Authorised Release Certificate

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

1.

Approving competent Authority / Country


2. AUTHORISED RELEASE CERTIFICATE 3. Form Tracking Number

EASA
AIRCRAFT CERTIFICATE OF RELEASE TO SERVICE
4. Approved Organisation Name and Address 5. Work Order / Contract / Invoice
GARUDA MAINTENANCE FACILITY (GMF) AERO ASIA
SOEKARNO-HATTA INTERNATIONAL AIRPORT
P.O. Box 1303, BUSH 19130,
CENGKARENG - INDONESIA
6.1 Registration 6.2 Serial number 6.3 Model 6.4 Flying hours 6.5 Cycles 7.1 Engines 7.2 Propeller 7.3 APU

SN 1 : SN :
SN 1 : SN 2 :

SN 3 : SN 4 : SN 2 :

8. Operator 9. Approved Maintenance Schedule : 10. Work pack Reference 11. Date of performance
Issue Amendement Date Beginning End

12. Status / Work

13. Remarks

14. Part –145.A.50 Release to Service


Certifies that unless otherwise specified in block 13, the work identified in block 12 and described in block 13, was accomplished in accordance with Part-145 and in respect to that work the aircraft are
considered ready for release to service.

15. Authorized Signature 16. Name & Authorization No. 17. Certificate /Approval Ref. 18. Date (dd/mm/yy) 19. Location
(Category « B1 ») No. :

EASA.145.0062
(Category « B2 »)

(Category « C »)

Form No.: GMF/Q-123R4 (07-2020)

You might also like