helicopters Piston
B2 TB2 Avionics
B3 TB3 Piston-Engine Non-Pressurised Aeroplanes
2000Kg MTOM and below
A TA.1 Aeroplanes Turbine
TA.2 Aeroplanes Piston
TA.3 Helicopters Turbine
TA.4 Helicopters Piston
Proposed
Class Rating Limitations (please complete for the course requested) No. of
students
Type/Task C T4 Quote Aircraft Type and Engine:
B1 T1 Quote Aircraft Type and Engine: 15
B2 T2 Quote Aircraft Type and Engine: 15
A T3 Quote Aircraft Type and Engine:

7. MANAGEMENT STRUCTURE
Position/Post Name (Surname first) Licence Number
Accountable Manager
Training Manager
Quality Manager
147 Examiner
147 Examiner
147 Examiner
• Please complete in full for all initial applications and changes to approval
• Form SRG1705 (www.caa.co.uk/srg1705) should additionally be forwarded to CAA for approval of key post-holders
and any changes to such positions/posts.

Form SRG 1019 Issue 07 Page 3 of 7


8. CHARGES
The charge(s) required as calculated in accordance with the CAA Personnel Licensing Scheme of Charges (published in
CAA Official Record Series 5) (www.caa.co.uk/ors5) to be paid on application are enclosed herewith.
NB: This application will not be processed until the applicable charges have been received.

Total charges included are: £ ................................


Where charges are to be paid other than by the applicant, please enter the name of the person/company who is paying:

..............................................................................................................................................................................................

IMPORTANT NOTES:
• Additional Charges: Where the cost of the CAA investigations exceeds the application charge payable, the
applicant shall pay additional charges to recover those excess costs incurred by the CAA in accordance with the
Scheme of Charges.
• Overseas Visits: If a Member or employee of the CAA is required to travel overseas in respect of this application
you are advised to read the CAA Scheme of Charges to which this application relates and the section entitled
'Additional charge where functions are performed abroad'. All expenses incurred in pursuance of this application by
virtue of travelling overseas will be payable by the applicant on demand.
• Withdrawal/Cancellation of Approval: In the event that this application is withdrawn by the applicant, a
cancellation charge may be levied. The cancellation charge reflects the work carried out by the CAA on behalf of the
applicant up to the point of cancellation. Please see the CAA Refunds Policy at www.caa.co.uk/refunds for more
information. Where sufficient funds remain from the original application charge, this charge will be deducted from any
refund made in respect of the application following cancellation.

9. FINANCIAL DECLARATION
• I hereby declare that to the best of my knowledge the particulars entered on this application are accurate.
• I enclose the charges payable on application in accordance with the Scheme of Charges (www.caa.co.uk/ors5).
• I agree to pay any additional charges which may become payable in respect of this application under the Scheme of
Charges.

Name of Applicant: ............................................................................................................................................................


(as shown in 2 a), 2 b) or 2 c))

Signature of Applicant/Accountable Manager (named in 2 c)): ............................................................................................

or Signature of Authorised Representative/Accountable Manager (named in 2 a) or 2 b)): .....................................................

Date: ........................................

FALSE REPRESENTATION STATEMENT


It is an offence to make, with intent to deceive, any false representation for the purpose of procuring the grant, issue,
renewal or variation of any certificate, licence, approval, permission or other document. Persons doing so render
themselves liable, on summary conviction, to a fine not exceeding the statutory maximum (currently £5000, or in
Northern Ireland £2000) and on conviction on indictment to an unlimited fine or imprisonment for a term not exceeding
two years or both.

Form SRG 1019 Issue 07 Page 4 of 7


10. SUBMISSION INSTRUCTIONS

When you have completed this Form, please send it, with attachments as listed below, to:

Licensing and Training Standards - Approvals


CAA, Aviation House
Gatwick Airport South
West Sussex
RH6 0YR

Checklist for submission (All applicants): Please tick or complete, as requested those items being enclosed.
Applicable Charge/Fee ✔
SRG1019 ✔
Form SRG1705 (number of Key Post Holder Nominations)

Maintenance Training Organisation Exposition (inc Quality System)

Training Needs Analysis (per course)

Training Notes

Sample of Exams

Copy of Certificate of Incorporation (initial applications)

Proof of authority to sign application form, (where not a Director or Company Secretary).

Photocopy of PHOTO ID
(Passport or Photocard Driving Licence for Individuals)

Guidance Note 1

Section 2: Applicant Details

• Registered Company Name and Number: this is the legal name and reference number of the company as registered
with Companies House or as detailed on the Company Certificate of Incorporation.
• Trading Name and Address: Where the company uses a name other than the above for trading / instructional
purposes, this name should be annotated accordingly and the main base for training should also be detailed.
• Authorised Representative of the Company: The Accountable Manager of the company may wish to delegate
responsibility for the completion of application forms to another Director of the company or to the designated Head of
Training. Details of the nominee should be completed and relevant correspondence verifying this agreement should
be forwarded from the Accountable Manager.

Form SRG 1019 Issue 07 Page 5 of 7


CAA USE ONLY Applicant’s name .................................................................... Date of application ......................

Department: ................................................................... Contact Name: ....................................................................

Job No: ............................................ Folio No: ............. CAA Account Number:


Nominal Code: ............................ Cost Centre: .................................. Date received. .........................................
If payment is received by cheque, attach a copy to this application form.

The sum of £ .............................. has been received by: ................................................ Date: ..................................

Amount paid by: Cheque Cash Card Electronic Transfer*


£ ................................. £ ......................... £ .............................. £ ...................................

* Receipt of Electronic Transfer to be verified by Treasury.

Cheque drawn against account of: ....................................................................................................................................

Bank Account No: ........................................................... Sort Code:

Is this part of a Company payment? Yes No If Yes - Total amount paid:£ ......................................

Amount to be deducted from NATS account: £ ........................

Enclosures: ................................................. FedEx paid Yes/No Loaded by: .............. Signed/Despatched: ...............

Legal Entity Details


Company – Date of incorporation of Company: ...................
If declaration is signed on behalf of a Company:
is declaration signed by a Director or Company Secretary? .......................
if not, then does signatory have authority to sign? .....................................
Individual – Identification Document Details e.g. Passport/Driving Licence.
Type of identification: ......................................................
Signature on ID checked against Form Signature: . Appropriately certified:

Form SRG 1019 Issue 07 Page 6 of 7


11. PAYMENT DETAILS
a) Payment type (please tick your chosen method of payment).
Visa Mastercard Debit Card Cheque/Banker’s Draft Electronic Transfer Cash
(max. £2000) (max. £200)

We do not accept American Express, Diners Club or JCB cards. Please do not send cash by post.
b) Bank Details (for payment by Cheque/Banker’s Draft)
Cheques or Postal Orders should be made payable to 'Civil Aviation Authority'.
Please write the CAA Application Form No. on the reverse of your cheque.
Please note that any refund applicable will be paid directly to the bank account stated below by BACS transfer.

Name in which Bank Account held: ..................................................................................................................................

Account Number: .................................................................................. Sort Code: .......................

If overseas: IBAN Number: ................................................................. Swift Code: ..................................................


c) CAA Bank Account Details (if paying by Electronic Transfer)
National Westminster Bank plc
Bloomsbury Parr’s Branch Account Name: Civil Aviation Authority
PO Box 158 Account Number: 36029769
214 High Holborn Sort Code: 60-30-06
London Swift Code: NWBK GB 2L
WC1V 7BX IBAN: GB90 NWBK 6030 0636 0297 69

Please supply the following information:


Amount: £.............................................. BACS/CHAPS Reference*: ..................................................................
* When making an electronic transfer please instruct your bankers to quote the CAA Application Form number
followed by the application date in the description field (i.e. SRG 1019ddmmyyyy).

Payer: .............................................................................. Date of Transfer: ..................................................................

d) Card Details (for payment by Credit/Debit Card)

Card number:

Expiry date: / Security Code (last 3 digits on signature strip on reverse of card)

Debit cards only:


Start date: / Amount: £....................................

Issue No: (if applicable)

Name (as written on card): ................................................................................................................................................


(BLOCK CAPS)
Full postal address of card holder: .....................................................................................................................................

...................................................................................................................................... Postcode: .................................

Card holder’s signature: ...............................................................................................

Please tick box if paying with Company Card Company Name: ............................................................................

e) NATS Payment (please tick as appropriate)

Fees to be charged to NATS Amount to be charged to NATS account: £ ....................... .


This information is provided at the applicant’s risk and will be used by the CAA for this payment only and will not
be used for any other purpose.

Form SRG 1019 Issue 07 Page 7 of 7

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