Form Ac-Aws007b

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

NIGERIA CIVIL AVIATION AUTHORITY

CORPORATE HEADQUARTERS
ABUJA, NIGERIA

APPLICATION FOR APPROVED MAINTENANCE ORGANISATION


CERTIFICATE AND RATINGS AND RENEWAL
FORM: AC-AWS007B

1. Maintenance Organisation Name, Number, Location and 2. Reasons for Submission


Address
a. Official Name of Maintenance Organisation: Number: Application for AMO Certificate and Rating Issue
BINANI GLOBAL AIR SERVICES Change in Rating
Change in Location or Housing and Facilities
b. Location where business is conducted: Change in Ownership
ABUJA Re-Certification / Renewal

c. Official Mailing Address of Maintenance Organisation .


No.24 MEDITERRANEAN STREET, MAITAMA ABUJA

d. Line Maintenance Location

3. Management and Key Staff Personnel. (Attach Personnel Data Form: AC-AWS007F )

NAME (Surname/First/Middle). TITLE TELEPHONE /ADDRESS

4. Scope of Approval and Ratings Applied for: Ref: 6.2.1.12 and 6.2.1.13
Aircraft Maintenance Engine Maintenance Components Maintenance Specialised Maintenance
Large Aeroplane Turbine Indicate ATA Chapter below Composite material
Small Aeroplane Reciprocating 24, 25, 26, 32, 33, 35, 38 Surface treatment
Helicopter Electrical NDT
Others Welding
Others

Scope of Approval and Ratings Details for: Aircraft and engines make and models, ATA chapters and type of
specialized maintenance

Form # AC-AWS 007B 10th Apr 2023 Page 1


5. List of Maintenance Functions contracted to other AMO’s:
-

6. Additional information that provides a better understanding of the operation or business – Indicate attachments:

i. Statement of Compliance

ii. AMO Procedures Manual (APM).

iii. Quality System Manual (QSM).

iv. Contracted Maintenance Agreements.

v. Safety Management System Manual (SMSM)

vi. Maintenance Training Manual (MTM)

vii. Other States Authority Approval


7. AMO Ownership and Incorporation Confirmation
Name of AMO Owner, {Include name(s) of all Owners, partners, or corporation name. State date of AMO incorporation}
1. DAHIRU AMINATU CHIROMA
2. DAHIRU HAUWA AHMED
3. DAHIRU AISHATU AHMED

- DATE OF INCORPORATION: 26TH SEPT 2020

I hereby certify that I have been authorised by the maintenance organisation named in Item 1 above to make this application and
that the information given and the statements in the attachments hereto are true and correct to the best of my knowledge.
Date: Authorised Signature: Print Name of Authorised Signature: Title:

For NCAA Use Only Record of Action For NCAA Use Only
Approved Maintenance Organisation
Inspection
8. Remarks (Identify by item number. Include deficiencies found and ratings denied)

9. Findings - Recommendations 10. Date of Inspection

Form # AC-AWS 007B 10th Apr 2023 Page 2


A. AMO was found to comply with requirements of Part 6.
B. AMO was found to comply with requirements of Part 6, except for deficiencies listed in Item 8.
C. Recommend Certificate with rating applied for on application be issued.
D. Recommend Certificate with rating applied for on application (EXCEPT those listed in Item
8) be issued.

11. NCAA Office Signature(s) of Inspector(s) Printed Names of Inspectors

12. Supervising or Assigned Inspector (if any)

ACTION TAKEN CERTIFICATE ISSUED Date CPM’s Name and Signature


APPROVED Number
DISAPPROVED

Form # AC-AWS 007B 10th Apr 2023 Page 3

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy