MODIFICATION APPROVAL FORM
Aircraft Registration:
Make:
Model:
Owner Contact Details
Name:
Address:
Phone Hm:
Phone Wk:
Mobile:
Email:
Modification:
Why was the aircraft modified?
Details of Modification: use separate sheet if required.
Check list:
Have photos been supplied?
Has weight and balance been altered, if yes supply reworked weight and balance calculations. If in doubt please supply, you may be asked latter.
Has the manufacture given approval?, give details on a separate sheet.
Has part 103.207 been compromised?
Does the Aircraft require a flight test programme?
To the best of my knowledge the modification~Rs noted above have been completed to a satisfactory standard, the aircrafts flight permit can be re-validated.
LAME or IA: Please sign
Name:
Address :
Phone:
RAANZ Technical officer:
Tech officer to forward form to RAANZ admin and notify owner of result.