CIVILINĖS AVIACIJOS ADMINISTRACIJOS DIREKTORIAUS Į S A K Y M A S DĖL LIETUVOS RESPUBLIKOS ORO ERDVĖS ORGANIZAVIMO TAISYKLIŲ ĮGYVENDINIMO 2004 m. balandžio 28 d. Nr. 4R-80 Vilnius Vykdydamas Lietuvos Respublikos Vyriausybės 2004 m. kovo 17 d. nutarimo „Dėl Lietuvos Respublikos oro erdvės organizavimo taisyklių patvirtinimo“ (Žin., 2004, Nr. 42-1379) 2.4 punkto nuostatas:
- Tvirtinu: 1.
- laikino leidimo vykdyti reguliarųjį oro susisiekimą A formą (pridedama); 1.
- leidimo vykdyti reguliarųjį oro susisiekimą B formą (pridedama); 1.
- paraiškos vykdyti nereguliarųjį (-iuosius) skrydį (-ius) C formą (pridedama); 1.
- leidimo vykdyti nereguliarųjį (-iuosius) skrydį (-ius) D formą (pridedama).
- Nurodau, kad C ir D formos pildomos lietuvių arba anglų kalba. DIREKTORIUS KĘSTUTIS AURYLA ______________ A forma PATVIRTINTA CAA direktoriaus 2004 m. balandžio 28 d. įsakymu Nr. 4R-80 CIVILINĖS AVIACIJOS ADMINISTRACIJA CIVIL AVIATION ADMINISTRATION REPUBLIC OF LITHUANIA TEMPORARY OPERATING AUTHORIZATION 200 _________________________________________ Vilnius Air carrier _________________________________________________________________ is temporary authorized to operate international air services on the route_______________________ This Temporary Operating Authorization is valid provided the following terms and conditions are observed:
- Air carrier has a valid Air Operator Certificate.
- Air carrier has a valid operating licence
- The substantial ownership and effective control of air carrier are vested in the _______________________ or its national, or both.
- Flight schedules and amendments to them shall be submitted for the approval by the Civil Aviation Administration not later than 30 days prior to the planned date of commencement of the service.
- Carriage tariffs and terms of their application shall be submitted for the approval by the Civil Aviation Administration not later than 30 days before the planned date of their application.
- Air carrier shall comply with all applicable laws, rules and regulations of the Republic of Lithuania regarding entry into and departure from its territory of an aircraft.
- Air carrier shall comply with all applicable laws, rules and regulations of the Republic of Lithuania regarding entry, clearance, transit, immigration, passports, customs and health or sanitary measures.
- Air carrier has valid aircraft, passenger, cargo and third parties insurance certificates. This permit may be suspended, revoked: In the case of failure by air carrier to comply with the laws or regulations of the Republic of Lithuania. Signature ______________ B forma PATVIRTINTA CAA direktoriaus 2004 m. balandžio 28 d. įsakymu Nr. 4R-80 CIVILINĖS AVIACIJOS ADMINISTRACIJA CIVIL AVIATION ADMINISTRATION REPUBLIC OF LITHUANIA OPERATING AUTHORIZATION 200 __________________________________ Vilnius Air carrier _________________________________________________________________ is authorized to operate international air services on the route _________________________ This Operating Authorization is issued pursuant to: - Article __, Paragraph __ of the Air __________ Agreement between the Government of the Republic of Lithuania and the Government of the ____________________ signed on ___________ in ______________ and - The appointment of ___________________________ on _______________ to operate ____________________________. This Operating Authorization is valid provided the following terms and conditions are observed:
- Air carrier has a valid Air Operator Certificate.
- Air carrier has a valid operating licence.
- The substantial ownership and effective control of air carrier are vested in the _________________________________ or its national, or both.
- Flight schedules and amendments to them shall be submitted for the approval by the Civil Aviation Administration not later than ___ days prior to the planned date of commencement of the service.
- Carriage tariffs and terms of their application shall be submitted for the approval by the Civil Aviation Administration not later than __ days before the planned date of their application.
- Air carrier shall comply with all applicable laws, rules and regulations of the Republic of Lithuania referred to in the Article __ of the Air __________ Agreement.
- Air carrier has valid aircraft, passenger, cargo and third parties insurance certificates. This permit may be suspended, revoked and supplemented pursuant to Article ____ of the Air ______________ Agreement. Signature ______________ C forma PATVIRTINTA CAA direktoriaus 2004 m. balandžio 28 d. įsakymu Nr. 4R-80 Oro vežėjo pavadinimas, teisinė forma, adresas Carrier and its address ________________________________________________________ PARAIŠKA Civilinės aviacijos administracijai APPLICATION for Civil Aviation Administration of the Republic of Lithuania ___ _____________ 200 __ Prašom duoti leidimą vykdyti nereguliarųjį (-iuosius) skrydį (-ius) Request permission for a non scheduled flight: Skrydžio (-ių) duomenys: Flight data:
- Skrydžio (-ių) užsakovas, teisinė forma, adresas Client and his address ______________________________________________________________ Įgaliotojo asmens vardas ir pavardė Name and surname of the responsible person ____________________________________________ Telefonas Faksas Telephone ______________________________ Fax _____________________________________
- Orlaivio tipas registracijos ženklas Aircraft type _____________________ registration No. ___________________________________ Nacionalinė priklausomybė Aircraft nacionality________________________________________________________________
- Užsakymo rūšis Type of the flight _________________________________________________________________
- Keleivių skaičius krovinio kiekis Number of passengers ________________, amount of cargo _______________________________
- Krovinio aprašymas Description of cargo _______________________________________________________________
- Skrydžio (-ių) maršrutas Flight route ______________________________________________________________________ (keturių raidžių kodai/ four letter code)
- Skrydžio (-ių) grafikas Flight schedule: Skrydžio data/ Flight date Skrydžio Nr./ Flight number Oro uostas/ Airport Laikas/ Time UTC UTC UTC UTC Išvyimas/ Departure Atvykimas/ Arrival Išvykimas/ Departure Atvykimas/ Arrival Įgaliotojo asmens vardas, pavardė ir parašas Name, surname and signature of the responsible person ___________________________________ ______________ D forma PATVIRTINTA CAA direktoriaus 2004 m. balandžio 28 d. įsakymu Nr. 4R-80 CIVILINĖS AVIACIJOS ADMINISTRACIJA CIVIL AVIATION ADMINISTRATION REPUBLIC OF LITHUANIA LEIDIMAS Nr. PERMIT No. ___ ____________ 200___ Aviakompanijai leidžiama vykdyti Airline _____________ is permitted to operate skrydį (-ius), ______________________ (_______________________) _____________________flight(s), (reisų skaičius) (reisų skaičius žodžiais) (nereguliariojo skrydžio rūšis) (flight quantity) (flight quantity in words) (type of non scheduled flight) _____________________________ (reiso numeris) (flight number) maršrutu on route _________________________________________________________________________ pagal paraiškos grafiką Nr. according to the schedule on application No.____________________________________________ . Orlaivio tipas registracijos Nr. Aircraft __________________, registration No. _________________________________________ . Leidimas galioja nuo iki This permit valid from ______________________________ to ____________________________. Leidimas galioja 48 valandas nuo skrydžio grafike pažymėto atvykimo arba išvykimo laiko. Tuo atveju, kai bet kuris skrydis, nurodytas tvarkaraštyje, neįvykdomas per 48 valandas, leidimas tam skrydžiui automatiškai panaikinamas. The permit shall be valid for 48 hours after the planned time of arrival or departure indicated in the flight schedule. In the case any one flight fails to operate within 48hrs of the time of arrival or departure to or from territory of Lithuania, the Permit for that particular flight becomes automatically void. Pastabos: Notes: __________________________________________________________________________ ________________________________________________________________________________ Atsakingojo asmens vardas, pavardė ir parašas Name, surname and signature of the responsible person ______________________________________________ ______________