Activity
Coordinates
Circular area within a radius of…
Maximum height above ground (AGL)
Company name
Name of the pilot responsible for the operation
Address
Phone
Contact mobile during operation
Email:
Period or day
Start Time (Indicate if it is Local time)
End Time (Indicate if it is Local time)
Aircraft
Record
I certify that the information contained in this form, as well as the attached documentation, is real, true and correct.
I certify that I have the necessary authorization to undertake the requested activity.
I certify that the personnel and/or material means used to carry out the activity comply with the requirements established by the General Directorate of Civil Aviation/AESA.
I certify that within a 2 km radius of the Ullastrell Heliport, I will maintain listening and coordinate with aircraft in flight on the 123.55Khz frequency.
Full name
Place
Date
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